Jane Doe is diagnosed with 300.29 specific phobia (F40.228) natural environment as evidenced by her development of an intense fear of germs in her surroundings and intense fear of becoming ill (APA, 2013, p. 198). The phobic object of germs almost always provokes immediate fear in Jane, and is out of proportion to the actual danger of the risk or probability of becoming seriously ill (APA, 2013, p. 197). Her fear and avoidance of germs, and becoming sick is causing clinically noticeable distress and impairment in social and other important areas of functioning due to the fact that she compulsively washes her hands 10-20 times each day, which causes her to be late for appointments at times (APA, 2013, p. 198). Jane also cleans her house constantly to avoid the phobic substance of germs, which leaves her an inadequate amount of time to study as a student in her doctoral program. Jane admits that her behaviors are excessive, but justifies them with the fact that germs exist, which is not a proportionate rationale for her compulsive behaviors. Jane should be evaluated for the possible diagnosis and treatment of obsessive-compulsive disorder (OCD) as a comorbid disorder to her specific phobia, as well, as evidenced by these intense handwashing and cleaning behaviors.
Now, the approach to be taken in treating a client diagnosed with 300.3 ...
This solution discusses obsessive compulsive disorder and treatment options.