Avoiding Treatment Failures in Obsessive Compulsive Disorder

  • Luana Marques
  • Anne Chosak
  • Dieu-My Phan
  • Jeanne Fama
  • Shana Franklin
  • Sabine Wilhelm
Part of the Series in Anxiety and Related Disorders book series (SARD)


Maria is a 29-year-old, married, Caucasian female who was prompted by her husband Bob to seek treatment for Obsessive-Compulsive Disorder (OCD) following the birth of their first child. At intake, Maria noted that she had a nursing degree but had decided to stay home after her child was born. During the initial therapy sessions, Maria was upset and reluctant to disclose her obsessions. She stated that she has had some obsessive thoughts and behaviors since she was about 13 years old, but in the past she had been able to work around them. She checked the locks of her house excessively, cleaned the bathroom daily because of fear of germs, and was very perfectionistic in her work as a nurse. Maria noted that when she became more depressed, her OCD symptoms increased, which in turn made it more difficult for her to manage at home and at work. In addition to being diagnosed with OCD at intake, Maria was also given comorbid diagnoses of Major Depressive Disorder, Recurrent (MDD) and Generalized Anxiety Disorder (GAD). She did not meet criteria for any personality disorders. Despite this level of interference and distress, Maria never sought psychotherapy for OCD until she gave birth to her daughter Sophia. Maria had seen a psychiatrist once for her OCD and MDD symptoms, at which time the doctor had recommended that Maria consider taking a selective serotonin reuptake inhibitor (SSRI), but she had refused it due to her desire to get pregnant.


Major Depressive Disorder Generalize Anxiety Disorder Personality Disorder Intrusive Thought Core Belief 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Luana Marques
    • 1
  • Anne Chosak
    • 1
  • Dieu-My Phan
    • 2
  • Jeanne Fama
    • 3
  • Shana Franklin
    • 4
  • Sabine Wilhelm
    • 4
  1. 1.Department of PsychiatryMassachusetts General Hospital and Harvard Medical SchoolBostonUSA
  2. 2.Body Dysmorphic Disorder ClinicMassachusetts General Hospital and Harvard Medical SchoolBostonUSA
  3. 3.Massachusetts General Hospital and Harvard Medical SchoolBostonUSA
  4. 4.OCD and Related Disorders ClinicMassachusetts General Hospital and Harvard Medical SchoolBostonUSA

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