Obsessive Compulsive Disorder ( Ocd ) Essay

Obsessive Compulsive Disorder ( Ocd ) Essay

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Case #2: Frank
Diagnostic Impressions
300.3 (F42) Obsessive-Compulsive Disorder, with good or fair insight
Diagnostic Evidence
Frank is describing symptoms that meet criteria for obsessive-compulsive disorder (OCD). In specific, he described symptoms that allow Criterion A, which requires the presence of obsessions and/or compulsions (APA, 2013), to be met. He reported that he has recurrent, unwanted thoughts regarding harm befalling his family. Such thoughts are characteristic harm obsessions. Moreover, he reported that he engages in behaviors such as constantly calling his family to make sure that they are well. Such behaviors are characteristic checking compulsions. Because Frank considers his thoughts as “silly” and as a product of his mind rather than actual danger, it is determined that he has good or fair insight into his symptoms.
Criterion B requires that symptoms be time-consuming or cause significant distress or impairment (APA, 2013). Frank’s symptoms are described as being extremely time-consuming—e.g., he rarely leaves his family alone and telephones them at least every hour. His symptoms are also described as being highly distressing and impairing—e.g., he has lost a job as a result of his symptoms. Thus, Criterion B is met.
Because Frank did not report substance use or abuse, the presence of another medical condition, or the presence of symptoms better explained by another mental disorder, Criteria C (i.e., symptoms are not caused by the use of substances or another medical condition; APA, 2013) and D (i.e., the disturbance is not better explained by another mental disorder; APA, 2013) are met.

Differential Diagnosis/Appropriateness of Diagnosis
Other likely diagnoses considered are generalized anxiety di...

... middle of paper ...

...plications for prognosis, course, and treatment. It is known that OCD is highly comorbid with depressive and anxiety disorders (APA, 2013). And fourthly, because there is an associated risk of suicide with OCD (APA, 2013), it is recommended that he be screened for past and current suicidal ideation and behavior. He may be at risk for suicide.
ps to “with intermittent major depressive episodes.” Thirdly, because Jim does consume substances and did not report medical illnesses, further investigation should occur to determine whether or not his symptoms are the physiological effects of a substance or another medical condition. And fourthly, because there is an associated risk of suicide with PDD, as with all other depressive disorders, (APA, 2013), it is recommended that he be screened for past and current suicidal ideation and behavior. He may be at risk for suicide.

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