Obssesive-Compulsive Disorder, neuropsychology function and scholar development: Case report

Abstract

Obsessive-Compulsive disorder (OCD) in adolescence is a point of interest within children and adolescent clinical psychology and psychiatry. Adolescence is one of the periods where repetitive behaviors are more often being these evolutionary. It is important to differentiate these symptoms of a clinical development. In childhood OCD symptoms are similar to adulthood. Most common rituals are excessive cleaning, repetition and verification. There are few epidemiological studies and different result, but there is a predominance of boys in infancy (3:2), in adolescence the prevalence is more well-balanced. Etiology is multicausal. We report the case of a 13 year old girl referred to our Mental Health Unit for Children and Adolescents in relation to overestimated ideas about possible unpleasant or catastrophic events. Clinical interview, Psychometric and neuropsychological assessment is realized with The Millon Adolescent Clinical Inventory MACI , Wechsler Adult Intelligence Scale WAIS-III, Rey-Osterrieth Complex Figure, Wisconsin Card Sorting Test, Spatial Span from Wechsler Memory Scale, Stoop Test, obsessions and compulsions scale. She was diagnoses as having OCD. We describe psychological and psychiatric treatment. The focus of clinical attention symptomatology includes sexual, catastrophic and religious obsessions, rituals as compulsions of repetition and checking; and family management of hysteriform personality. From the point of view of therapeutic efficacy cognitive behavioral therapy and pharmacological treatment combined are recommended. It is important to take this into account for the reduction of life interference. It highlights the value of functional analysis for a favorable progress, taking into account different factors involved.