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Captain of the Ship: OCD
PMHNP Role 6670N
Meredith Cunningham
Walden University
, 2
Obsessive Compulsive Disorder, (OCD), is a common, chronic and long-lasting disorder in which a
person has uncontrollable, obsessions and compulsions that he or she feels the urge to repeat over and
over, (www.nimh.nih.gov, 2016). Obsessions are unwanted, intrusive thoughts, images or urges that
trigger intensely distressing feelings. Compulsions are behaviors an individual engages in to attempt to
get rid of the obsessions and decrease his or her distress. The purpose of this paper is to formulate a
treatment plan for a client with OCD.
History of present illness and Clinical Impression
HPI: Chase is a 25 yo CM that has been sent for an assessment by his therapist. Chase states that
his constant checking and rechecking goes back to adolescence when he would spend hours on school
assignments because he wanted them perfect, with no erases or marks. He states he would arrange his
bedroom to his specifics before bed or he was not able to sleep at night. Chase recalls that high school
was tough because he was not sociable or involved in any activities due to his behaviors and excessive
worries. Chase attended college where he developed a new ritual of checking electric plugs and switches,
for fear of leaving on the electricity. He states this behavior caused him to be tardy or ditch class, caused
arguments with roommates, challenging to find employment, and interfered with going home for visits.
Chase eventually dropped out of college and moved back home.
Chase reports that he realized he had a problem early on and that his family members voiced
concerns, but they all believed it was something he would eventually grow out of, so therefore, he did not
seek treatment. At this point, Chase has been talking to a therapist and has been educated on OCD and is
ready for treatment.
Assessment: 25-year-old Caucasian male, single, WNL vital signs, height, and weight, lives with
parents, appropriately dressed and groomed Alert and Oriented x 4, Mood euthymic, affect: congruent
with mood Denies SI/HI/AVH, Judgement: appropriate Insight: good Willingness for treatment: Good
Memory: Good
Captain of the Ship: OCD
PMHNP Role 6670N
Meredith Cunningham
Walden University
, 2
Obsessive Compulsive Disorder, (OCD), is a common, chronic and long-lasting disorder in which a
person has uncontrollable, obsessions and compulsions that he or she feels the urge to repeat over and
over, (www.nimh.nih.gov, 2016). Obsessions are unwanted, intrusive thoughts, images or urges that
trigger intensely distressing feelings. Compulsions are behaviors an individual engages in to attempt to
get rid of the obsessions and decrease his or her distress. The purpose of this paper is to formulate a
treatment plan for a client with OCD.
History of present illness and Clinical Impression
HPI: Chase is a 25 yo CM that has been sent for an assessment by his therapist. Chase states that
his constant checking and rechecking goes back to adolescence when he would spend hours on school
assignments because he wanted them perfect, with no erases or marks. He states he would arrange his
bedroom to his specifics before bed or he was not able to sleep at night. Chase recalls that high school
was tough because he was not sociable or involved in any activities due to his behaviors and excessive
worries. Chase attended college where he developed a new ritual of checking electric plugs and switches,
for fear of leaving on the electricity. He states this behavior caused him to be tardy or ditch class, caused
arguments with roommates, challenging to find employment, and interfered with going home for visits.
Chase eventually dropped out of college and moved back home.
Chase reports that he realized he had a problem early on and that his family members voiced
concerns, but they all believed it was something he would eventually grow out of, so therefore, he did not
seek treatment. At this point, Chase has been talking to a therapist and has been educated on OCD and is
ready for treatment.
Assessment: 25-year-old Caucasian male, single, WNL vital signs, height, and weight, lives with
parents, appropriately dressed and groomed Alert and Oriented x 4, Mood euthymic, affect: congruent
with mood Denies SI/HI/AVH, Judgement: appropriate Insight: good Willingness for treatment: Good
Memory: Good
