“Lady Macbeth” is a 14-year-old female, currently inpatient at a hospital, for obsessive and compulsive behaviors. She reports that at age 13 these behaviors started to arise and she describes the rituals and thoughts that were present during this time. She says that she was afraid of germs that were on her clothes and on other things, so she would shake her clothes for a half hour before she felt comfortable putting them on her body. She stated that it would take her 6 hours to get ready to go out to do something socially because she would have to shower and would go over and over again cleaning herself, to the point that her hands would be cracked and bleeding. Soap and water became not enough for her to get clean so she began using rubbing …show more content…
It is present in a variety of contexts, as indicated by four or more of the following: Is preoccupied with details, rules, lists, order, organization, or schedules to the extent that that the major point of the activity is lost; Shows perfectionism that interferes with task completion; Is excessively devoted to work and productivity to the exclusion of leisure activities and friendships; Is over conscientious, scrupulous, and inflexible about matters of morality, ethics, or values; Is unable to discard worn-out or worthless objects even when they have no sentimental value; Is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things; Adopts a miserly spending style toward self and others; And shows rigidity and stubbornness. From the information that “Lady Macbeth” shared about her behaviors and what the DSM-5 states about Obsessive-compulsive personality disorder, this client shares a lot of those traits and would most likely be diagnosed with this specific disorder. The most important factor in this diagnosis is the fact that her behaviors are having a negative effect on her life and interpersonal relationships. She appears not able to make and keep friends because has said that when she had been invited out the