The client, Bill, experiences great levels of concern for the safety of his wife and young daughter. He describes his concerns as random, recurrent thoughts of dangerous events falling upon his family. As a result of these frequent thoughts of danger, Bill calls home every hour to check on his family. These thoughts and behaviors have been present for years. Bill' concerns have since escalated after his wife had an automobile accident. His constant telephoning home has led to the loss of one of his jobs. His wife has threatened to leave him and has pushed for him to seek help from a psychiatric facility. On Axis I of the Diagnostic and Statistical Manual of Mental Disorders, Bill can be diagnosed with obsessive compulsive …show more content…
The patient's irregular behavior has also agitated his wife so much that she has threatened to leave him. In addition to these stressors, the patient's wife was recently involved in an automobile accident. Together, these contextual factors have intensified the patient's anxiety. Consequently, this intensifying of anxiety has caused an increase in the patient's irregular behavior used to alleviate his concerns. The patient, himself, has admitted that he knows his thoughts are “silly” and that those thoughts stem from his own mind. He also admits that he cannot control these thoughts that come about randomly. Whether or not the patient has existing personality or developmental disorders is unknown. The patient does seem to have normal interpersonal relationships based on the information given. Bill does not have any known physical or medical conditions that may have influenced the above mentioned diagnosis. I believe that this diagnosis describes the patient enough that no other diagnosis can be assigned that accurately embodies the patient's symptoms. For the patient, I have assigned a GAF score of 73. Bill has some mild symptoms and they cause difficulty of functioning in various settings such as work. However, he does perform relatively normal in daily life. Though the patient does function normally in daily life, his symptoms do hinder his daily activities. This is why I assigned a GAF score of 73. The patient's symptomalogy
Nevertheless, it does appear that Jamie has some sensory misperceptions correlating his compulsive action to bad thoughts to which, he cannot describe. Jamie demonstrates an average level of awareness for his age and does not appear to be a danger to self or others. Cognition: The client processed information; clearly, Jamie displayed the ability to concentrate on questions asked.
The patient I have chosen to write about is a seventy year old male who has been married for nearly fifty years. He has two grown up sons, both married with
Obsessive compulsive disorder is a disease that many people know of, but few people know about. Many people associate repeated washing of hands, or flicking of switches, and even cleanliness with Obsessive Compulsive Disorder (OCD), however there are many more symptoms, and there are also explanations for those symptoms. In this paper, I will describe what obsessive compulsive disorder is, explain some of the effects of it, and explain why it happens. I will also attempt to prove that while medication doesn’t cure OCD, it vastly improves one’s quality of life. Furthermore I intend to show that behavior therapy (cognitive based therapy) is another useful tool in helping a person to overcome their OCD.
It has long been recognized that there are similarities between Obsessive Compulsive Disorder (OCD) and Anorexia Nervosa. These similarities lie in the symptoms of the disorder. Many patients of both diseases report intrusive, fearful thoughts, a compulsive need to perform rituals, and an obsession with maintaining these rituals. In the case of anorexia nervosa these behaviors center on food and thinness whereas in OCD they are of a more general type.
Strengths and Weaknesses in Aetiology and Treatment of Cognitive Behavioural Therapy (CBT) for Obsessive Compulsive Disorder (OCD)
Imagine feeling like a slave in your own body. Being forced to do ridiculous rituals and having constant compulsions to do things that you know don’t make sense. This is what it is like to live with Obsessive Compulsive Disorder (OCD). In the United States alone, over 2 million people suffer from OCD (Parks, 2011) but no one has found the cause of this disorder. It affects people of all races, genders and socioeconomic backgrounds (Parks, 2011). Since it’s discovery and modern conceptualization, there has been an ongoing debate whether OCD is caused by environmental factors or if it is inherited through genetics. However, since both sides of the debate raise a solid argument and there is not enough hard evidence, the source of the disorder
Obsessive Compulsive disorder (OCD) has been in existence for many years. Debilitating it’s sufferers from partaking in activities they may enjoy because of both the sufferers obsessions and compulsions causing them to feel somewhat outcast from their fellow members of society. In this essay symptoms of OCD will be outlined; also the most empirically researched method of treatment Exposure and Response Prevention (ERP), along with the process involved in treating a patient with this kind of therapy. The mistakes made by practitioners in the implementation of this treatment will be addressed. Also, pharmacotherapy will be briefly analysed as a means of improving efficacy. It will be concluded that Exposure Response Prevention treatment in
31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.
Persistent fears that harm may come to self or a loved one, an unreasonable belief that one has a terrible illness, or an excessive need to do things correctly or perfectly, are common. Again and again, the individual experiences a disturbing thought, such as, "My hands may be contaminated--I must wash them"; "I may have left the gas on"; or "I am going to injure my child." These thoughts are intrusive, unpleasant, and produce a high degree of anxiety. Often the obsessions are of a violent or a sexual nature, or concern illness.
I have always been fascinated with behavioral disorders, especially OCD. I learned about OCD a few years ago when I was reading a medical journal. At first, it seemed like something very odd. The idea that otherwise normal people can do such strange things, and not be able to control themselves was fascinating. I wanted to know more about this topic, which is why I chose to write my paper on it. I thought that by knowing more about the subject, I will be able to better understand how these people’s lives can be literally taken over by their constant worries and anxiety. Also, I think a lot of people exhibit these behaviors and aren’t even aware that they may have a severe problem, and more importantly, that they can be getting help to
Lester is a 40-year-old man referred to me for counselling by his doctor. He is currently married and lives with his wife, Carolyn, and their 16-year-old daughter Jane. He is employed as a fast food attendant (Cohen, Jinks & Mendes, 1999). At the initial examination Lester dresses untidily and unshaven, and avoids eye contact. Lester reports an overall feeling of unhappiness (Cohen, Jinks & Mendes, 1999). He stated that he has become reckless and self-destructive and worried about some of his recent life decisions.
Obsessive-compulsive disorder, or OCD, involves anxious thoughts or rituals one feels and can't control. . For many years, OCD was thought to be rare. The actual number of people with OCD was hidden, because people would hide their problem to avoid embarrassment. Some recent studies show that as many as 3 million Americans ages 18 to 54 may have OCD at any one time. This is about 2.3% of the people in this age group. It strikes men and women in approximately equal numbers and usually first appears in childhood, adolescence, or early adulthood. One-third of adults with OCD report having experienced their first symptoms as children. The course of the disease is variable. Symptoms may come
The prevalence of obesity-related comorbidities such as type-2 diabetes and heart diseases in the US emphasizes the need for concerted efforts to prevent and treat obesity1-3. A decrease in 5% of body weight significantly reduces cardiovascular risk in humans4 which proves the urgency of weight management. A combination of drug and lifestyle intervention is ideal for obesity management5-8. Unfortunately, the current anti-obesity medications that inhibit food intake or absorption are partly effective9,10. Thus, an alternate approach is to target energy metabolism11-19 due to the fact that obesity results when energy storage in the adipose tissue exceeds its expenditure20. However, due to the complexity of adipose tissue21, the fundamental
The patient, Angela, is a 34-year-old married female, with two children. Angela was said to have witnessed a car accident 4 months ago. At the scene of the accident, she stopped to help and was the only person there for 10 minutes. During this time, she spent the majority of it calming the two children that were trapped in the vehicle. She later found out that one of the two children had not survived the accident. Since the time of the accident, she also reported that she was very jittery and unable to sleep for more than 3 hours at a time. The patient also reported that she was often irritable and angry, as well as impatient with children. She was also having concentration problems and felt very jumpy. She also stated that she could not tolerate watching evening news because of all the reports of accidents and murders. It was also known that when she tried to talk to her husband and sister about her thoughts and feelings that had been occurring as of late, her husband was supportive yet both of them wished for to disregard it and move on. Her sister even went as far as to say that Angela should focus more on her family than that of others. Other than the symptoms that Angela described as having been afflicted with after the accident, she also provided information about her past history that should be taken into account.
“I know my hands are clean. I know that I have touched nothing dangerous. But… I doubt my perception. Soon, if I do not wash, a mind numbing, searing anxiety will cripple me.