Captain of the Ship” Project – Obsessive-Compulsive Disorders.
“Captain of the Ship” Project – Obsessive-Compulsive Disorders
An obsessive-compulsive disorder (OCD) diagnosis is influenced by history and presentation. Mr. Perez is a 20 year old Hindu male from an economically disadvantaged background.Captain of the Ship” Project – Obsessive-Compulsive Disorders. The patient complained of fear of getting outside their house, repetitive acts and uncontrolled thoughts for the last two years. History of Present Illness reveals that Mr. Perez was asymptomatic until two years ago. The patients’ fear originated from an event that demanded a case witness which resulted in threats in case he did not comply with the conditions.
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Despite having not witnessed, no harm has come to him but he is had been always fearful that once he went out of the house alone, he would be harmed. The family thinks that some black magic was performed on him which the patient believed. He has not been able to pray, watch TV orread for the past two years due to the repetitive thoughts which have saddened, depressed him and brought about suicidal ideations. He performs rituals, which includes repeating actions for nine times as a prevention of black magic. However, he has normal appetite and sleeps well, does not abuse drugs, is not violent and does not experience hallucinations.
Clinical details for the patient include obsessions which are persistent, inappropriate, intrusive images, impulses, ideas and thoughts which result in distress and anxiety. The orderly behavior of the patient is compulsive ceremonial, a characteristic of repeated senseless behaviors following a routine as a danger avoidance means. This is demonstrated in counting actions and presenting complicated ways of doing things such as dressing. There is also contradictory thinking where the patient speaks opposite thoughts. He is not delusional because his thoughts are affected by his obsessions.Captain of the Ship” Project – Obsessive-Compulsive Disorders.
Pharmacotherapy treatment on Mr. Perez includes sertraline, fluoxetine, fluvoxamine and Clomipramine. High dosage of antidepressants will be given to reduce anxiety and depressive conditions. This will take up to 10 weeks to determine his response to the treatment. 40%–60% of the OCD patients respond to treatment after this duration (Rao, Sudarshan, &Pai, 2015).
Psychotherapy options for the patient will include the cognitive–behavioral therapy (CBT) which will involve the diversion of irrational beliefs followed by the rational criticism and evaluation teaching (Simpson, 2016). This will involve a group of people with the condition.Moreover, behavioral therapy (BT) will be used in the form of punishing and blocking techniques, response prevention and exposure techniques.Short-term dynamic psychotherapy, classical psychoanalysis, short-term psychotherapy can also be employed to both the client and the family(Schneier et al., 2016). Supportive, insight-oriented psychotherapy will be employed in a group counselling set-up to support the patient in recovery though shared experiences. The family receives counselling on how to go about offering social support to the patient effectively as well as manage their emotions and become patient with the client.Captain of the Ship” Project – Obsessive-Compulsive Disorders.
Antipsychotics medications such will be utilized in augmentation n since the patient has been diagnosed with co-morbid schizotypal personality disorder. These will be given in minute doses to compliment the pharmacological measures. The drugs to be used will include the pimozide with an SSRI and the pimozide with an SSRI. This will be done for short-term treatment of the patient to prevent anxiety. Primary medication will include Fluoxetine and clomipramine to manage the symptoms associated with depression.Captain of the Ship” Project – Obsessive-Compulsive Disorders.
Community support groups help the patient and their families during and aftertreatment. They provide a safe environment for open communication about OCD and also give support and encouragement to others. They can either be online or physical and can also include other people with related health conditions. Community support informs the patient, families and friends through provision of knowledge and understanding on the mental condition. They facilitate involvement of families in the recovery process and encourage the patient to seek assistance from a professional experienced in treating OCD. Available community agencies for OCD patients include ARCVIC OCD and Anxiety Helpline for families and caregivers of patients with disorders associated with anxiety(Better health channel, 2017). Local mental health service crisis assessment agency can also be contacted to report suicidal attempts within Australia(Better health channel, 2017).Captain of the Ship” Project – Obsessive-Compulsive Disorders.
Follow-up plan for the patient will include the assignment of home care givers. The caregiver will be able to review the patient’s blood glucose and blood pressure values as well as encourage particular behavioral changes(Snyder, Kaiser, Warren, & Heller, 2015). Moreover, they will ensure drug adherence and therapy compliance. They will also assist and clarify the health reports sent to the patient via email. For patients who prefer texting, the nurse can send healthcare information via texts. These texts will be direct and easy to understand. The patient will also be given appointments which will make sure that the doctor examinestheir recovery progress from the hospital. This will also help in the administration of further medication and provision of advice based on the patient’s current status. Telephone calls will also facilitate communication between the patient, familyand the doctor and provide a medium for answering questions.
“Captain of the Ship” Project – Obsessive-Compulsive Disorders
In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with an obsessive-compulsive disorder.Captain of the Ship” Project – Obsessive-Compulsive Disorders.
• Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with obsessive-compulsive disorders
• Recommend psychotherapy based on therapeutic endpoints for clients with obsessive-compulsive disorders
• Identify medical management needs for clients with obsessive-compulsive disorders
• Identify community support resources for clients with obsessive-compulsive disorders
• Recommend follow-up plans for clients with depression disorders
To prepare for this Assignment:
• Select an adult or older adult client with an obsessive-compulsive disorder you have seen in your practicum.
In 3–4 pages, write a treatment plan for your client in which you do the following:
• Describe the HPI and clinical impression for the client.
• Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
• Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
• Identify medical management needs, including primary care needs, specific to this client.
• Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
• Recommend a plan for follow-up intensity and frequency and collaboration with other providers.Captain of the Ship” Project – Obsessive-Compulsive Disorders.
Betial Asmerom, a fourth-year medical student at the University of California-San Diego, didn’t have the slightest interest