Obsessive Compulsive Disorder Case Study

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The diagnostic criteria for OCD (Obsessive-Compulsive Disorder) includes recurring and unwanted thoughts & urges which are hard to suppress and may cause discomfort or anxiety; this is known as obsession. Subsequently, there are compulsions, repetitive behaviors and actions performed by a person in a response to an obsession or an unrealistic belief it will prevent a horrific event or sooth anxiety. In order to meet the criteria for OCD these obsessions, compulsions, or a combination of both must take up significant time each day or cause severe impairment in functioning properly in necessary aspects of life. Also, all these symptoms must not occur due to physiological reactions to drugs or a separate medical condition in order for an individual …show more content…
While some wouldn’t even see room to argue and see the two one in the same, those that do not feel that way or simply are curious have done studies only to result in conflicting results. While the results in induvial studies may differ, meta-analytic studies show little to no difference in results of cognitive and behavioral therapy. (Olatunji et al., 2013, p.416) While results may be similar, the actual practice of each immensely differs. Cognitive therapy focuses deeply on working through and explaining your thoughts, as well as occasionally feedback and encouragement from the therapist. The thoughts focused on by the therapist are related to bringing out the patient’s dysfunctional and automatic thoughts into conscious thought and discussion.(Olatunji et al., 2013, p.419) One large aspect of cognitive therapy is the practice of responsibility-reduction. Responsibility-reduction is important because it is believed that a persons inflated sense of responsibility is what is causing their anxieties. (Olatunji et al., 2013) Behavioral therapy focuses more on what is known as exposure exercises and ritual prevention. Exposure exercises are a type of therapy where the patient is exposed to his obsession until their anxiety is markedly decreased. Ritual prevention therapy is a practice which involves mental and physical aid to prevent performance of …show more content…
(Franklin et al., 2002, p. 166) The opposite of the previous statement is also correct, CBT is also not always recommended or required in order to obtain a positive effect from SSRIs. (Simspon et al., 2013, para. 40) While these things are shown, they are not set in stone rules. Studies have shown that CBT and SRIs can make for an efficacious combination for treating OCD. (Franklin et al., 2002) Combination of these two therapies is helpful because it can work around some of the negative symptoms of a treatment without abandoning it completely. This flexibility can lead to significant improvements in patients that have been struggling to make any progress before. (Simspon et al., 2013)(Franklin et al., 2002) There are many variables that play into treating a patient with OCD, so medication or CBT cannot always be a clear and simple choice. These treatments are known to work, but as always there are no guarantees as a person may have OCD so severe they need more intensive treatments. (Greist & Jefferson,

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