Psychiatric Nursing

Obsessive-Compulsive Disorder (OCD)

Obsessive-Compulsive Disorder (OCD)

OCD is characterized by repetitive thoughts (obsessions) and ritualized behaviors (compulsions).

Clinical Presentation

  • Obsessions: Intrusive thoughts, urges, or images.
  • Compulsions: Repetitive actions to neutralize anxiety (e.g., hand washing, checking).
  • Significant time-consuming rituals impacting daily function.
  • Insight: Patients usually recognize behaviors as unreasonable.

Nursing Management

  • Allow time for rituals initially to prevent panic.
  • Gradually limit time for rituals as therapy progresses.
  • Redirect focus to non-ritual activities.
  • Administer SSRIs as ordered to manage anxiety.

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