Play: OCD

Scene: Classroom

Narrator: Obsessive Compulsive Disorder is a neurological disorder in which obsessions and

compulsions are present. OCD is an anxiety disorder marked by persistent, unwanted
thoughts that intrude upon the mind and by compulsive behaviors and unneeded actions by a
person feels must be done repeatedly in certain rigid and consistent ways. Patients suffer
from such disorders are aware that they have a psychological problem that leads them to
think and behave like irrational in particular circumstances. They usually have fears and
anxieties that they cannot seem to control. It’s as if their brains get stuck on a certain thought
and keep on repeatedly. To relieve their anxiety and nervousness, they commit these
repetitive behaviors.

Aizeah: Stand up, sit down 3x

Aizeah: Tapos ka na? Oh sige, go back to your seat.
Aizeah: Everybodyyyy, tumayo kayong lahat.
Aizeah: Spray alcohol, wipe 3x

Aizeah: Bago tayo magsimula, pwede bang magtabi-tabi muna yung mga lalaki dito sa isang
side tapos yang mga babae dito sa isang side? Bilis!
Aizeah: Spray alcohol, wipe 3x

(hawak sa buhok, tinuturo yung chairs)

Aizeah: Yung upuan! Ayusin niyo yung upuan! Ayusin niyo yung upuan! Ayusin niyo yung
upuan! Hindi pantay-pantay. Hindi pantay-pantay. Hindi pantay-pantay.

(Inspect isa-isa yung classmates.)

Aizeah: Bakit hindi naplantsa uniform mo?
Aizeah: Bakit hindi pantay gupit mo?
Aizeah: Halika mag alcohol ka, saan ka ba galing?
Aizeah: Ikaw rin, mag alcohol ka.

Aizeah: Oh my gooooood! (Dudukdok, hawak sa buhok, medyo crazy vibe)

(Nandiri sa flooring)

Aizeah: Hoy tulungan niyo nga ako mag linis ng room na to, sobrang dugyot! Sobrang dugyot!
Sobrang dugyot!
Aizeah: Spray alcohol, wipe 3x

Groupmates: tatayo, confused

(Habang naglilinis sa sahig mga groupmates, si aizeah nagpaalcohol sa mga classmates 3x
tapos ipapalapag sa desk na nakaayos)

Ramirah: Guys, hindi ba parang ang weird ni Aizeah ngayon?

Arriana: Huh, ngayon mo lang ba siya nakitang ganyan? Sabagay, online class kasi lagi eh.
Napapansin ko siya sa cr minsan kasi nagkasabay kami umihi. Tinanong ko nga siya kung
okay lang ba siya kasi umihi lang naman siya pero nagflush siya nang tatlong beses.

Cyra: Lagi kami nagssleep over ni Aizeah, nakita ko siya mag toothbrush 3 times tapos mag
shower 3 times din nung bago kami matulog. Parang may obsession siya sa 3 ano?

Heidriann: Talaga ba? Hala akala ko ako lang nakapansin. Nung natapos yung prelims exam
natin sa psych, naiyak sakin si Aizeah kasi alam naman daw niya yung tamang sagot pero
puro C yung sagot niya.

Sam: C? Ah kasi pangatlo sa alphabet? Grabe ano, pero parang super familiar ng ganitong
case.

Jenner: Bonak, familiar talaga at katuturo lang satin ni sir Wilfredo yan. Based sa mga
symptoms na pinakita niya sa atin ngayong araw parang may COD siya ano?

Hyacinth: *tiplak* Tanga. Asan yung delivery? OCD, or Obsessive Compulsive Disorder!

Lex: Pagchichismisan niyo lang ba si Aizeah diyan? What if may gawin kaya tayo hano?
Halinga kayo at lumapit tayo kay Aizeah. Hoy Cyra, ikaw magpalapit kay Aizeah since ikaw
ang pinaka-close niya sa ating lahat.

Narrator: Establish relationship through use of empathy, warmth, and respect. Demonstrate
interest in client as a person through use of attending behaviors.

Cyra: Bestie!!! Halika rito at umupo tayo. May pag-uusapan lang tayo, oki? Oki. Kamusta ka
ba sis? Nakakamiss yung mga sleepovers natin. Sana pag free na tayo maulit yun.

Aizeah: (Spray alcohol, wipe 3x) Oo nga eh, ako rin. Namimiss ko na may kausap at may ka
netflix and chill sa room ko.
Narrator: Acknowledge behavior without focusing attention on it. Verbalize empathy toward
client’s experience rather than disapproval or criticism. Use a relaxed manner with the client;
keep the environment calm.

Lex: *hahawakan palad, observe rashes*

Aizeah: Oh my god, before mo ako hawakn (Spray alcohol, wipe 3x)
Lex: Aizeah, napansin kasi namin kanina na nagsspray ka lagi ng alcohol sa kamay, that
must be quite tiring ano?

Cyra: Oo nga bestie, nung nag girls night din tayo, nag tatlong lagay ka ng nail polish sa
bawat fingertips mo. I love how you want to make sure that everything has been polished,
pero quite exhausting yun hano?

Aizeah: Yes aware ako. Pero I can’t help it. Nagkakaroon ako ng anxiety if I feel like I didn’t
double or triple the things I do.

Narrator: Assist client to learn stress management, (e.g., thought-stopping, relaxation

exercises, imagery).

Ramirah: Aizeah, what if mag try tayo ng stress management techniques? Pwede tayong
magkaroon ng exercises na makakapigil ng intrusive thoughts, or yung mga pang meditation
and relaxation exercises, pwede rin tayo magkaroon ng healthy imagery.

Narrator: Identify what the client perceives as relaxing (e.g., warm bath, music). Engage in
constructive activities such as quiet games that require concentration, as well as arts and
crafts such as needlework, woodworking, ceramics, and painting.

Arriana: Ako kasi, kapag naiistress ako, I tend to listen to my favorite music eh. Or watch
some short clips of my favorite movies sa youtube.

Aizeah: Tulad ng alin?

Arriana: Sa ngayon ang favorite kong song ay _____ ( funny song) at _____ (funny movie).
Ikaw ba bestie, kapag na-sstress ka, ano yung activities na ginagawa mo?

Aizeah: Hmmm, nakikinig lang din ako ng music tapos I sing along tapos kapag I imagine
myself visually on the stage, feeling ko nawawala lahat ng worries ko eh. Minsan din I tend to
sketch as my visual diary kapag I want to express emotions.
Cerina: That’s good. That’s really good, Aizeah. Mabuti at alam mo ang own coping
mechanism mo.

Sam: Omggg, you draw and sing as well? Mahilig din ako bumirit at mag paint. What if
sumama ako sa inyo ni Cyra mag sleepover, then we can do these relaxing activities
together?

Aizeah: I really like that idea na makakasama ko kayo while doing the things I love.

Narrator: Encourage participation in a regular exercise program.

Jenner: Hey sali ako! Since neighbors naman tayo bestie, sabay na tayo lagi pumunta and
pauwi ng school. Minsan try natin mag fast walk or jog para maging healthy tayo without even
thinking about it too much!

Aizeah: Sige tara, kaya lang medyo mabilis ako hingalin eh.

Jenner: That’s no problem bestie! We will always start slow and steady.

Narrator: Give positive reinforcement for non-compulsive behavior. Avoid reinforcing

compulsive behavior. Help significant other(s) learn the value of not focusing on the ritualistic
behaviors.

Hyacinth: Aizeah, how do you feel right now na kausap mo kaming mga kaibigan mo?

Aizeah: Even if hindi ako nakikinig sa music right now, I feel calm. I feel safe. I don’t even feel
like cleaning this room or rubbing alcohol sa hands ko.

Hyacinth: I’m really proud of you. We’re only beginning to talk about this pero ang laki na
agad ng progress.

Lex: Pero Aizeah, it’s normal for you to feel the compulsion to do it again. Okay? For now,
need lang natin mag set ng time-boundaries during different times sa isang araw.
Magsisimula tayo na every 30 minutes pwede ka mag alcohol. Hanggang next day try natin
every hour na. And so on and so forth hanggang sa ma-limit nalang natin siya into very few
episodes.

Narrator: Encourage client to explore the meaning and purpose of behaviors; to describe the
feelings when the behaviors occur, intensify, or are interrelated ;and to examine the
precipitating factors to the performance of the rituals.
Ramirah: Aizeah, naiintindihan mo ba kung bakit namin naisipang mag-suggest sa iyo ng
mga ganito?

Aizeah: Oo, it’s for my own good. Sobrang gaan din ng pakiramdam ko ngayon now that
you’ve shown me na pwede ko pala maranasan na tahimik yung isip ko. I think I can live
normally.

Narrator: Discuss home situation, include family/SO as appropriate.

Arriana: By the way, okay lang ba malaman ito nila tita?

Aizeah: I think so. They love me and I think they would understand.

Cyra: That’s great sis. Sa sleep over natin try namin kausapin sila tito at tita okay?

Cerina: Isama na natin sa concern yung possible medications na makakatulong kay Aizeah.
As future nurses bawal tayo mag prescribe ng gamot kay Aizeah, pero we can ask our CIs
and our resident physician sa hospital kung tama lang ba na ito yung mga gamot.

Sam: Sa pagkakaalala ko, Fluvoxamine(Luvox), clomipramine(Anafranil), at fluoxetine

(Prozac) yung mga gamot na pwedeng makapag-balance ng serotonin levels, decreasing
feelings of anxiety.

Jenner: Buspirone (BuSpar) and lithium (Eskalith) ,Sertraline (Zoloft), venlafaxine (Effexor)
medications naman yung mga naaalala kong medications na ginagamit sa combination
therapy with antidepressants.

Hyacinth: Oo yan nga ata yung mga medications na nabanggit nung discussion. Tara na
kumilos para mapa-approve na natin kay ma’am. Gagawan ko ng NCP si Aizeah kasi pabibo
ako.

Aizeah: Guys, salamat ha? Salamat kasi hindi niyo ako pinagtawanan.

Lex: Ano ka ba sis. Dapat lang na maintindihan ka namin kasi nursing students tayo. Tayo
dapat ang pinaka nakakaintindi sa situation mo.

Aizeah: Sige, ituloy nalang natin ito sa sleepover. Sama ko na kayong lahat. Tumayo na tayo
at may next group pa.