Name : Sadaf Ayaz Husain Bhimani

Seat number : C001

Field work Case

Presentation
 Case 1
 z aged 24 came with a problem of contamination OCD, she reported that
The client
she is struggling with the problem since the age of 12.

 She has an increasing intensity of fear of contamination. The person coming into her house triggers
her fear of cross contamination and contamination OCD. She washed her hands several times a ay
and also took bath frequently. She is exhausted by the end of the day and thus is unable to
concentrate on work or finish tasks. She doesn't fear harm but gets extremely anxious as fragments of
dust and germs that cannot be seen by naked eyes need to be gotten rid of according to her. She
doesn't know why she is uncomfortable. She shudders and makes movements to physically push out
any kind of contamination from her body.

 The reasons of distress was from within, there were clear obsessions and compulsions, it was a case of
neurosis where it was observed that probing was not much required, client herself kept on telling
everything, the client was willing to cooperate and work on herself to help herself.

 It was also observed during the sessions at many incidences that the client overthinks, she undergoes
into the spiral of thoughts and draws negative conclusions/ consequences / assumptions (depending on
the situation) and thus this overthinking impacts her routine and mood, she feels disturbed/ sad, she
procrastinates and sometimes feels exhausted.
 Case 2
 The client aged 24 yrs and 2 months reported that she is experiencing burnout and also feels extremely
z
tired. She also mentioned that she constantly feels she is doing something wrong. Her nature of work has
started to affect her social and family quality time. She further added that she feels lonely and
inadequate. Initially she came with a set of complaint however we later discovered that she has been
diagonosed with histrionic personality traits from her MCMI reports and she later expressed her other
issues. They were - Relationship inconsistency, confusion and lack of affirmation. She added that, “I
think being ghosted is a trigger to me and I am in contact with a boy virtually and if he ghosts me too I
fear I shall not get into any romantic relationships for life”.

 She is a self centred person everything for her revolves around herself- her feelings, her emotions, her
values, her beliefs, her likes and dislikes. There have been incidents where she compared herself with her
colleagues and saying- “I don’t do this” or “I mean i don't like that”, “i prefer”.

 She constantly seeks approval, for her good work, for herself , and she cannot take criticism. Her self
esteem gets affected by others' opinions.

 She wants attention and she loves it.in all her 3 relationships Initially she wasn’t interested and later
when they gave her all the attention pampering she finally started considering them. But when they
removed the attention and time they were giving to her she felt extremely uncomfortable and her
emotions were extreme.