Psychodynamic Treatment Plan for OCD (Melissas Case) - Assignment Example

Psychodynamic Treatment Plan for OCD (Melissa’s Case) Treatment Modality Melissa exhibits symptoms of obsessive-compulsive disorder, an anxiety condition. According to the Adlerian theory, her treatment will come from four quarters, the family, a psychiatrist, self, and friends. In helping her overcome the condition, the psychiatrist will diagnose his issue and offer some advice on how to contain the condition including employing the cognitive-behavioral therapy or alternatively may recommend the use of antidepressants. Self-help is also a remedy that will involve the patient adopting healthy eating, a relaxed lifestyle, sleeping well, and exercising regularly. Alternatively, one can join a support group where they help each other in overcoming the condition. Finally, family and friends can be supportive in overcoming the condition by being positive, humorous, and initiating other interventions that will help her overcomes the OCD rituals. Assessment Melissa needs to be assessed on the history of the condition that started while she was age 19. Some questions such as what significant change did she experience at age 19, had her parents divorced before the condition began among others are to be pondered. The family relationship should also be assessed with her parents, sisters, husband and he children. The environment in which she is exposed could be contributing to the longevity of the situation; therefore, a thorough analysis of the environment is required. The effects of the condition are also to be focused, it is appropriate to consider what Melissa is going through in terms of the effects of the condition in details. In addition, other associated illnesses should be checked through either testing or interrogation. This can be very beneficial in identifying any opportunistic conditions that may be aggravating the situation. Areas to Assess Further Apart from relying on the assessment done, further assessment is supposed to be done in certain areas. Firstly, a comprehensive analysis of the background should be checked by having not only to interview Melissa but also her sisters and the husband if it is possible, this will shed more light on their perspective concerning her. However, this should be done with the consent of Melissa. In this analysis, the relationship patterns especially with his father should feature and somehow establish the reasons behind it. Secondly, the history of the condition needs reassessment. Having the condition for such a long period there is expected that she might have sought some help, all this and other information helpful for proper treatment should be brought forth. Thirdly, the side effects of the condition need to be looked at again. The trends in their severity as well the occurrence of the symptoms should be considered keenly. Short-Term Goals Short-term interventions are necessary in order to help reduce the impact of the condition. The first goal will be to reduce the impact of the symptoms; the strategy that will serve as a key component of the prognosis. Secondly, the patient will require to be taken through an encouragement session that will see his self-efficacy boosted. As the patient goes through the session of explaining her situation, she should be constantly facilitated to have a change in view of her condition. Having a positive view of herself as well as being positive about the healing of the condition will promote the healing process. Thirdly, Melissa should be provided with antidepressants that will facilitate her to relax her mind. The pills should be taken in minimal doses or otherwise any other mild remedy should be provided. Finally, a notification to the family and friends on the best way of helping her heal should be done as a matter of urgency. Long-Term Goals As the short-term goals are being implemented, the treatment requires a focus on the long-term goals. Controlling of her diet will be vital intervention that will have to be considered in the long-term. A change in the eating habits should not be random; however, it should be consistent and be geared towards facilitating healing. Another perspective is the sensitization of family members as well as friends on the best way of handling her and how they can help her overcome the condition. A psychiatrist or a professional counsellor can do this. Another long term strategy is the facilitation of an understanding of the best options that Melissa can adopt in an attempt to have self-help to the condition. If she remains aware of her condition and learns to make the right interventions, then it means that the chances of overcoming the condition are high. Planned Interventions/Areas of Focus There are specific areas about her that should be given a keen focus. What she eats is one of these aspects. Such a condition as OCD is likely to dwindle her appetite, therefore supplements that will boost the appetite should be introduced. Instead of focusing on antidepressants, she can be made to be believe that food is a better solution as compared to the drugs. Such things as alcohol or other drugs should be discouraged from her meal. Another intervention is intensive follow up and counselling, the patient should have regular visits to a medical person who will continually check her progress while making appropriate recommendations. Taking a rest is an important aspect that will form part of the intervention; the patient should be able to rest for some time. If in a job setup, Melissa should be allowed to have a sick off to have adequate rest. Resting helps in regeneration, an aspect that will promote the healing of the condition. Changes in symptoms should be recognizable; this should be a facilitation of continued encouragement to the patient. Estimated Time Frame The estimated time for the entire treatment is meant to take approximately one and half years. This is because the condition has underlying psychological backing that should be dealt with. Melissa should be keenly looked at with the observance of symptoms being done on regular basis for a long time. The reason is because she has been having the disease for a long time and it may not clear immediately. Another reason is to be able to modify her environment so that the timing of the prognosis will align with the changes that are being initiated in Melisa as well as her environment. Ethical Considerations Social, Cultural, Spiritual Considerations Sample Therapeutic Dialogue Read More