Case Study 3: Bert is 40 years old and works on an assembly line in a brush factory. He is terribly afraid of being contaminated by germs. He avoids shaking hands with others. He won’t eat in the cafeteria. He has trouble leaving the bathroom because he isn’t sure he has washed his hands well enough.
Bert has a bad case of obsessive compulsive disorder. He repeatedly washes his hands in an attempt to "wash off all the germs." He is constintely paranoid about getting dirty. He is trying to prevent a bad situation from happening. More recently, effective psychologic and pharmacologic treatment methods have been recognized. Medications that inhibit serotonin reuptake have been found to be effective in the treatment of obsessive-compulsive disorder. In general, therapy for obsessive-compulsive disorder must be based on several factors. It is important to remember that, in most cases, symptoms will be reduced but not eliminated.
