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, with 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 a 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 int the treatment of OCD.

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

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© 2018 Christian Jonathan Haverkampf