Case Presentation

Case Presentation of JD Student's Name Institution Course # and Name Professor's Name Submission Date Obsessive-Compulsive Disorder (OCD) is a disorder that intricately intertwines with a person's daily living process and creates a unique set of challenges. OCD is a psychiatric disorder manifested by the occurrence of obsessions – unwanted, intrusive thoughts, images, or urges – and compulsions – repetitive behaviors or mental acts carried out to relieve distress or avert perceived harm. Though the exact etiology of OCD is complicated and involves several factors, many believe that a combination of genetic, neurobiological, and environmental components causes it. This paper focuses on JD's case to review the clinical presentations, nursing strategies, and treatment modalities of OCD. Exploring JD's lived experience in conjunction with nursing theory as a theoretical underpinning enables the understanding of the interrelated dimensions and layers of OCD and the importance of holistic nursing care in recovery and well-being. Identification Data JD is an employed, 32-year-old, married Caucasian male who comes for psychiatric evaluation on 3/11/24. Chief Complaint (CC) "I have been having intrusive thoughts and anxiety, which have been deprecating my everyday life." History of Present Illness (HPI) JD is referred for assessment of intrusive thoughts and anxiety that have become more unbearable over the past six months. He complains of having recurring involuntary thoughts of hurting his wife and children, which produces much agony for him. JD owns feeling shame and fear of acting upon these thoughts, which has increased anxiety and avoidance behaviors. He discusses spending several hours daily participating in unremitting rituals of checking locks and appliances to guard his family. However, these sets of interventions seem to fail, as JD too often continues to have thoughts that are intrusive in nature due to high intensity and frequency, which disrupt his attention at work and social activities. He claims to suffer from panic attacks in the settings when he cannot achieve control over his thoughts or actions. JD admits that his symptoms have altered the dynamics between him and his wife and children, and he is becoming an isolated and misunderstood individual. He articulates a powerful need to find help and to re-establish command over the thoughts and actions that would enable him to live a better life and have better relationships. Psychiatric History JD has no history of psychosis. He has never gone for mental health help before. Personal and Social History Alcohol/Drug History: JD has no history of previous addiction to alcohol or drugs. He states that occasionally, he is involved in social drinking with a norm of one or two alcoholic drinks in a week. He claims that he does not use any illicit drugs and has never experimented with any drugs or engaged in drug abuse. JD himself confesses that he has never turned to alcohol or drugs to cope with his anxiety or intrusive thoughts. Family History: JD's report states that anxiety disorders run in his mother's family. His maternal grandparents have a history of generalized anxiety disorder, and his mother has suffered from panic attacks. His father is not psychiatrically ill. He describes his childhood as calm, with caring parents encouraging dialogue and emotional freedom. However, JD recalls situations of stress and disputes between his parents, particularly in his adolescent years, and he even attributes his anxiety to them. Legal History: JD does not provide any links with the legal system. He has neither been under arrest nor has he been charged with any criminal offenses. He has a clear legal history and has never participated in legal arguments or litigation. Psychosocial History: JD was born and raised in a suburban habitat and belongs to the middle class. He says he had a normal childhood in a warm, supportive family. Nevertheless, JD remembers his early teens as anxious and nervous, especially in social settings. He tells of being bullied at school, which only made his sense of worthlessness and problems of low self-esteem worse. Nevertheless, JD has an excellent academic record and has adventured in sports, in particular, and community service, in general. After completing high school, JD went to college and graduated with a Bachelor of Computer Science. Afterward, he engaged in software engineering and has worked in the company over the last eight years. JD attributes the nature of his work environment to being fast-paced and demanding, with a short turnaround on deadlines and high expectations. He claims to be very stressed and under much pressure with his job duties, which has resulted in his anxiety and unwelcome thoughts. JD is married and has two kids that he loves very much. However, he admits that his OCD symptoms have strained his relationship with his wife and that he cannot fully interact with his family. JD has a high willingness to get help and address his mental health issues for the sake of his family and himself. Suicide and Homicide Assessment There are no suicidal or homicidal ideations currently or in the past. JD does not mention any self-harm or abuse against others. Medical History JD does not report any substantial medical history. He claims to be physically healthy. Allergies JD refutes drug, food, and environmental allergies. Current Medications JD is drug-free at present. Review of Systems * Anxiety-related: Suffers from worry, panic attacks, and repetitive thoughts. * Mood-related: Complaints of anxiety a...