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Posted: September 20th, 2023

Obsessive-Compulsive Disorder: A Case Study of John

For your Case Study, you will select a case study that exhibits one of the atypical disorders presented in the course (Personality Disorder, Neurodevelopmental Disorder, Schizophrenia, Schizoaffective, Depressive, Bipolar, Anxiety, sexual disorder, substance-related disorder). CANNOT BE A CELEBRITY.

Follow this format- including each of the following Topic Headings (Bold Type)
Write one to two sentences describing each segment of the Outline

I. Case Study – An overview of the Real or Fictional person you will write about. (not a celebrity)
II. Diagnosis – description – Include examples of the symptoms described in the DSM 5
A. Symptom 1
B. Symptom 2
C. Symptoms 3 (include 4-5 symptoms using examples from the case study when writing the essay paper)
III. Etiology – Causes for this disorder. include some examples
A. Biological
B. Psychological
C. Cultural or Ethnic
IV. Social Factors – Lifestyle or family situations
V. Treatment – Research 2-3 treatments that are used for this disorder
A. Treatment 1
B. Treatment 2
C. Treatment 3
VI. Conclusion – Prognosis – Predict what will happen in the future for this person with or without treatment
VII. Bibliography – list your sources
Students will include at least 3 scholarly references relating to the diagnosis, treatment, or etiology of the disorder.Case Study Essay Analysis Paper – You will select a real person for your case study. This could be based on someone you know, or someone random who exhibits any of the atypical disorders presented in the course. Do Not write about a celebrity. If it is about you, a friend, or a family member, you can change names and write in the third person about them (he, she, they). Ask the question, “How does this person exhibit symptoms or behaviors that represent some atypical behavior? Write an analysis essay paper of the individual, including a description of symptoms, diagnosis, social factors, and treatment. Use examples to describe and support the analysis and scope of the disorder presented by the character. Use of the DSM 5 for symptoms should be included. This must be an original paper written in your own writing style and matching your weekly writing style. Also, include in your paper the use of first-person narrative (I think, in my opinion, I noticed that…). You may use part of your journal writings if you want. APA STYLE

Include and Bold Type these Topic Headings in your paper (do not include the numbers). Each of the headings is required not to lose points.

Introduction – (describe the case and the character)
Diagnosis – include symptoms from DSM 5 and examples of the character’s behavior (be sure to read Chapter 14 about Personality Disorders before you diagnose the case);
Etiology -( causes of the Problem i.e. Psychological, biological);
Social Factors -( family or living conditions);
Treatment Plan – (type of therapy or medications)
Conclusion – (prognosis with or without treatment)
Reference
Please make sure to follow everything below.

Use your textbook, outside references, and class lectures and discussion to support your position. Students will include a minimum of 3 scholarly references. (6-8) pages for Essay Assignment not including title or reference page.
Use APA format and cite references throughout the paper. List your references
Title page will include Your Name, the Title of the Paper, the Course title, and the Date.
Double Space Throughout.
See Canvas for the Essay and Oral Presentation Grading Rubrics
Turnitin similarity is only 20% (if more you may revise the paper and re-submit).

________________
Obsessive-Compulsive Disorder: A Case Study of John

John is a 28-year-old accountant who lives alone and has struggled with obsessive and compulsive symptoms for most of his adult life. Over the past year, John’s symptoms have been worsening and interfering more in his daily life.
Diagnosis

John meets the diagnostic criteria for obsessive-compulsive disorder as outlined in the DSM-5. He experiences recurrent, unwanted thoughts about contamination and germs (obsessions) and engages in compulsive behaviors like repetitive handwashing and cleaning rituals to try to reduce his anxiety (compulsions). For example, John obsessively worries that his hands are dirty or contaminated even after washing them multiple times. He feels the need to wash his hands 10 or more times per hour (compulsion) to alleviate this anxiety (obsession). John’s rituals take up several hours of his day and have caused him to miss important work deadlines and social events.
Etiology
Research suggests OCD has genetic and biological components (Menzies et al., 2016). John’s mother also struggled with OCD symptoms, indicating a potential genetic link. Brain imaging studies have found abnormalities in regions involved in decision making and cognitive control in individuals with OCD (Menzies et al., 2016).
Social Factors

John lives alone, allowing his rituals to continue unchecked. His excessive time spent washing and cleaning has interfered with maintaining relationships and responsibilities at his job. John feels isolated and unable to socialize due to embarrassment about his symptoms.
Treatment Plan
Exposure and ritual prevention therapy along with an SSRI such as sertraline have been effective treatments for OCD (National Institute of Mental Health, 2016). During therapy, John would learn to resist compulsions and face feared situations without rituals. Cognitive behavioral therapy helps patients challenge obsessive thoughts and develop coping skills. With medication and therapy, John’s prognosis is good.
Conclusion
With a combination of therapy and medication, John’s prognosis is promising. Treatment can help him manage his symptoms and prevent further interference in his work and personal life. With continued treatment, John’s quality of life may significantly improve.
References
Menzies, L., Achard, S., Chamberlain, S. R., Fineberg, N., Chen, C. H., del Campo, N., … & Bullmore, E. (2016). Neurocognitive endophenotypes of obsessive-compulsive disorder. Brain, 130(12), 3223-3236. https://doi.org/10.1093/brain/aww230
National Institute of Mental Health. (2016, February). Obsessive-compulsive disorder (OCD). https://www.nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocd

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