Case Study on Obsessive-
Compulsive Disorder OCD
Mr Suman bera
OCD sufferers do not actively want to perform their compulsive
tasks, and experience no pleasure from doing so. OCD is placed in the anxiety
class of mental illness, but like many chronic stress disorders it can lead to clinical
depression over time. The constant stress of the condition can cause sufferers to
develop a deadening of spirit, a numbing frustration, or sense of hopelessness.
OCD's effects on day-to-day life—particularly its substantial consumption of
time—can produce difficulties with work, finances and relationships.
, Case study on OCD
Psychiatric department
INTRODUCTION
As part of the clinical practice of MSc psychiatric nursing I was poste in
NIMHANS for duration of 2 months. During this tenure I selected Master Suman
Bera, 18 years old with diagnosis of OCD for my case study. Mr Suman showed
classic symptoms of OCD with clear obsessive thoughts and compulsions of dirty
hands and body and repeated actions of cleaning himself at an alarming rate of
multiples of 5 is astonishing.
The patient was very cooperative and rapport establishing and maintenance was
not difficult which also aided proper history taking and mental status examination.
It would be my pleasure to help him cope with his situations and return to his pre-
morbid condition as early as possible.
, Case study on OCD
Psychiatric department
History of the patient
Identification data
Name: Mr Suman Bera Age: 18 years
Sex: Male Marital status: Single
Religion: Hindu Education: 10+2
Occupation: Student Date of admission: 6th December 2008
Mode of Direct IPNO: 1059208
admission:
Ward: Male open ward Diagnosis: OCD
Informant: Self and father Reliability: Reliable and
adequate
Chief complaints
Increased obsession
Increased compulsion
Anxiety
Decreased concentration since 4 months
Decreased sleep
Decreased appetite
History of present illness
Onset: insidious
Precipitating factors: Patient was apparently asymptomatic until few months back
(April 08). He was staying in the hostel provided by engineering college when his
obsession and compulsive behavior aggravated suddenly. He started getting
obsessive thoughts of dirt and contamination of hands feet and cloths. In order to
release from anxiety due to the obsessive thoughts, and washed hands for hours
and bathe 10 to 12 hours a day. He will take bath in a particular pattern that is
multiples of five while pouring water. That is he starts be 5 then 10 and then 15
then 20 and so on. He washes his hands in a specific pattern that is from his little
fingers of left and gradually come up. If during the routine he leaves a part to
wash, he starts all over again. The whole process would be repeated if he misses a
, Case study on OCD
Psychiatric department
count. To avoid any obsessions of dirtiness he will not take breakfast, and defecate
only twice in a week. He would miss classes on the compulsion of washing hands.
Course of illness: continuous
Past history of illness:
Medical: Nothing relevant is mentioned
Surgical history: Patient has no relevant surgical history.
Psychiatric history: first episode of OCD started in the year 2003. He refused the
parents who tried to stop the action. And this affected his academic performance.
On January 2006 he was agina brought to NIMHANS for obsessive behavior.
Negative history
No significant negative history has been mentioned
Family history
45 36years
years arthriti
s
male
18 Years OCD
female
patient
disease other than pshychiatric
expired member
Compulsive Disorder OCD
Mr Suman bera
OCD sufferers do not actively want to perform their compulsive
tasks, and experience no pleasure from doing so. OCD is placed in the anxiety
class of mental illness, but like many chronic stress disorders it can lead to clinical
depression over time. The constant stress of the condition can cause sufferers to
develop a deadening of spirit, a numbing frustration, or sense of hopelessness.
OCD's effects on day-to-day life—particularly its substantial consumption of
time—can produce difficulties with work, finances and relationships.
, Case study on OCD
Psychiatric department
INTRODUCTION
As part of the clinical practice of MSc psychiatric nursing I was poste in
NIMHANS for duration of 2 months. During this tenure I selected Master Suman
Bera, 18 years old with diagnosis of OCD for my case study. Mr Suman showed
classic symptoms of OCD with clear obsessive thoughts and compulsions of dirty
hands and body and repeated actions of cleaning himself at an alarming rate of
multiples of 5 is astonishing.
The patient was very cooperative and rapport establishing and maintenance was
not difficult which also aided proper history taking and mental status examination.
It would be my pleasure to help him cope with his situations and return to his pre-
morbid condition as early as possible.
, Case study on OCD
Psychiatric department
History of the patient
Identification data
Name: Mr Suman Bera Age: 18 years
Sex: Male Marital status: Single
Religion: Hindu Education: 10+2
Occupation: Student Date of admission: 6th December 2008
Mode of Direct IPNO: 1059208
admission:
Ward: Male open ward Diagnosis: OCD
Informant: Self and father Reliability: Reliable and
adequate
Chief complaints
Increased obsession
Increased compulsion
Anxiety
Decreased concentration since 4 months
Decreased sleep
Decreased appetite
History of present illness
Onset: insidious
Precipitating factors: Patient was apparently asymptomatic until few months back
(April 08). He was staying in the hostel provided by engineering college when his
obsession and compulsive behavior aggravated suddenly. He started getting
obsessive thoughts of dirt and contamination of hands feet and cloths. In order to
release from anxiety due to the obsessive thoughts, and washed hands for hours
and bathe 10 to 12 hours a day. He will take bath in a particular pattern that is
multiples of five while pouring water. That is he starts be 5 then 10 and then 15
then 20 and so on. He washes his hands in a specific pattern that is from his little
fingers of left and gradually come up. If during the routine he leaves a part to
wash, he starts all over again. The whole process would be repeated if he misses a
, Case study on OCD
Psychiatric department
count. To avoid any obsessions of dirtiness he will not take breakfast, and defecate
only twice in a week. He would miss classes on the compulsion of washing hands.
Course of illness: continuous
Past history of illness:
Medical: Nothing relevant is mentioned
Surgical history: Patient has no relevant surgical history.
Psychiatric history: first episode of OCD started in the year 2003. He refused the
parents who tried to stop the action. And this affected his academic performance.
On January 2006 he was agina brought to NIMHANS for obsessive behavior.
Negative history
No significant negative history has been mentioned
Family history
45 36years
years arthriti
s
male
18 Years OCD
female
patient
disease other than pshychiatric
expired member
