ABNORMAL BEHAVIOR
OBSESSIVE COMPULSIVE DISORDER
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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The hand washing represents a way to exert independence from the staff.
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The client is not aware of the excessive hand washing.
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The client does not think anything is abnormal with washing his hands repeatedly.
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The client feels terrible but cannot stop washing his hands to try to get rid of his anxiety.
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Detailed explanation-1: -Treatment / Management The mainstay of obsessive-compulsive disorder (OCD) treatment is SSRIs and cognitive behavioral therapy (CBT) with exposure and response prevention (ERP). ERP involves exposing the patient to their fears and having the patient resist the urge to perform a compulsion.
Detailed explanation-2: -The main medicines prescribed are a type of antidepressant called selective serotonin reuptake inhibitors (SSRIs). An SSRI can help improve OCD symptoms by increasing the levels of a chemical called serotonin in your brain. You may need to take an SSRI for 12 weeks before you notice any benefit.
Detailed explanation-3: -Most commonly, antidepressants are tried first. Antidepressants approved by the U.S. Food and Drug Administration (FDA) to treat OCD include: Clomipramine (Anafranil) for adults and children 10 years and older. Fluoxetine (Prozac) for adults and children 7 years and older.
Detailed explanation-4: -Offer a hug or other emotional support instead of helping with a compulsion. Seek advice. If they are getting treatment you could both talk to their doctor or therapist about the best way to manage compulsions. Accept that sometimes it will be impossible not to offer reassurance or to help with a compulsion.