Dr. Mahesh Desai M.D. (Psych) D.PM

Obsessive–compulsive disorder (OCD) is an anxiety disorder characterized by intrusive thoughts that produce uneasiness, apprehension, fear, or worry, by repetitive behaviors aimed at reducing anxiety, or by a combination of such thoughts (obsessions) and behaviors (compulsions). Symptoms may include repetitive handwashing; extensive hoarding; preoccupation with sexual or aggressive impulses, or with particular religious beliefs; aversion to odd numbers; and nervous habits, such as opening a door and closing it a certain number of times before one enters or leaves a room. These symptoms can be alienating and time-consuming, and often cause severe emotional and financial distress. The acts of those who have OCD may appear paranoid and come across to others as psychotic. However, OCD sufferers generally recognize their thoughts and subsequent actions as irrational, and they may become further distressed by this realization

Case Study

There was a lady around 35 years of age good looking and mannered. Came to me one afternoon . Hastily siting on the chair arranging her belongings in specific manner and her first sentence was

"Doctor, I don't enjoy my life.. "

She was a housewife and her husband was currently in financial mess. She wanted to help him but cannot. As her entire time was consumed in washing and cleaning activities. She was lacking self confidence and was avoiding attending social functions as she was having doubts about herself....

Doctor's observation:

I started her treatment and counseled her about certain life style changes.. and after few follow up she came to my consulting room smile on her face and said "Now I have started attending functions and even applied for a job as her habit of excessive cleaning and washing has reduced by dramatic amount.".

This patient was having obsessive compulsive disorder.

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