Case Study Obsessive Question & Answer Guide (With Explanation)

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Original Question

Case study 6: Obsessive-compulsive and related disorders – Katherine Name: Katherine Age: 24 Sex: Female Family: Single,no children, parentsdeceased Occupation: Paralegal Presenting problem: Anxiety over disturbing thoughts About a month ago, Katherine arrived at her fiancé’s apartment while he was cooking a special dinner. The entire time, Katherine was deathly afraid that something would catch fire on the stove. After he finished, Katherine delayed the start of dinner while she rigorously cleaned the stove and made sure that all of the burners were turned off. Throughout dinner, she was distracted by the stove and was constantly looking at it, to the point of completely ignoring her fiancé. After a short argument, she left halfway through dinner and went home. After they made up, she again went over to her fiancé’s apartment, only to find that he’d placed a sheet over the stove so that she “wouldn’t be distracted by it.” Upon seeing this, Katherine became hysterical and started screaming about fire. She ran into the kitchen, ripped the sheet away, and began checking the knobs and burners to make sure they were turned off. When her fiancé attempted to calm her down, she pushed him to the floor and kept yelling. Eventually, he kicked her out and threatened to call the police. Whenever Katherine sees a stove, she immediately imagines flames bursting out of it, setting the kitchen ablaze. She becomes preoccupied with thoughts of fire and has great difficulty shifting her attention. In response, she has developed a few rituals to calm herself down. Often, she will turn the burners on all the way and slowly count backward from 10 as she turns each one off. If it doesn’t turn off right as she reaches zero, she repeats the process. Furthermore, the knobs on the stove must be absolutely clean, as Katherine is convinced that drips and residue can interfere with turning the stove completely off. It’s not unusual for Katherine to call in sick to work and spend hours cleaning and checking the stove. Last year, she used all of her sick days by mid-August and forged doctor notes to get additional days off from her employer. Most of the time, however, Katherine attempts to avoid stoves. At home, she avoids the kitchen by eating fast food and keeping a minifridge and microwave in her bedroom. At work, she keeps a coffeemaker in her cubicle to avoid using the office kitchen. This approach, however, is not always practical. One time, her boss asked her to get some coffee for a client and was upset about how long it took her to return. In response, she lied and claimed that the coffeemaker was broken, and she had to make a fresh pot at her cubicle. She is not currently taking any drugs or medications. 1. One important consideration when trying to determine whether someone has a psychological disorder is the extent to which that person’s life has been disrupted. Katherine’s condition is either producing or has the potential to produce disruptive effects on several kinds of functioning. How might Katherine’s condition have a disruptive effect on her occupational functioning? A. She may lose her job if she continues taking excessive time off or if her employer discovers her lies. B. Her employer’s clients are often put off by Katherine’s appearance and bizarre behavior, which may result in a loss of business. C. Her coworkers may start complaining about how she treats them, possibly putting Katherine’s job in jeopardy. 2. Some of the symptomsassociated with variousobsessive-compulsive and relateddisorders are summarized as follows. In the Presentcolumn, indicate which symptoms are clearly present in Katherine’s case. Check all that apply. Symptom Present Recurrent skin peeking is followed by repeated attempts to decrease this behavior Attempting to neutralize unwanted thoughts with another attempting to control intrusive thoughts by performing behaviors that exceed what is needed to prevent a dreaded accumulation of possessions start clutter living areas and compromise their intended uses Symptom Present time-consuming actions undertaken to combat unwanted thoughts

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