International Journal of Physical and Social Sciences
Year : 2015, Volume : 5, Issue : 1
First page : ( 141) Last page : ( 149)
Online ISSN : 2249-5894.

Psychosocial treatment of Obsessive compulsive disorder – a case report

Mathew Shari Tess, Mphil Research Scholar, Arthur Julian A. J., Ph.D. Research Scholar, Pandian Dhanasekara R., Additional Professor

Department of Psychiatric Social Work, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore

Online published on 24 January, 2015.

Abstract

Obsessive compulsive disorder is a debilitating psychiatric illness affecting many people around the world. The current case report highlighted is of a client who was diagnosed with Obsessive Compulsive Disorder (OCD) and received treatment at a tertiary hospital centre. His socio occupational functioning was impaired and he had to quit his job due to the severity of his symptoms. Yale Brown Obsessive Compulsive scale (YBOCS) was administered at baseline which revealed a score 33 indicating severity of symptoms in the form of obsessions and compulsions. As part of his treatment along with pharmacological management, the therapist made a detailed assessment and a series of 20 controlled sessions of Exposure and Response Prevention (ERP) was provided which was a part of the psychosocial interventions. The YBOCS was administered during the course of his treatment to mark his progress and at the end of his treatment there was a remarkable decrease in the severity of the symptoms both at completion of therapy and during subsequent follow-up at one month of discharge, the client scored 10 on YBOCS indicating that the symptoms has reduced and were very too minimal to make a diagnosis, where a score of 16 is the cut off for making a diagnosis of OCD. The training he received gave him the courage to control his thoughts and behaviours which resulted in reduction of his compulsions and obsessions. Thereby his social occupational functioning improved and was able to lead a normal life.

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Keywords

Obsessive compulsive disorder (OCD), psycho social interventions, Exposure Response Prevention (ERP).

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