An Field work on OBSESSIVE COMPULSIVE

DISORDER (OCD)
Amity Institute of Behavioural & Allied Sciences

Presented by – SHUBHAM OJHA

M.A APPLIED Psychology 2ND sem.
Enrollment no: . A60616619009
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OBSESSIVE COMPULSIVE DISORDER (OCD)

• “Obsessive Compulsive Disorder (OCD) is represented by a

diverse group of symptoms that include intrusive thoughts, rituals
for occupation and compulsions. These recurrent obsessions or
compulsions cause severe distress to the person.
• Obsessive compulsive disorder (OCD) is an anxiety disorder in
which people have excessive thoughts that lead to repetitive
behavior. It is psychiatric disorder in which people have unwanted
thoughts, feelings, ideas, sensations (obsessions) and behavior that
make them do a particular thing repeatedly.
• Obsessive Compulsive Disorder is characterized by obsessive
thoughts and compulsive actions such as cleansing, counting,
checking, thoughts of getting contaminated by germs.
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 Amity Institute of Behavioural & Allied Sciences

Objective
Field work on (OCD) by using case study method

• Case history

• Patient name – S, A
• Age- 16 years
• Study- 10th standard
• Address- Shivpuri
• Un-Married
• Male
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• CHIEF COMPLAINTS-
• Repetitive thoughts come again and again
• Take long time to think
• Take long time to speak
• Mode of onset-
• Insidious course of illness continuous progress deteriorating.
• Patient was apparently symptoms from last 6 years ago. He was
heard explaining that just before eating, he has thoughts that “it is a
wrong time to eat and just don’t eat anything now” and he refrain
from He will try to make himself understand by saying “there’s no
problem if I eat, I will not die, no harm will be happening to me”.
He describes these as fights with his own thoughts. After about 25-
30 minutes, he will be able to convince himself and then starts
eating. ting as he feels very much disturbed.
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• Treatment history:
• Patient had taken treatment from various psychiatrists in the
last 6 months. No medical records had been presented. The
condition of the patient has improved little with the
pharmacological treatment. No further details available.

• Past psychiatric and medical history:

• No significant past psychiatric history prior to the present
episode. There is no history of any medical or surgical
illness in the recent past.
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• Family history:
• Patient was born out of a non- consanguineous marriage. He is
1st born among 2siblings. There is a family history of
obsessive-compulsive disorder in father’s sister. The family
members are frustrated with the illness of the patient as they
have consulted many doctors and no lasting improvements
were seen.
• Personal history:
• Birth and early development: Full term normal delivery at
hospital.
• Childhood history: There is no history of any significant
childhood disorder.
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• Education: The patient was reported to be average in studies

till 7th standard. After started to experience his illness, the
performance in studies dropped considerably. He has given his
10th standard examination in national open schooling and is
waiting for his results to come.

• Mental Status Examination

• General Appearance: Patient was appropriately dressed,
mesomorphic body built, appears stated age, overall adequate
body hygiene and neat appearance, eye to eye contact
maintained and in touch with surroundings.
• Attitude: Cooperative, rapport established.
• Psycho-motor activities: Normal
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• Speech: Coherent, relevant and goal directed, with normal

productivity and delayed reaction time, halting in between as
the patient seems to be thinking in his mind.
• Cognitive Functions
• Attention: Aroused and sustained
• Orientation: Oriented to time, place, person, passage of time

• Memory
• Immediate memory: Intact
• Recent memory: Intact
• Remote memory: Intact
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Diagnosis

• Diagnostic Formulation:
• Master S,A 16 year old, Hindu, unmarried, male, educated up to
10th standard, student, hailing from an urban, upper socio-
economic, joint family with a family history of obsessive
compulsive disorder in paternal aunt and having no history of
substance abuse, with nil significant past psychiatric history
presented with 6 years of illness characterized by recurrent,
intrusive, persistent thoughts and compulsions having an
insidious onset, continuous deteriorating course for which
treatment sought from many doctors, but with no lasting
improvements having nil significant personal history and well
adjusted premorbid personality.
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• THERAPY
• Cognitive Behavioral Therapy
• Psychoeducation
• Exposure and response prevention
• Group Psychotherapy
• Conclusion- So the client has OCD and he get the treatment and
he have an insight level of OCD and insidious. He has repetitive
thoughts and not able to do any kind of work, before working he
thinks big long time in a one situation and place. So, he gets the
right treatment like CBT, psychoeducation, behavioral therapy. So,
he gets covered as soon as and now he is doing good in his life but
the treatment took long time for this diagnosis.
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•
References
Allen, A. J., Leonard, H. L., & Swedo, S. E. (1995). Case study: a
new infection-triggered, autoimmune subtype of pediatric OCD and
Tourette's syndrome. Journal of the American Academy of Child &
Adolescent Psychiatry, 34(3), 307-311.
• Pitman RK. Posttraumatic obsessive-compulsive disorder: a case
study. Comprehensive Psychiatry. 1993 Mar 1;34(2):102-7.
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