A woman explains to her health care provider that she just has ...

[torybrooks]

A woman explains to her health care provider that she just has this cleaning ritual that she goes through every day. If something disrupts this cleaning schedule, she becomes:
 
  A) Depressed.
  B) Extremely anxious.
  C) Aggressive to the point of lashing out.
  D) Isolated from others.

Question 2

A teenager and her parents visits the clinic to discuss the teen's skin picking. There are many bleeding wounds and various stages of scabs located up and down both arms. The parents are very upset about this behavior and want it to stop.
 
  Which of the following would the health care provider documents?
 
  A) Body dysmorphic disorder
  B) Disrupted family dynamics
  C) Excoriation disorder
  D) Control dysfunction.

[briezy]

Answer to Question 1

Ans: B
Obsessions create tremendous anxiety; individuals perform compulsions to relieve the anxiety temporarily. If the compensatory ritual is not performed, the person feels increased anxiety and distress. Compulsions are necessary, not pleasurable. They are often recognized as odd or strange to the individual. Initially, attempts are made to resist the compulsive behavior, but eventually, resistance fails, and the repetitive behaviors are incorporated into daily routines. Depression, aggression, and isolation are not usual responses to this behavior.

Answer to Question 2

Ans: C
Excoriation disorder (skin picking) is the inability to stop recurrent picking at skin for emotional release or anxiety release. Body dysmorphic disorder is a preoccupation with slight or imagined physical defects that are not apparent to others. There is not enough information to diagnose disrupted family dynamics or control issues within the family unit.