Differential diagnosis using DSM-IV?!


Question: If a person presents with obvious contamination obsessions and repetitive cleanliness related compulsions, along with some weepy and depressed mood -

Few friends or social activities, works late, needs alcohol and sleeping pill to get to sleep...

What alternatives would you consider for her diagnosis?

OCD is the obvious one. Depressive episode maybe? Obsessive compulsive personality disorder?

What do you think?


Answers: If a person presents with obvious contamination obsessions and repetitive cleanliness related compulsions, along with some weepy and depressed mood -

Few friends or social activities, works late, needs alcohol and sleeping pill to get to sleep...

What alternatives would you consider for her diagnosis?

OCD is the obvious one. Depressive episode maybe? Obsessive compulsive personality disorder?

What do you think?

it is certainly possible to fit more than one dsm diagnosis at the same time. Many people who fit the criteria for OCD will at some time also fit the criteria for a mood disorder (i.e. major depressive disorder). Without more details, you could be looking at two different axis I disorders in the same person.

I do not think that many, if any, psychiatrists use this site.

Why do you feel the need to fit people into boxes? Might it not be a better idea to analyze this person based on your relationship with them? Everything is basically relative to your point of perception.

Those symptoms can be in alot of problems other then OCD. A person with different types of depression can have social anxieties, insomnia and weeping. This could also be in bipolar people, panic disorders,PTSD there are many others.
I have noticed once a person does a DSM-IV and has to do a repeat later, the answers could change drastically because your mind is already programmed with the questions. You will remember them from the last time and will begin to know how you should or shouldn't answer the questions. Some may answer differently as well then they actually do/say on the questions. So to me the test really is not that accurate if constantly repeated.

this person suffers from acute anxiety. it shows itself in obsessions, and addictoons like pills alchohol, and syptoms the mock ocd.

I'm not a psychiatrist, but I'd think that this person has traits of OCD,
(obvious contamination obsessions and repetitive cleanliness related compulsions)
Anxiety (needs alcohol and sleeping pill to get to sleep...
)
and depression (needs alcohol and sleeping pill to get to sleep, weepy and depressed mood, Few friends or social activities.)
I'd be careful with pathologising the "few friends or social activities", though, and I'd only see it as a problem if it was out of the ordinary for the person and/or it bothered the person. They may simply be introverted.





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