Assignment: “Captain of the Ship” Project – Obsessive-Compulsive Disorders

To prepare for this Assignment:

• Select an adult or older adult client with an obsessive-compulsive disorder you have seen in your practicum.
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In 2 pages, write a treatment plan for your client in which you do the following:

• Describe the HPI and clinical impression for the client.
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• Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
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• Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
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• Identify medical management needs, including primary care needs, specific to this client.
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• Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
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• Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

HPI: history physical Information

FYI: B.O is a 36-year-old caucasian female that presents to the office for an initial assessment for complaints of fear of contamination or dirt, needing things to be in a specific order, Checking doors repeatedly to make sure they’re locked, consistently washing my hands until they’re raw, and get caught up on following a strict routine that consumes my day. She has a history of HTN and takes losartan 100mg PO daily, melatonin 5 mg PO QHS prn, and over the counter centrum multivitamin. She has no allergies.  She denies alcohol use or illicit drug use. She reports difficulty falling asleep, but reports that the melatonin is working. She reports ” I need medications or something to help me cope” She is currently unemployed due to her mental status. She has a high school diploma. She is married and has no children. She’s alert and oriented to name, place, time, and situation. She denies suicidal or homicidal ideations. The plan is to start the client on PROZAC 20 mg/day orally in the morning, Cognitive behavioral therapy (CBT), a type of psychotherapy, is effective for many people with OCD. Exposure and response prevention (ERP) and a follow up appointment in four weeks. Individual psychotherapy  and medication management will be set up for 60 minutes every two weeks for 12 weeks.