Dissociative Disorder Psychosis-Like or Imaginative Obsessions – Clinical and Therapeutic challenge
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
BACKGROUND Obsessive-compulsive disorder (OCD) is an anxiety disorder in which people have unwanted and repeated thoughts, feelings, images, and sensations and engage in behaviors or mental acts in response to these obsessions. A person's level of OCD can be anywhere from mild to severe, but if left untreated, it can limit his or her ability to function at work or school or even to lead a comfortable existence at home or around others. AIM The paper presents the case of a patient whose atypical clinical symptoms have raised more problems of differential diagnosis, the pursuit in the dynamics of evolution being decisive in the elucidation of the psychiatric diagnosis. METHOD This paper describes the case of a male patient, aged 34, who was the follow up for 18 months since the first presentation to the hospital with the challenges raised up by all dynamics of symptoms, psychotropics, and psychotherapy in order to clarify the diagnostic and proper therapy and to avoid the social stigma. CONCLUSION This paper emphasizes the diagnosis related controversies and the psycho-dynamic hard work needed to find a suitable therapeutic conduct and to rehabilitate the patient from a social and cultural point of view.
Authors and Affiliations
Brindusa Ecaterina Focseneanu
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