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Dealing with obsessive-compulsive disorder
Dealing with obsessive-compulsive disorder
Dealing with obsessive-compulsive disorder
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In the case of Marjorie, she is a 24-year-old, single Caribbean American female who lives in the home with her mother and her two younger sisters. When she was 15 years old Marjorie’s father died. Marjorie is unmarried, has no children, and is employed part time. (Plummer, 2013). Since she had already received a definitive diagnosis of OCD by a psychiatrist, and had been initially prescribed Zoloft, (Plummer, 2013) I would begin by educating her about OCD, explaining that OCD is often shared with other disorders usually treated by mental health counselors such as depression or substance abuse; and explain that its onset usually occurs in the adolescent or college years (Noshirvani, Kasvikis, Marks, & Tsakirvis, 1991). (Spengler, n.d). Marjorie’s onset begun when she was a teenager and escalated once her father passed. As the worker being assigned to her case I would use Exposure theory as well as cognitive Behavioral Therapy (CBT). Marjorie is fearful of germs; through exposure therapy Marjorie could face her fears of germs by being exposed in a systematic and secure way to certain objects that she feels carries germs (Spengler, n.d) She could then safely address, dispell and face those fears. Allowing her to slowly move at a pace that is comfortable for her, by …show more content…
(Plummer, 2013) She believed that Marjorie would ultimately outgrow any problems, stating, “No child of mine has a mental health problem!” (Plummer, 2013). I would suggest family therapy for Marjorie mother and sisters as well to help them understand what is going on with Marjorie as well. I would educate myself as the worker to the beliefs of her culture concerning mental health issues and seeking
When a child is diagnosed with a mental illness, parents and families have to adapt and adjust to a new lifestyle.
From reading and reflecting her personal experience and journey with her sister, Pamela, I acquired a personal outlook of the deteriorating effects of mental illness as a whole, discovering how one individual’s symptoms could significantly impact others such as family and friends. From this new perspective mental health counseling provides a dominate field within not only individuals who may suffer mental illness such as Pamela, but also serve as a breaking point for family and friends who also travel through the illness, such as Carolyn.
Regina is presenting symptoms that would best meet the criteria for Obsessive-Compulsive Disorder, based on the DSM-IV-TR. Her obsessions consist of recurrent and persistent thoughts and impulses that are experienced, at some time during the disturbance, as intrusive and inappropriate and cause marked anxiety or distress. The thoughts and impulses are not simply excessive worries about real-life problems. She is showing repetitive behaviors that meet the compulsion criteria by her need to clean her apartment every morning and to clean her desk each day before class in order to relieve her feelings of anxiety. Regina has recognized that her anxiety about germs and the amount of time she spen...
The patient, LL, is a twenty four year old female who was diagnosed with obsessive-compulsive disorder five years ago. Around the ago of eighteen, LL started to experience many symptoms of obsessive-compulsive disorder. She had just started her freshman year at a local college and moved into the dorms with a random roommate. LL was constantly washing her hands and grossed out by the germs, so she came to realize she had a phobia of germs. She would begin sweating and having major anxiety when people went to shake her hand or her roommate would touch her food or any of her things. LL started skipping class and isolating herself in her room in order to avoid contact with other people. When her grades dramatically declined,
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
of the biology of behavior in vague terms. The effect of a drug, and the
These children had the worst histories I have seen in mental health nursing. The opportunity to work with this population was the most difficult and honorable thing I have done in my life. Part of my goal as a nurse practitioner will be to work with the underserved and difficult populations that others are not willing to work with. The next four years I spent floating around seven different units at CenterPointe Hospital. Some of the units include adult detox unit, geriatrics, acute adult, chemical dependency residential programs, and adolescent units. Child and adolescents are my passion but working with dual diagnosis, acute adults and geriatric/dementia populations gave me a well-rounded experience. I have also worked the last 3 years PRN as an eating disorder nurse. This vast experience working with every psychiatric population has taught me much about psychiatric disorders and provided me with balanced work history. In addition, I have worked as charge nurse of these units and gained leadership skills. I intent to use the experience and knowledge from my nursing career to help me assess, diagnose and treat, as a nurse
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
Randal initially sought a psychological assessment for the presenting problem of depression. He began by stating that he had been having a difficult time with simple tasks and was easily overwhelmed. After further questioning, Randal began to elaborate on some of the thoughts that occupied his time and led to difficulty concentrating. He was constantly absorbed in anxiety about himself, or his family, coming into contact with a microbial disease. This thought pattern led to him compulsively washing his hands, obsessively cleaning surfaces and doorknobs, and throwing out perfectly fine clothing due to fear of contamination. He went on to further state that he often avoided places due to anxiety about their cleanliness. Also, Randal explained that often just when thinking about dirt and germs, he would take a shower, as a result of feeling contaminated. When prompted, Randal intimated that this behavior has occurred for several years, but recently has begun to interrupt his day-to-day functioning.
...t to find a therapist who knows how to do Exposure and Response Prevention therapy. A therapist should be open and friendly towards a patient’s decision about finding help. A patient’s relationship with their therapist is important because they will be disclosing a lot of information to their therapist, some of which may be embarrassing or uncomfortable. (Ocfoundation, 9)
The Obsessive-Compulsive Disorder What is Obsessive-Compulsive Disorder? I’m sure that most everyone has seen different news shows or talk shows where you see the person washing their hands until they bleed, or go back and forth into the house to double, triple, quadruple check something. A person may walk around their house making sure everything is “in its place” and not stop until a level of perfect is reached but often perfection in their eyes is never achieved. Magazines and books need to be parallel to the table they are on and of course the table must be parallel with the rest of the furniture in the room. These are just a few examples of behaviors that are demonstrated when a person has OCD.
Julie Holland, MD portrays a very interesting perspective working at a psychiatric hospital. I can see how many people perceive this book as controversial due to some of the disclosure, judgments or biases she placed on her clients and colleagues. Many different defense mechanisms can be seen throughout the book such as displacement, humor, denial, intellectualization, and isolation of affect, repression, and eventually suppression. Many of these defense mechanisms are not identified within her own pattern of behavior when dealing with stressful
How the counselor can approach a client who is diagnosed with OCD is by first, completing an intake evaluation. Why administering an intake at the start of therapy is so important is due to this being a time where Eilis and the counselor can make an initial interaction and learn or become aware of the client’s current mental status, history, and spirituality/religion. Cashwell and Young (2011) labeled this assessment process as “taking in” due to “taking in” all the client’s information, such as, Eilis’s background on rituals that could have led to her OCD, substance abuse, and family history of OCD (Cashwell & Young, 2011). Nevertheless, the client and counselor can establish that strong professional rapport that will help the counselor dig
Varcarolis, E. M., Carson, V. B., & Shoemaker, N. C. (2006). In Foundations of Psychiatric Mental Health Nursing (p. 283). St. Louis: Elsevier Inc.
The Psychiatric Mental Health Nurse Practitioner (PMHNP), role and job description is providing primary mental health care services, to those with mental health problems, or psychiatric disorders. The PMHNP is required to assess, diagnose, provide treatment plans, prescribe medication therapy, and offer counsel across the lifespan. The PMHNP provides care in a wide range of settings to children, adolescents, adults, the elderly, and their families. This mental healthcare takes place in the primary care settings, emergency rooms, hospitals, outpatient mental health clinics, senior living communities and in private practices. Being culturally competent to care for the ever changing demographics of the United States is necessary. The PMHNP assess and treats in a holistic manor and utilizes evidenced based practice. Regardless of race, gender, age, religion, sexual orientation, political persuasion, or socio economic standing the PMHNP is there to treat. The PMHNP role also includes establishing a therapeutic relationship, being sensitive to many abnormal behaviors, and caring for those frequently distressed emotionally. Collaboration and the ability to make referrals are essential for the PMHNP. Patients present with undiagnosed problems and establishing the proper diagnosis by a qualified PMHNP begins with the initial assessment interview (Gilfedder, Barron, & Docherty, 2010).