Case Study Of Vera's Disorder

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The DSM-5 (2013) identifies additional social factors that may contribute or result from OCD. These factors include a history of physical or sexual abuse, trauma history, deficits in social support, family dysfunction, and infectious environmental agents. Earlier onset is an additional situational factor as it is often correlated with more severe symptom presentation (American Psychological Association, 2013). Based on Vera’s presentation, several factors seem to be relevant to her case. Vera’s reports indicate that she is experiencing faulty thoughts centered around a distortion of her responsibility to protect her mother, as evident by her compulsion to complete time-consuming and distressing rituals to ensure her safety. She also appears …show more content…

To begin, PMT should focus on shaping Vera’s mothers responses to Vera 's fears. Currently, Vera 's mother responds to Vera 's distress by avoiding situations that may be distressing for Vera, such as driving or seeing extended family. A secondary focus should be on improving Vera 's mother and father’s communication skills by teaching them strategies for conflict resolution in order to lessen Vera 's exposure to parental conflict. As family dysfunction has been shown to predict poorer results (American Psychological Association, 2013), relieving conflict could improve Vera 's treatment …show more content…

Reports from Vera 's mother indicate that she cares deeply about alleviating Vera 's distress and that she is highly motivated to seek treatment for Vera. Although familial conflict is an issue, Vera reports having a relationship with her father; however, further assessment is needed to assess her father 's willingness to participate in Vera 's treatment and in PMT. Reports from Vera 's teacher indicate that she is attentive to Vera 's needs and may be willing to collaborate with clinicians on a treatment plan to help address Vera 's in-school symptoms. Vera 's ability to verbally express her emotions and thought processes will aid the CBT process by identifying the faulty cognitions and the negative emotional symptoms that the clinician should address. (Garcia et al.,

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