Academia.eduAcademia.edu

Verbatim On Client

Abstract

The seriousness of OCD

Verbatim 1 Setting Monday morning was Women’s Issues group, And in this group the facilitator talked about PTSD, on how to cope, and identify your feelings. We had a client that was concerned about her obsession with cleanliness and feels that she lacks motivation and that this has worsen after getting sober. Client: I know that this might me off the subject of this group, but I am really feeling lack of motivation and drive. I mean like wanting to go back to school, doing things I used to do. Therapist: Well, you had motivation to be here today. Doesn’t that count for something. Client: No, not really. The things I am doing right are because I have to do them for the courts. I mean I am glad that I am sober today. Therapist: what do you want to do that you feel like you can’t do now? Client: Well, when it comes to my home, kids, car, husband and myself we need to appear and look perfect. Clean and well dressed. In my addiction my home looked like a home right out the magazines, so many compliments. I will spend hours on organizing than with my children. Do I have OCD? Or is it my ADHD? Therapist: Well, OCD has been believed to be the results of a combination of either neurobiological, genetic, behavioral, cognitive, or environmental factors that trigger the disorder in a specific individual at a particular point in time. Also abnormalities or an imbalance in the neurotransmitter, or brain chemical called serotonin could also to be to blame. Client: my poor children, having to deal with my obsession with cleanliness. I hardly take them out on the weekends anymore. Then I start to feel guilty. Therapist: Guilt is unhealthy to hold on to, so tell me from a scale 1-100 where do you put obsession at? Client: At a 90 Therapist: And how about your family? Client: Well, it should be at 100 but to be honest it’s at a 60 right now. Therapist: How does it feel to have heard yourself say that out loud? Client: I can actually say I feel a little at ease. But I do need to work on this whatever I have. Therapist: Can you please see me after group to discuss this more? Client: Yes, of course. I chose this incident for the reason that it got me thinking about how OCD can be a dangerous disorder if left untreated, everyday anxiety and stress in a person’s life will worsen the symptoms in OCD. Question for the group: Do you think that having OCD can effect an individual who struggles with a substance abuse problem?