Professional Documents
Culture Documents
Labnotin
MS Psychology
Introduction
Bess is a young professional who has a strict ritual in her daily living. She works
Identifying Information
Bess is 27 year-old, upper-middle class woman. She is attractive and she is
successful in her field. She lives by herself in a well-kept apartment in one of the best
sections in town. She would work late and comes home for dinner. She would watch
television or read until she gets sleepy. But she usually needs alcohol or sleeping pills
to go to sleep.
Bess is an only child and her parents were divorced when she was 10 years old.
She was raised by her mother who was demanding and had a sporadic contact with her
father. But she often expresses her love for Bess and often spends time with her. Bess
does not recall a time spent with her mother that is warm or fun. On the other hand,
Bess loves to visit her father in the nearby city. He is a happy person and more relaxed
with the world. His father had not been successful in life and he moved through a series
of jobs. He would attend Bess happily when she visits him but they rarely see each
other because her mother would subvert their communication.
Recently, Bess lives alone and she spends much time with her cleansing ritual
and obsessive thoughts about using the toilet, sexual issues or encountering the
possibility of being contaminated in public areas.
functioning became more impaired. Thus, these behaviors intrude on her ability to carry
out her work, the thing that only gives her source of meaning and satisfaction. She then
referred herself for help.
III
Background of Information
Bess mother focused on activities that would improve her.
lessons for Bess and they would fight over whether Bess was doing well on her lessons
or not. They also struggle on the issue on cleanliness and neatness. She would nag at
Bess when she discovered that Bess things are not in order. She always emphasized
that cleanliness is very important. She also made sure that Bess washed her hands
thoroughly whenever she went to the bathroom or touch herself, for any reason, in the
genital area. She emphasized that being disorder would hurt Bess as she got older.
Though Bess resisted her mother at home she still grew up with her mothers
value system in school and her social life was not healthy. She was not involved in any
class and school activities and she would go home after preparing her lessons. As she
moved into late adolescence, she started to think of erotic fantasies. To control these
fantasies she
unexpected pregnancy when she was a senior high that she was dictated by her mother
to have it aborted.
She was then sent to Europe and when she came back her
boyfriend had another lover. Until then she was still confused and her anxiety was not
address regarding dating, marriage, having a family and other related matters.
To handle her anxieties, she threw herself harder to her work. At the same time,
she also began to experience symptoms that focused around the issue of cleanliness.
She developed a thorough cleansing ritual that would set off upon touching her genital
or anal area. She will first remove her clothing in a pre-established sequence. She will
check her clothing for any contamination. She will then scrub her body from feet up to
her head with particular washcloths in each area of the body. When she suspected that
her clothing is contaminated, she will then put it to the laundry and those items that are
clean will be put in vacant area. She will then dress up in the opposite order from which
she took her clothes off.
dressing up, she will go through entire sequence again. She would do this four to five
times on certain evenings.
These rituals impaired Bess functioning, especially to her work. She spends
much time with her rituals though she knew that these behaviors are absurd. She still
wants to go through these cleansing rituals and did not question nor correct them.
IV
Multiaxial Diagnosis
Axis I
Clinical Disorders
300.3 Obsessive- Compulsive Disorder
A.
At some point during the course of the disorder, the person has
recognized that the obsessions or compulsions are excessive or
unreasonable.
* Bess was aware of the absurdity of her behaviors and these had
already intruded her functioning, especially to her work. Thus, she
submitted herself for help.
C.
D.
Axis II
V71.09 -
No Diagnosis
Axis III
V71.09-
No Diagnosis
Axis IV
b. Social Problem
Bess only have few friends. Her social life was unhappy.
c. Educational Problem
None specified.
d. Occupational Problem
f. Economic Problem
None specified
i. Other problems
Axis V
None specified
Recommendation
Bess is recommended undergo psychotherapy. Cognitive behavioral
therapy may help her. Cognitive behavioral therapy involves retraining her
thought patterns and routines so that compulsive behaviors are no longer
necessary (Mayo Clinic). She may also undergo behavior therapy; exposure and
response prevention, and family therapy.
References:
Mayo Clinic. Obsessive-Compulsive Disorder; Definition.
http://www.mayoclinic.com/health/obsessive-compulsive-disorder/DS00189
Diagnostic and Statistical Manual of Mental Disorders. 4th Ed. Text Revision.
2000. Washington, D.C. American Psychiatric Association.