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NURS 6670 Danny is a 19-year-old male who presents to the college mental health center at the insistence of his roommate

NURS 6670 Danny is a 19-year-old male who presents to the college mental health center at the insistence of his roommate

Danny is a 19-year-old male who presents to the college mental health center at the insistence of his roommate


Danny has been obsessing over his own body odor and is convinced that he smells bad. He showers and changes his clothes several times a day to get rid of the smell. His actions do not occur during episodes of anxiety but rather are a part of his regular routine. He is certain that his hygiene helps keep him from having bad body odor. Danny demonstrates symptoms of a type of OCD called hygiene obsessions or compulsions, which is different than washing hands when exposed to germs.

Obsessive-compulsive disorder is characterized by persistent and unwanted thoughts, images, or urges that cause anxiety. Symptoms typically include washing hands excessively and perfectionism. Although these behaviors may appear similar to symptoms in obsessive-compulsive disorder, there are some symptoms that make the diagnosis more likely. For example, nail biting is a common habit for children but extremely unusual for adults. In addition, children will typically show this behavior in social situations such as around their family. Nail biting generally does not occur late at night when all others have gone to bed as it would be in this case and it also doesn’t require additional time spent in the shower. The manic behavior also indicates a longer-term mental health problem than OCD. This presentation is not consistent with OCD because it has been present for more than 6 months. The patient reports ritualistic and compulsive behaviors that are directly related to grooming standards that are much more relevant than the usual preoccupation with symmetry or orderliness seen in OCD.

Obsessive-compulsive disorder (OCD) is characterized by unrelenting distressing thoughts and the need to act on them. It affects approximately 1 in 50 adults each year, with both males and females equally affected. The most common obsessions involve a fear of dirt, germs, contamination, or harm to self or others. Common compulsions include repetitive hand washing, checking on the stove, excessive counting, and organizing. There are three subtypes of OCD:

Obsessive-compulsive disorder (OCD) is an anxiety disorder characterized by intrusive thoughts that produce feelings of anxiety or discomfort, repetitive actions (rituals), and avoidance behaviors. The most common symptoms are repetitive behaviors, such as hand washing, and mental rituals such as counting. Obsessions are recurrent and persistent thoughts, impulses, or images that a person feels the urge to perform an action repeatedly. Common obsessions include fear of germs, contamination, dirt, or the possibility that someone may steal his or her belongings; abhorrence of particular numbers; and concern with symmetry or exactness.

Schizophrenia, Clinical depression, Attention deficit hyperactivity disorder, Body dysmorphic disorder

Obsessive-Compulsive Disorder (OCD) is characterized by distressing, repetitive thoughts and/or behaviors that the patient attempts to control. DSM-5 criteria include recurrent and persistent ideations, urges, or impulses that are experienced as intrusive, unwanted, or inappropriate and that cause distress or anxiety. Compulsions are repetitive behaviors such as hand washing, counting items, and arranging/organizing possessions that are performed in response to an obsession or according to certain rules. Most patients with OCD experience multiple obsessions and compulsions simultaneously. The main diagnostic criterion for OCD has remained unchanged since the first publication of the Diagnostic and Statistical Manual of Mental Disorders , third edition (DSM-III).

obsessive-compulsive disorder (OCD), anxiety disorder due to a general medical condition, mood disorder with psychotic features, schizophrenia

OCD is often accompanied by other psychiatric disorders such as major depressive disorder, eating disorders, substance abuse, and bipolar disorder. An important part of your evaluation is to rule out these co-occurring conditions so that you can determine the best treatment.

Obsessive-compulsive disorder is a condition that has both obsessive thoughts and compulsive behaviors that are repetitive, irrational, and intrusive.

A. Avoidant personality disorder

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Danny is a 19-year-old male who presents to the college mental health center at the insistence of his roommate. Danny has developed what his roommate calls an obsession with cleanliness. He showers several times a day and changes his clothes easily four or five times. He also brushes his teeth every couple of hours, convinced that he has bad breath. During the interview, it does not appear that these are anxiety-reducing rituals but rather he is certain that he has unpleasant body odors and needs to keep showering and brushing his teeth to get rid of them. While considering a diagnosis of obsessive-compulsive disorder, the PMHNP considers that differential diagnoses for Danny include all the following except:

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