1. Provisional Diagnosis: Obsessive-Compulsive Disorder
2. Rationale for the diagnosis:
A. Presence of obsession, compulsion, or both: Obsession: the persistent thoughts of the client and attempts to ignore, suppress or neutralize these thoughts, impulses, or images ---- he feels some foods contain poisonous germs and diseases, any personal hygiene would interfere with his studying, he believes that the special rituals before eating, such as loud hissing, coughing, would allow the food to enter an air-free and sterile environment, he fears that any personal hygiene, such as shaving and showering would make himself contaminated, he thinks placing the objects in a certain way is the method to protect himself and his family from future catastrophe such as AIDS. Compulsion: behaviors and mental acts, driving the client to perform or to reduce distress ----excessive washing and showering, ceremonial …show more content…
Specific Phobia of Contamination: Both of these two disorders are categorized as anxiety disorders, and are similar in that they cause high levels of anxiety. Phobias are initiated by something in the external environment, which if not present does not elicit the maladaptive behavior. OCD is generated internally through thoughts(obsession)that lead to behaviors. In this case, the client thinks that the germs can make him contaminated easily, thus he has to do some ritual things to prevent or to decrease the probability. c. Social Anxiety Disorder: Social anxiety disorder is an anxiety disorder in which a person has an excessive and unreasonable fear of social situations. Anxiety and self-consciousness arise from a fear of being closely watched, judged, and criticized by others. A person with social anxiety disorder is afraid that he or she will make mistakes, look bad, and be embarrassed or humiliated in front of others. However, obviously, In this case, the client does develop social dysfunction, but it is not because of the fear of social