Obsessive-compulsive disorder Quiz: Ace Your Exams
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A 23-year-old woman comes to the physician for evaluation of excessive anxiety. The patient tells the physician that she feels everything should be arranged in pairs. She adds that if she does not arrange things in pairs, she feels something bad is going to happen to her or to her partner. This anxiety has led to significant distress for the patient and her partner because it consumes a lot of her time to arrange everything in her surroundings. She says, “I know this sounds very silly, but I can’t stop thinking about it.” She does not hear voices or see things that are not visualized by others. The patient smokes 1 pack of cigarettes daily and otherwise does not use recreational drugs or drink alcohol. She has used nicotine patches for 4 months as she is trying to cut down on smoking. Past medical history is noncontributory. Which of the following is the most likely diagnosis in this patient?
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