A Case of Severe OCD – Obsessive Thoughts

Abstract—Obsessive-Compulsive Disorder (OCD) is often more difficult to treat than anxiety, depression and other psychiatric disorders. However, a combination of psychotherapy and medication treatment can be effective in most cases. Within a few months, there is often a marked improvement in symptoms and quality of life. Selective serotonin reuptake inhibitors (SSRIs) at a higher dose, possibly in combination with a second-generation antipsychotic (SGA), and psychotherapy that increases insight into the symptoms and improves internal and external communication can show good results in even more severe cases. Communication-focused therapy (CFT), as developed by the author, further focuses on identifying needs, values and aspirations, which shows to be of significant help in the treatment of OCD.

Index Terms—obsessive-compulsive disorder, OCD, psychotherapy, medication, treatment, psychiatry

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© 2018 Christian Jonathan Haverkampf

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