Analysis of a Cleaning/Contamination Obsessive-Compulsive Disorder Case

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Analysis of a Cleaning/Contamination Obsessive-Compulsive Disorder Case This case paper is about Lucinda, a 20-year old single female, who suffers from the Cleaning/Contamination Obsessive-Compulsive Disorder (OCD) condition since she was very young. She is characterized by intrusive thoughts, images, and/or impulses that cause distress (obsessions) and repetitive behaviors that are performed to neutralize these intrusions (Coles, Schofield & Pietrefesa, 2006), i.e. her repetitive cleaning and washing behaviors. Her anxiety became so excessive that it interfered with her daily life. She perceived that some undesirable object(s), in this case the germs, were still on the things that she will come in contact with, even after she had repeatedly washing and/or cleaning them. Her anxiety further degraded both her social and occupational functioning, which resulted in considerable impacts to herself, her friends and family. In additions, her anxiety also caused her not be able to function to her fullest potential academically and to socialize with her friends and family as much as she wanted to. Lucinda is currently pursuing her degree in business at a local university. She has been attending the university for the past two-and-a-half years, and yet she is still at her sophomore year. She has earned just 26 credit hours towards her business degree. While attending the school, she also works part-time at the help-desk in one of the university labs. Lucinda lives in a small apartment off-campus. She has been frequently late for classes and missed multiple class periods each semester. She has been experiencing a lot of stress trying to keep up with her class work and considering dropping 1 to 2 courses this semester. ... ... middle of paper ... ...rse childhood experience and obsessive-compulsive symptoms and beliefs: The role of anxiety, depression, and experiential avoidance. Journal of Anxiety Disorders, 23, 1037-1046. doi:10.1016/j.janxdis.2009.07.004 Coles, M. E., Schofield, C. A., & Pietrefesa, A. S. (2006). Behavioral inhibition and obsessive-compulsive disorder. Anxiety Disorders, 20, 1118-1132. doi:10.1016/j.janxdis.2006.03.003 Jakubovski, E., Diniz, J. B., Valerio, C., Fossaluza, V., Belotto-Silva, C., Gorenstein, C., …Shavitt, R. G. (2013). Clinical predictors of long-term outcome in obsessive-compulsive disorder. Depression and Anxiety, 30, 763-772. doi 10.1002/da.22013 Wahl, K., Salkovskis, P. M., & Cotter, I. (2008). ‘I wash until it feels right’ the phenomenology of stopping criteria in obsessive-compulsive washing. Anxiety Disorder, 22, 143-161. doi:10.1016/j.janxdis.2007.02.009

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