The patient exhibits symptoms of obsessive-compulsive disorder OCD with other related disorders called sexual obsessions. She struggles with sexual fantasies and engages in masturbation. These fantasies and obsessions started in her adolescent years. The patient admitted she tries to keep occupied with over consuming herself with work and on her free time she uses puzzles to help subside her thoughts. Although she drowns herself in work, her symptoms are spreading in which she can’t handle. Apparently, when she thinks of sexual fantasies and engages with masturbation, she then feels her wardrobe along with other clothing in her room previously worn are contaminated. She also admitted she goes through sequences of sorting the contaminated clothes from her clean clothes; she repeats the sequence at least four to five times in a day. The sorting the clothes is new and is now intruding on her work. …show more content…
A patient with OCD exhibits at least two criteria. Criteria 1 involves recurrent persistent thoughts or urges and criteria 2 involves repetitive behaviors (DSM V) Having signs and symptoms of obsession and compulsion can take different forms. Bess has OCD subtypes such as contamination and unacceptable thoughts. The sorting receptivity, four to five times a day is a sign of compulsive. Her obsession with thoughts is definitely a sign of criteria 1. The development of her condition started in her childhood when her mother countlessly showed inordinate concerns about cleanliness. The patient, Bess is repeating parts of her mother’s