Abnormal Psychology
Obsessive-Compulsive Disorder (OCD)
A disorder featuring intrusive, distressing thoughts (obsessions) and ritualistic behaviors (compulsions).
Clinical Features
- Repetitive, unwanted thoughts
- Ritualistic behaviors to reduce anxiety
- Recognition that thoughts are unreasonable but uncontrollable
- Significant distress and impairment in functioning
Nursing Management
- Allow time for rituals early in treatment to decrease anxiety
- Gradually structure a schedule to limit ritual time
- Encourage participation in new activities
- Teach relaxation techniques like deep breathing
Priority Actions
- Focus on patient safety during ritual performance
- Avoid reinforcing the rituals
- Establish a trusting relationship to encourage open communication
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