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Question
What is obsessive-compulsive disorder?
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Solution
Obsessive-Compulsive Disorder (OCD) is an anxiety disorder defined by the occurrence of unwanted and intrusive obsessive thoughts or distressing images; usually accompanied by compulsive behaviors performed to neutralize the obsessive thoughts and images.
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Given below is the conversation between a Patient's wife and the Psychiatrist. The Patient's wife is the informant.
| Patient's wife: | “Doctor, I am unable to adjust to my husband's behaviour”. |
| Psychiatrist: | “What changes have you noticed in him lately?” |
| Patient's wife: | “For the past three weeks, he has been very energetic and over excited. He has been shopping and buying unnecessary things. He behaved differently last month. He was profoundly sad for no known reason and had lost interest in life.” |
|
Psychiatrist: |
“Since when have you been noticing this fluctuation in his behaviour?” |
| Patient's wife: | "Since the last three months.” |
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- Explain any four causes of this disorder.
- Briefly explain Cognitive Behavioural Therapy that the Psychiatrist can use in the treatment of this patient.
|
“The onset of the disorder was gradual, but even today, I still remember the painful episode in my life. I had completed medical school with great success. It seemed as if my hard work had paid off and my dreams were realised. However, within two weeks thereafter, I was unable to complete my work in a timely fashion. I had trouble concentrating on even the simplest of tasks. I felt intense gloom and felt lonely, even amongst my friends. I was unable to sleep and felt fatigued and worthless all the time. I remained slow, inefficient and disorganised.” |
- Identify the psychological disorder indicated above. (1)
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