Obsessive–compulsive disorder (OCD)

Running head: ANXIETY DISORDER, OCD, OR SOMETHING ELSE? 1

Anxiety disorder, OCD, or something else?

Walden University

Psychiatric Mental Health Nurse Practitioner Role 1: Child and Adolescent

NURS 6660

ANXIETY DISORDER, OCD, OR SOMETHING ELSE? 6

ANXIETY DISORDER, OCD, OR SOMETHING ELSE? 2

Anxiety disorder, OCD, or something else?

Case # 2

Decision # 1 Differential Diagnosis

Obsessive–compulsive disorder (OCD)

Reason for the Selection

Obsessive-compulsive disorder is a prototypical impulsive, compulsive disorder. The patient experiences an unusual urge to do stereotypic, formal acts despite having full knowledge of how silly and unnecessary these behaviors are and having no genuine desire for the result of these activities. The most widely recognized kinds of compulsions are cleaning and checking (Stahl, 2014). Stress and anxiety may increase the formation of habits, regardless of whether decidedly or contrarily persuaded. In any case, as the patterns turn out to be dynamically impulsive, the experience of alleviation may never again be the driving force, and somewhat the conduct goes under external control as a conditioned reaction.

Obsessive thoughts may incorporate constant feelings of fears of damage beginning to act normally again or a friend or family member, an irrational worry with being contaminated, intrusive and unsatisfactory religious, savage, or sexual considerations, and ridiculously need to do things accurately or correctly. Tyrel case above gave the indications of the Obsessive-impulsive confusion (OCD).

Expected Result with this Decision

The predicted result indicated that he has OCD. Tyrel is alert and oriented, nervous, irritable at times, trouble staying asleep, obsess with continuous handwashing. He denies suicidal ideation. He denies visual or auditory hallucinations. There are no clear overt delusional or paranoid thought processes. Mother reported that Tyrel has been anxious, nervous, irritable at times, trouble staying asleep, obsess with continuous handwashing for about two months. He has difficulty getting to school and nervous around his classmates. Tyler missed school for eight days over the last three weeks. He was no longer playing with his best friend living across the street. He was impulsive with the monotonous behavior of cleaning and washing (Laureate Education, 2017c).

Difference between Expected Result and the Achieved Result with Decision #1

There was not a contrast between the expected outcome and the achieved outcome as Tyrel has symptoms which indicative of OCD.

 

 
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