The case study will discuss a 52-year-old male client, Samuel, who is suffering obsessive-compulsive disorder (OCD) with good or fair insight. In this paper, this author will illustrate this case and discuss Samuel’s symptoms and diagnosis. In addition, this author will demonstrate evidence-based treatments and analyze potential challenges in therapy.
Symptoms and Diagnosis
This section will show an explanation of Samuel’s problem and his diagnosis. Samuel presented many features that are related with OCD with good or fair insight, and he meets the DSM-5 criteria for OCD with good or fair insight. Samuel stated that he was concerned with contracting diseases like HIV. He reported that he “avoided touching practically anything outside of his home”, and he even …show more content…
In this case, Samuel with OCD might have co-morbid disorders, and he has depression and may have anxiety and phobias at the same time. Samuel reported that he had had treatment for his depression, because he had been struggling with depression for years. Additionally, Samuel stated that “he was worried about contracting diseases such as HIV, and he had intrusive images and had fears so that he avoided doing something.
In treatment regimen, this therapist will need to consider co-morbid disorders first. For example, therapist can check if the treatments can appropriately to apply for the co-morbid disorders because if a therapist considers OCD alone, other disorders may be overlooked, which may impact the effectiveness of treatment. Also, some comorbid disorders such as “suicidality, substance abuse, active psychosis, and severe depression” should be take considerations prior to OCD due to acute risks; otherwise, it may worsen symptoms even have life-threatening (Bornheimer,