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Understanding obsessive Get to know this serious and debilitating mental disorder. By Michele Sharp, PhD, MSN, PMHNP-BC • • Attending Psychiatric Nurse Practitioner Oregon State Hospital Salem, Ore. Mr. S is admitted to a psychiatric inpatient unit about his bipolar disorder diagnosis to friends, at a local hospital. His primary psychiatric diag- family, and coworkers but until this hospital nosis is bipolar affective disorder, type I, and he’s admission, he had never disclosed the worries 2.3 hospitalized for treatment of a mixed episode, and rituals that made day-to-day life an incredible ANCC CONTACT HOURS experiencing agitated depression and suicidality. struggle. Previously, he had completed two undergradu- He’s worried about germs and infection, and ate college degrees while working full-time as a has difficulty leaving his apartment without cab driver in our mid-size city. However, several completing many counting and checking rituals. years ago, Mr. S became depressed and lost his job. To Mr. S, these behaviors are shameful and A diagnosis of bipolar affective disorder followed. embarrassing. Although he embraced his bipolar Mr. S began treatment, looking for a job and diagnosis, his obsessions and compulsions are a starting a charity that provides clothing and deep secret. Mr. S
Nursing Made Incredibly Easy! – Wolters Kluwer Health
Published: Sep 1, 2013
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