Case Study: Obsessive Compulsive Disorder – the Case of Bess

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Case Study: Obsessive Compulsive Disorder – The Case of Bess
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Obsessive Compulsive Disorders: The Case of Bess Obsessive compulsive disorder commonly (OCD) can be defined as an anxiety disorder differentiated by acts of compulsiveness or continual thoughts of obsession. Persistent thoughts, images, and desires are characteristics of obsessions. These thoughts, images, and desires are not typically willed into one’s mind as they are often senseless, illogical, aggressive, taboo, etc. Compulsive acts are unrealistic and repetitive behaviors. The fear of contamination with germs, dirt, or grease is the most common obsession, which leads to thoroughgoing or compulsive cleansing rituals. Religion, sex,
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44). Bess was extremely hardworking, meticulous, of high intellect, and successful in school.
During late adolescence, Bess began acquiring erotic fantasies but could control them by completing crossword and jigsaw puzzles. Bess had no problems maintaining friendships with guys; however sexual and romantic relationships were what posed a challenge. While a senior in high school, Bess dated a college guy who frequently asked for sex, in which Bess refused. One drunken night, they engaged in sex and from and for a period of several weeks they had sex daily. Bess became pregnant and her mother immediately arranged for an abortion. “Afterwards, Bess continued to have vague anxieties about dating, marriage, having a family, and other related issues” (Meyer, Chapman, & Weaver, 2009, p. 45). Bess was determined to work even harder to cope with these anxieties. Similar to her mother’s model of cleanliness, Bess too began experiencing these symptoms.
Bess’s need for cleanliness turned into what is called a “thoroughgoing cleansing ritual” that was typically set off by touching her genitals or anus. Stripping out of all her clothing, laying each item out, and searching for contamination Bess would scrub her body beginning with her feet and moving up to her head. Once clean, she re-dress in the opposite manner in which she undressed. If Bess thought she missed a

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