Obsessive compulsive disorder (OCD) Quiz: Ace Your Exams
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A 22-year-old woman presents to the psychiatry office because of intrusive thoughts for the past year. The patient feels compelled to complete tasks in repetitions of three (for example, locking the door three times before leaving for work). When resisting these compulsions, the patient experiences racing thoughts and difficulty focusing until they give in to the urge. These repetitive behaviors are worsening in frequency and result in being late to work daily. There is no significant past medical or psychiatric history. Temperature is 37.0°C (98.6°F), pulse is 60/min, respirations are 15/min, and blood pressure is 135/85 mmHg. Cardiopulmonary examination is normal. Mental status exam shows a euthymic adult who appears the stated age with no acute distress. Yale-Brown Obsessive Compulsive scale (Y-BOCS) score is 24. Which of the following is the most appropriate next step?
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