A Case Examine of Obsessive-Compulsive
Disorder: A lot of
Prior to 1984, obsessive-compulsive disorder (OCD) was considered a rare disorder and one difficult to treat (I )�. In 1984 the Epidemiologic Catchment Area (ECA) preliminary survey results became available for the first time, and OC D prevalence figures showed that 2. 5 % of the population m et diagnostic criteria for OBSESSIVE COMPULSIVE DISORDER (2, 3)�. Final survey benefits published in 1988 (4) confirmed these earlier reports. In addition, a 6-month point prevalence of 1. 6% was seen, and a life time prevalence of a few. 0% was found. OCD is an illness of secrecy, and frequently the patients present to medical doctors in specialties besides psychiatry. An other factor causing under medical diagnosis of this disorder is that psychiatrists m a y do not ask screening process questions that could identify OCD. The following case study is an example of a patient with moderately extreme OCD who presented to a resident psychiatry clinic ten years prior to being diagnosed with OBSESSIVE COMPULSIVE DISORDER. The patient was compliant with out affected person treatment to get the entire time period and was treated for major depressive disorder and border line personality disorder with medication s and supportive psychotherapy. The sufferer never discussed her OCD symptoms with her doctors but in retrospection had presented many clues that might have allowed a swifter diagnosis and treatment.
Simran Ahuja was obviously a 29 year old, divorced, indian female whom worked as a file clerk. She was followed while an out patient at the same resident clinic since 1971. I first observed her 2012.
PAST PSYCHIATRIC HISTORY
Simran had been seen in the resident out patient clinic since July of 1984. Prior to this she had certainly not be en in psychiatric treatment. She had never been hospitalized�. Her initial complaints were depression and anxiety and the girl had been placed on an phenelzine and responded very well. Her depression was initially thought to be secondary to amphetamine disengagement, since she had been using diet pills for 10 years. She stated that in first she took them to lose weight, but continued for so long because people at work experienced noted that she concentrated better and that her job performance got improved. In addition, her past doctors had all commented on her behalf limit edibility to change and her neediness, insecurity, low self-esteem, and poor boundaries. In addition, her past doctors had noted her promiscuity. All noted her poor attention duration and limited capacity for insight. Neurological testing during her initial evaluation had demonstrated the possibility of non-dominant parietal lobe deficits. Testing was repeated in 1989 and showed " problems in focus, recent image and spoken memory (with a higher deficit in visual memory), abstract thought�, cognitive flexibility, use of mathematical functions, and image analysis. An opportunity of proper temporal disorder is suggested. " IQ tests showed a co m bine g score of 77 around the Adult Weschler IQ test, which indicated borderline mental retardation�.
Over the years the patient have been maintained on various antidepressants and antianxiety brokers. These included phenelzine, trazadone, desipramine, alprazolam, clonazapam, and hydroxyzine. Currently she was on fluoxetine 20 mg daily and clonazaparn 0. five mg twice a working day and 1 . 0 mg at going to bed. The antidepressants had been powerful over the years in treating her despression symptoms. She has never used m ore clonazapam than prescribed and there was zero history of abuse of alcohol or street medications. Also, there was no history of discreet manic symptoms and she was never remedied with neurolepics.
PAST MEDI CAL RECORD
She endured from gas troesophageal reflux and was maintained symptom free over a combination of ranitidine and omeprazole.
Simran was born and raise d in a large city. She had a brother who was 3 years youthful. She described her father as morose, taken, and...