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Biological Sciences
Malcolm Mac Kinnon

Axis I1 Obsessive Compulsive Disorder OCD2 Major Depressive Disorder a possible disorder that Kate may develop in the future but warrants further investigation Justification 1 According to the DSMIVTR Obsessive Compulsive Disorder OCD diagnostic criteria defines obsessions as recurrent and persistent thoughts impulses or images that are experienced at some time during the disturbance as intrusive and inappropriate and that cause marked anxiety or distress in Section A In Kates case story she has thoughts about the fear of becoming contaminated called obsessions and in response to these obsessions she feels compelled to perform handwashing and cleaning actions repeatedly to alleviate her distress and prevent some dreaded event contamination which is called a compulsion This is evident when Kate says that she cleans her hands frequently and vigorously compulsions to prevent becoming infected by germs obsessions She engages in handwashing and cleaning activities even though there are no signs of visible dust or dirt Her obsessions are very intrusive as they negatively affect her normal everyday activities such as preparing food going out of her house going on dates with her husband etc and they are uncontrollable as it has led to her hands bleeding when she gets sent to the ER In Section B it states that at some point during the course of the disorder the person has recognized that the obsessions or compulsions are excessive or unreasonable This diagnostic criteria is fitting to Kates case story when she understands that others find her actions to be silly and when she realizes that this may be excessive in regards to her activities of washing foods from the grocery store for an hour and patting them dry with a special clothAlso in Section C it states that the obsessions or compulsions cause marked distress are time consuming take more than 1 hour a day This is true of Kates case story when she frequently washes her hands which often occupies several hours of her day and cleans her apartment and washroom multiple times a day Additionally in Section C it states that the obsessions or compulsions significantly interfere with usual social activities or relationships In Kates case story her husband mentions that they have not gone on dinner dates in over a year and has to coax her into leaving the house to visit her family on holidays Perhaps these two examples suggest that regular social outings ie dinner dates and visiting her family have been disrupted due to her obsessions and compulsions and this in turn has broken her relationships with her family and her husband Furthermore in Section E it states that the disturbance is not due to the direct physiological effects of a substance In Kates case story it states that at the time of her admission to the ER she was not taking any medications This fact provides further support that her disturbances constitute the true disorder of OCD and are not due to any influence of the pharmacological effects of drugs
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