2018 - Ebru Akbaş,Gülay Taşdemir Yiğitoğlu - https://doi.org/10.26466/opus.449665

Özet:The diagnostic criteria of Obsessive Compulsive Disorder (OCD) described by Esquirol have changed very little to date. Severe recurrent obsessive and compulsive symptoms that lead to stress in people are the main features of OCD. Obsessions and compulsions, which take the person's time, have a significant influence on the usual order, work-related functions, social activity or relationships. Patients with OCD diagnosed psychotic features, unlike the known OCD, were observed to have no insight for their obsessions and did not develop resistance to their compulsions. In this case, a 32-year-old female patient with comorbidity of "OCD and Psychosis" is presented. The permission of the patient has been granted. The disease started with complaints about the repeated controls when writing, and the constant suspicion that the writing was wrong, at the 1st year of high school. On November 12, 2017, the patient applied to a hospital in Denizli with complaints of insomnia, irritability, nervousness and contagion-doubt obsessions and was admitted to the psychiatric service. In this case, a nursing care plan was prepared for the diagnoses of nursing as "deterioration in communication, deterioration in thinking process, ineffective coping, discomfort in sleep pattern and deterioration in social interaction". A total of 4 interviews, as twice for 40 minutes per week, were held with the patient between November 12 and November 24, 2017. Communication and social skills, effective coping and cognitive-behavioural practices were explained in the nursing interventions applied to the patient. The case was discharged on November 24, 2017 at her own request.

Anahtar Kelime:Obsessive Compulsive Disorder, Psychosis, Nursing