Management of Obsessive-Compulsive Disorder: A Case Report

Abstract

 BACKGROUND: Obsessive compulsive disorder is a mental illness characterised by a pattern of undesirable thought, sensations, and behaviour (obsessions) (compulsions) . Anxiety is one of the most typical symptoms, and such a task could include repeatedly washing their hands, keeping the lights on, or keeping their surrounding clean.

MAIN SYMPTOMS AND IMPORTANT CLINICAL FINDING: The patient is 33 year old female was admitted in A.V.B.R.H on dated 03/01/2020 with chief complaint of anxiety, obsessive thought, She had a 21-year history of obsessive thoughts and ritualistic behaviours, such as excessive checking, which had been worse since the birth of her first child. Except for a modest case of generalized anxiety disorder, there is no evidence of comorbidity. She'd like to know which treatment is best for her right now.

THE MAIN DIAGNOSIS, THERAPEUTIC INTERVENTION, AND OUTCOME: Obsessive-compulsive disorder (OCD) is a diagnosis. After a physical check and investigation, To relieve symptoms, give paroxetine (Paxil pexeva) at a dose of 25 mg, clomipramine (Anafranil) at a dose of 50 mg, and fluoxetine (Prozac) at a dose of 20 mg orally. OCD was once thought to be a persistent, treatment-resistant condition .There was no meaningful improvement with psychodynamic therapy or a variety of pharmaceutical treatments available at the time.

OUTCOME: Good sanitation, improved water supply, and a suitable sewage waste matter system, and treatments are given psychotherapy, behavioural therapy, particularly those involving exposure and response prevention. After physical examination and investigation doctor diagnosed a case of obsessive compulsive disorder

NURSES PERSPECTIVE: The patient was offered counselling as well as Tab. Obsessive-compulsive disorder (OCD) is treated with clomipramineclomipramine. It helps to reduce unwanted/persistent thoughts (obsessions) and the want to perform repetitive duties (compulsions like hand-washing, counting, and checking) that interfere with daily life. Maintain intake and output, as well as providing a healthy atmosphere and weekly therapy as directed by the doctor.

CONCLUSION:  The patient in this scenario is an example of an obsessive-compulsive patient. We recommended a 20-session CBT for her. The Yates-Brown Obsessive Compulsive Scale score fell from 29 at the beginning of treatment to 13 at the end. This is a 55 percent reduction in efficacy. For the 1-year follow-up, the results remained consistent. The general therapy techniques for OCD are provided. There are certain behaviors or thoughts that come up repeatedly in everyone's life. Patients with OCD have thoughts or behaviors that consume at least an hour of their day. Aren't in your control aren’t they entertaining? Interfere with your professional or social life, or any other element of your life.