Washing and Constant Cleaning, an Obsessive-compulsive Disorder (OCD) E

Washing and Constant Cleaning, an Obsessive-compulsive Disorder (OCD)AbstractWashing and constant cleaning, an obsessive-compulsive disorder (OCD). OCD often goes undiagnosed. Patients obsessively wash, check something or hoard things to relieve themselves of an overwhelming anxiety, and are fully aware their behavior is abnormal. This research studies a 23-year-old married woman who sought intervention for a implike washing and cleaning problem and how the patient was treated. I will discuss how the patient was diagnosed, and treated with a form of cognitive behavioral psychotherapy or CBT (exposure and response treatment) and what medications can be used for treatment.Vickie, a 23 year-old married woman arrived with the company of her husband. Vickie had a problem with severe had washing and cleaning. She would wash her custody up to 30 times a day for at least 5 minutes each time. She always had the feeling that her hands were not very clean, she might touch the side of the si nk after she rinsed her hands and then think they were dirty again. She also took two showers a day for up to 50 minutes or until all the hot water was gone. Other things she did to make herself feel clean is use alcohol to wipe things down that she would come into converge with, like her car seat before she set in it. She has been unable to seek employment as a Licensed Practical Nurse (LPN) collect to her symptoms. I conducted four initial sessions, session one and two were to seek nurture about the history of her symptoms, obsessional content, including external and internal fears cues, beliefs about consequences, and information about passive avoidance patterns and types of rituals (Levenkron, 1991). I also requested Vickie before our next session to record all washing and cleaning that she did, including wiping things with alcohol. She recorded all(prenominal) time she washed, how long she washed, what made her wash, and how anxious she was before she washed. This kind of r ecord will help us identify any sources of contamination she may bugger off gotten and we can also use it to measure her progress during treatment the third session was devoted to personal and family history the fourth session was devoted to treatment planning. During the first three therapy sessions Vickie talked about her experiences of recurrent and persistent ideas, thought, impulses, ... ... to obtain anti-obsessional effects. Studies done to date suggest that the following dosages may be necessary Luvox (up to 300 mg/day), Prozac (40-80 mg/day), Zoloft (up to 200 mg/day), Paxil (40-60 mg/day), Celexa (up to 60 mg/day), and Anafranil (up to 250 mg/day), (Jenike, 1999b). ReferencesAmerican Psychiatric Association. (2000). Diagnostic and statistical manual(a) of mental disorders (4th ed.). Washington, DC AuthorEngler, J. & Goleman, D. (1992). The authoritative guide for making informed choices about all types of psychotherapy. The Consumers Guide to Psychotherapy. New York, NY Simon & Schuster/FiresideLevenkron, S. (1991). Treating & Understanding disabling Habits. Obsessive-Compulsive Disorders. New York, NY Warner Books.Jenike, J. (1999a). How to select a Behavior Therapist. Obsessive-Compulsive Foundation. Available http//www.ocfoundation.org/ocf_0003.htmJenike, J. (1999b). OCD medication Adults. Obsessive-Compulsive Foundation. Retrieved November 18, 2001, from http//www.ocfoundation.org/ocf1050a.htmObsessive-Compulsive Foundation How is OCD treated. Retrieved November 14, 2001, from http//www.ocfoundation.org/ocf1030a.htm