Efficacy of Psychological Management for a Chronic Case of Obsessive Compulsive Disorder (Mixed) without Pharmacological Aid

OCD can affect people of all ages irrespective of their class, religion or gender and usually it starts in childhood. It is thought that 2–3% of the population has OCD. This case report aims to present how a young female chronic OCD patient was helped to manage her obsessive-compulsive symptoms, conflicts with parents and her high anxiety through an eclectic approach without any drug therapy. Before giving psychological intervention she was assessed with the Yale_Brown Obsessive Compulsive Scale -Y-BOCS, Reynold Adolescent Depression Scale, WHO Well-Being Index, Suicidal Ideation Questionnaire, IPAT Anxiety Scale and Global Adjustment scale. The main therapeutic technique used were motivational counseling, reality therapy, family therapy, interpersonal therapy, exposure response prevention, thought stopping, flooding and cognitive restructuring. In the follow up session after four months post-assessment were made with the same psychological tools and found the subject was completely asymptomatic and is still stable after two years and reported managing well with the work environment as well as with family and friends. Eclectic psychological approach is more effective than following a single approach in the treatment of OCD.