A clinical case study of individual with Obsessive Compulsive Disorders and the treatment with Exposure Response Prevention

Obsessive Compulsive Disorder (OCD) is a chronic psychiatric illness characterized by distressing and intrusive thoughts, impulses or images (obsession) and repetitive covert or overt behaviors (compulsion) that are performed to reduce distress. The case aims to provide insights into the comprehensive assessment and evidence-based interventions of OCD in various clinical contexts of OCD relapsing control by using exposure response prevention. The case highlights the importance of the using of Cognitive Behavioral Therapy (CBT) as the primary treatment approach and also using exposure response prevention for reducing relapsing tendency. Developing impulse control capacity in individuals treated with OCD through ERP. The main tools of subjective assessment were in-depth clinical interview, observation of client in the session and thought diary. In-depth clinical interview was done by the therapist through open-ended and closed questions, empathetic listening, and active listening. This case found at the 4th session the client improved 40%, 7th session 60%, and lastly 13th session she improved 90% she was benefited from the treatment day by day. She also reported that her anxiety and depression level also was decreased. Subjective rating of Mrs. X’s problem was taken intermittently in assessment and treatment sessions. She rated her overall problem at the starting of psychotherapy with 100 in a ‘0 to 100’ scale, in the 13th session she rated her problem with 25%. By sharing these cases, mental health professionals who are interested to this field can gain valuable insights into the assessment and management of OCD in various clinical contexts.