A case study of obsessive-compulsive disorder some diagnostic considerations

Instead, there will be specifiers called "prominent personality traits" and the possibility to classify degrees of severity ranging from "mild", "moderate", and "severe" based on the dysfunction in interpersonal relationships and everyday life of the patient.

Self-perception of being unique, superior, and associated with high-status people and institutions Needing continual admiration from others Sense of entitlement to special treatment and to obedience from others Exploitative of others to achieve personal gain Unwilling to empathize with the feelings, wishes, and needs of other people Intensely envious of others, and the belief that others are equally envious of them Pompous and arrogant demeanor Narcissistic personality disorder usually develops in adolescence or early adulthood.

Clinical and imaging evidence suggests that the localized parietal cortical damage is a pivotal factor for the absence of a giant SEP in these patients [ 29 ]. In my clinical practice, most patients have an underlying depression stemming back to childhood or adolescence that fuels the eating disorder.

A Case Study of Obsessive Impulsive Disorder

The risk factors for these patients include age, female gender, greater body weight, body image dissatisfaction, history of dieting, and history of depression Ricicka and Brynska, Develop behavioral contracts tying eating to exercise so that they know exactly what they can and cannot do.

An adequate amount of sleep is integral to good daytime functioning, thus the sleep side effects of methylphenidate may affect adversely the daytime symptoms the drug is targeted to control. View at Google Scholar H. Expanding on the previous idea, not all cognitive behavioral therapists are alike.

Furthermore, you should know that prescribing is not an exact science. Sessions that focus on helping patients maintain the changes they have made, including developing personalized strategies for rapid correction of setbacks. Differential Diagnosis Predominant parkinsonian features might not be easy to distinguish from idiopathic PD and atypical parkinsonian syndromes e.

The very characteristics that make some individuals successful can serve as liabilities for others. Though their perceptions may be unusual, these anomalies are distinguished from delusions or hallucinations as people suffering from these would be diagnosed with other conditions.

Denial and resistance run high throughout therapy until long-term weight gain, coping strategies, and a sense of emotional control are achieved.

Personality disorder

Executive function and language impairments are also reported. The bingeing and purging were in remittance. A patient resists keeping track of daily food intake to stay in denial of how little is actually eaten. Histologically CBD is characterised by large pale ballooned neurons neuronal achromasiawith tau-positive cytoplasmatic inclusions and astrocytic plaques annular clusters of tau-positive deposits within the distal processes of astrocytestypically distributed in atrophic cortices [ 5642 ].

It takes patience, care, understanding and an ability to tolerate the repetitiveness of your interactions to effectively conduct therapy with these individuals.

The doctor met with her a week later and told her that her condition was the same. She could see that starvation was her coping mechanism to not feel and to be in control.

Personality disorder

Keep in mind that the first medication you try might have to be adjusted or replaced by another medication to help you achieve maximum benefit.

Depressed mood most of the day, nearly every day, as indicated by either subjective report e. Steps are taken to cushion the effects of the illness.

The adjustment is difficult and patients often respond by shaving calories. Inquire during each session so you can modify exercise routines to bring the patient into a more normal range.

CBT is the treatment of choice for binge eating disorder. Excessive praise for good behaviors or excessive criticism for bad behaviors in childhood. She also had osteoporosis, elevated liver enzymes, low blood pressure, dry and thinning hair, and skin rash.

Fluoxetine has also been used for the treatment of depression, obsessive-compulsive disorder, alcohol and drug addictions, and migraines. Molecularly CBD is a taupathy, characterised by accumulation of abnormal filamentous inclusions of hyperphosphorylated tau-protein in neurons and glia, similarly to progressive supranuclear palsy PSPand some forms of frontotemporal dementia with parkinsonism FTD [ 544 ].

Intermittent explosive disorder

Those who have an actual exercise addiction cannot stop compulsively engaging in their sport of choice. Research suggests that women with bulimia nervosa who had a history of anorexia nervosa were more likely to have a protracted illness and relapse into anorexia.

You will use behavior change techniques and cognitive therapy to force a wedge between the individual and the anorexia. To reduce the fear of reintroducing grain carbohydrates, suggest that your patient start out with rice cakes instead of bread. For instance, cutting back on bingeing removes the reflexive reaction to purge.

These techniques are also used to identify neurophysiological correlates of the neurological signs of the disease. Find a therapist who actually utilizes both cognitive AND behavioral interventions to treat your test-related anxiety.

Zyprexa olanzapine produced faster weight restoration in anorexics than if they had not taken this medication Attia et al.

Tell them that the way they exercise makes them ill. Your doctor can advise you on these issues.A. A1C A form of hemoglobin used to test blood sugars over a period of time. ABCs of Behavior An easy method for remembering the order of behavioral components: Antecedent, Behavior, Consequence.

Narcissistic personality disorder

Catatonic Disorder Due to Another Medical Condition. Clinicians use this classification when there is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct pathophysiological consequence of another medical condition.

Nov 23,  · Body dysmorphic disorder (BDD)—formerly referred to as dysmorphophobia, dysmorphic syndrome, dermatologic hypochondriasis, or dermatologic nondisease in various contexts—is a relatively common and often severe psychiatric illness that is likely underrecognized and underreported.

It is classified in the category of obsessive-compulsive and rel. Narcissistic personality disorder (NPD) is a personality disorder with a long-term pattern of abnormal behavior characterized by exaggerated feelings of self-importance, excessive need for admiration, and a lack of empathy.

Those affected often spend much time thinking about achieving power or success, or on their appearance. They often take advantage of the people around them. Abstract. Corticobasal degeneration (CBD) is an uncommon, sporadic, neurodegenerative disorder of mid- to late-adult life.

Excoriation Disorder: Assessment, Diagnosis and Treatment

We describe a further example of the pathologic heterogeneity of this condition. VIII Impulsive–Control Disorders not Elsewhere Classified. In the DSM-IV-TR (APA, ), these disorders include Intermittent Explosive Disorder, Kleptomania, Pyromania, Pathological Gambling, and dfaduke.com the DSM-IV-TR, cultural considerations were not considered in the case of Kleptomania and Pyromania disorders.

A case study of obsessive-compulsive disorder some diagnostic considerations
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