TARLAC STATE UNIVERSITY

COLLEGE OF SCIENCE
DEPARTMENT OF NURSING
Awarded Level III Status by the Accrediting Agency of Chartered Colleges and Universities in the Philippines

CLINICAL CASE ANALYSIS

Name of Patient Mr. X Age: 27 years old Gender: Male

Address Tarlac City Date Admitted: 08-28-2021
Diagnosis Obsessive Compulsive Disorder

NURSING HISTORY:
PRESENT HEALTH HISTORY:

A 27-year-old man presents with a 6-month history of increasing repetitive routines. He is now unable to
leave the house without undertaking lengthy repetitive. He is taking longer and longer so that he is often late
for work. He is worried about losing his job as other colleagues have been made redundant.
Assessment:
Good eye contact
Anxious
mood is not low subjectively or objectively
speech is normal
No delusions
No hallucination

PAST HEALTH HISTORY:

Patient stated that He had a similar episode when he was 18 around the time of his ‘A level’ examinations but
that settled within a few weeks which is why he has delayed seeking help. He wants to know what is wrong
with him and what treatment options there are that do not require medication. 

PATHOPHYSIOLOGY:
 Non-modifiable
Modifiable -Family History
-Unemployment -Gender (Women)
-Drug abuse -Age (young adults)
-Alcohol use - Presence of other mental
-Stress health conditions (Tourrete’s
syndrome, depression, anxiety,
schizophrenia)
-Traumatic life events

Obsessive-Compulsive Disorder

Attempt to suppress/neutra lize

unwanted thoughts/urges/images

Obsessions Compulsions
(Unwanted intrusive thoughts, ideas, (urges to perform overt behavioral or
images, impulses that intrude into mental rituals to reduce obsessional distress
consciousness about feared consequences.
Post-synaptic serotonin
receptors hypersensitivity

Need for order and symmetry Arranging things; counting and

rhyming
Emotional disturbance
from dysfunctional beliefs
Guilt a nd responsibility for harm arises from the stimuli
to self or others Mental rituals (praying,
cancelling out bad thoughts with
good ones)

Ta boo thoughts a bout

sex/violence/bla sphemy Checking (locks, switch) and
Spends majority of the time repeating behaviors to prevent
to perform compulsions unwanted events

Unwanted ideas about germs a nd

contamina tion
Excessive handwa shing/clea ning
Impairment in daily
function
Anxiety

DIAGNOSTIC PROCEDURES:

GAD-7

MEDICAL MANAGEMENT:
- Maintain a calm, non-threatening manner while working with the client.
- Encourage the client’s participation in relaxation exercises such as deep breathing, progressive muscle
relaxation, guided imagery, meditation and so forth.
- Assist client to find ways to set limits on own behaviors. At the same time allow adequate time during
the daily routine for the ritual(s).
- Limit the amount of time allotted for the performance of rituals. Encourage client to gradually decrease
this time.
- Discuss home situation, include family/SO as appropriate. Involve in discharge plan.
Assist client to learn stress management, (e.g., thought-stopping, relaxation exercises, imagery).
- psychological therapy usually cognitive behavioral therapy (CBT), which helps you face your fears
and obsessive thoughts without "putting them right" through compulsions.

Name of Student: SICAT, KENNETH & SUPAN, ARIAN JAY

Date Submitted: 06-30-2021 C.I.’s Signature

Form No.: TSU-COS-SF-04 Revision No.: 00 Effectivity Date: June 22, 2016 Page 1 of 1