Posted: December 2nd, 2022

Treatment Plan for Obsessive Compulsive Disorder

Treatment Plan for Obsessive Compulsive Disorder
Introduction
The practicum experience was a learning experience after meeting diverse patients. One of the patients I met was a 38-year old Caucasian female with a history of depression and trauma. Selective serotonin reuptake inhibitors are effective in the treatment of obsessive-compulsive disorder. The best psychotherapy for the patient is individual cognitive behavior therapy (CBT). The patient will require the prescription of Sertraline (Zoloft) 5mg daily during bedtime. Community collaboration and support is necessary to improve the quality of the results. Collaboration with other healthcare workers is essential to improve the recovery process. The purpose of the treatment plan is to examine the treatment of a patient with obsessive-compulsive disorder (OCD).
HPI and Clinical Impression
The patient was a 38-year old Caucasian female with a history of depression and trauma. She is a former military officer with experiences of deployment in war-torn countries. The patient has been diagnosed with depression and trauma but did not adhere to treatment. She lives with her husband and two daughters. She has type 2 diabetes and currently taking medication. She currently takes multivitamin tablets. The parents were military officers with a history of obsessive-compulsive disorder. Her sister suffers from depression. The two parents died of a heart attack. The patient complains of aggressive and horrific thoughts, unwanted thoughts, impulsivity, hypervigilance, social isolation, and nightmares.
Psychopharmacologic Treatments and Therapeutic Endpoints
The prolonged administration of selective serotonin reuptake inhibitors is effective in the treatment of obsessive-compulsive disorder. Sertraline (Zoloft) is the best medication since it has few side effects (Fontenelle & Miguel, 2020). Evidence-based practice shows that prescription of Sertraline (Zoloft) has positive results among adults (Dougherty et al., 2018). Sertraline (Zoloft) is effective since it balances the chemicals in the brain that cause obsessive-compulsive symptoms. Another therapeutic endpoint is the relief of the severity of the symptom, such as aggressive and horrific thoughts, unwanted thoughts, impulsivity, hypervigilance, social isolation, and nightmares (Dougherty et al., 2018). Balancing the brain’s chemicals will enhance the quality of life and ability to live a normal life.
Psychotherapy Choices
The psychotherapeutic choices are essential to enhance the quality of treatment. A combination of psychotherapy and pharmacology generates quality results (Del Casale et al., 2019). The patient’s best psychotherapy is individual cognitive behavior therapy (CBT) (Del Casale et al., 2019). One of the best types of CBT is exposure and response prevention (ERP). ERP allows patients to confront the thoughts that trigger anxiety.
The patient should attend several counseling sessions to allow them to confront their fear. At least 8 to 10 sessions are necessary to relieve the symptoms. Weekly sessions are necessary to enhance close monitoring of the progress. Monitoring the progress is vital to provide the necessary interventions to alleviate complications.
Medical Management Needs
The patient will require the prescription of Sertraline (Zoloft) 5mg daily during bedtime. Weekly analysis of the patient’s progress is necessary to ensure minimal side effects (Del Casale et al., 2019). The dosage can be improved to 10mg daily during bedtime during the second week. It is necessary to educate the patient on the need to adhere to the treatment plan (McIngvale et al., 2019). The patient should avoid experiences that expose them to compulsive thoughts. It is vital to continue with medications to treat other conditions such as diabetes.
Community Support Resources
The patient requires community support to meet socioeconomic needs. She has a comfortable residence and lives with the family. One of the basic requirement is community support. For example, she should join a group of women with mental health disorders (McIngvale et al., 2019). The group meets every month to share experiences of recovery. It is vital to connect with other community agencies that provide support to the patient. For example, joining a religious group would help the patient meet new people and share different results. Sharing new experiences will eliminate the risk of obsessive-compulsive disorder.
Plan for Follow-Up Intensity and Frequency and Collaboration
Patient follow-up is important to enhance the recovery process. The follow-up will involve a weekly session with the client to review their progress and challenges. Every session will take 40 minutes to evaluate the client’s progress and adherence to the treatment plan (McIngvale et al., 2019). The follow-up session can be spread to every two weeks after the first month and significant improvement signs. Collaboration with other healthcare workers is essential to improve the recovery process.
Conclusion
Patients with a history of trauma are at risk of obsessive-compulsive disorder. The symptoms of OCD are aggressive and horrific thoughts, unwanted thoughts, impulsivity, hypervigilance, social isolation, and nightmares. Evidence-based practice shows that prescription of Sertraline (Zoloft) has positive results among adults. One of the best types of CBT is exposure and response prevention (ERP). The treatment plan requires strict adherence to achieve positive results. Patient education is necessary to ensure the patient is adhering to the treatment. Patient follow-up will be crucial to promote recovery. A weekly follow-up session for the first month is essential to track the progress.

References
Del Casale, A., Sorice, S., Padovano, A., Simmaco, M., Ferracuti, S., Lamis, D. A., … & Pompili, M. (2019). Psychopharmacological treatment of obsessive-compulsive disorder (OCD). Current Neuropharmacology, 17(8), 710-736.
Dougherty, D. D., Brennan, B. P., Stewart, S. E., Wilhelm, S., Widge, A. S., & Rauch, S. L. (2018). Neuroscientifically informed formulation and treatment planning for patients with obsessive-compulsive disorder: a review. JAMA Psychiatry, 75(10), 1081-1087.
Fontenelle, L. F., & Miguel, E. C. (2020). The impact of coronavirus (COVID‐19) in the diagnosis and treatment of obsessive‐compulsive disorder. Depression and Anxiety, 37(6), 510-511.
McIngvale, E., Van Kirk, N., Amspoker, A. B., Stanley, M. A., & Barrera, T. L. (2019). Prevalence and treatment of obsessive-compulsive disorder in veterans and active-duty service members: A systematic review. Journal of Cognitive Psychotherapy, 33(1), 11-22.

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