Borderline Ocd Case Studies

The person I have chosen to use for this research assignment is a gentleman I will refer to as Randall. He is a 31 year old man with what has been diagnosed as both a General Anxiety Disorder and agoraphobia. Randall’s condition is one that stems from a moment of extreme anxiety in his early twenties, and has worsened over the last decade into the agoraphobic behaviors of having a generalized discomfort or inability to leave the house. In short, Randall cannot be somewhere that does not come with direct access to a restroom facility. He must have a line of sight or awareness of where the closest bathroom is at all times outside his home. These incidents of fear began after a traumatic incident that Randall experienced as a musician nearly ten
In addition to feeling the effects of acute panic and fear in public settings, Randall’s condition has worsened to its current state of borderline OCD practices, including the need to go back to his home after leaving and verifying his door has been appropriately locked multiple times, not being able to leave until he verifies that there is ample supply of toilet paper in the car, and the need to map out a facility before entering as to determine the location of the restrooms. From a biological perspective, Randall may be experiencing his anxiety due to a deficit in his gamma-aminobutyric acid reception (Perspectives on Generalized Anxiety Disorder, 2009). While GABA is an inhibitory neurotransmitter that contributes to cortical functions, vision, and motor control, GABA is also responsible for regulating anxiety. This crucial function of GABA may explain Randall’s anxiety, should he be suffering from a deficit. The means of treatment from a biological perspective for this particular shortage can come in a variety of forms, ranging from medication in the form on antianxiety drugs, to relaxation