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March 10 Keolwolf 15
Adrienne Venet DOB 7-1-1982
Vanessa McCain, MA, LAPC
Psychotherapy Note
A.V. described recurrent and persistent thoughts or impulses that are viewed as senseless, intrusive, and time consuming and that interfere with her daily routine. The client reported failure at attempts to control or ignore her obsessive thoughts or impulses. Client described many different failed attempts at learning to control or ignore her obsessions. The client reported that she recognizes that the obsessive thoughts are a product of her own mind and are not coming from some outside source or power. A.V. acknowledged that the obsessive thoughts are related to anxiety and are not a sign of any psychotic process. Client described repetitive and intentional behaviors that are performed in a ritualistic fashion. The client’s compulsive behavior pattern follows rigid rules and has many repetitions to it. The repetitive and intentional behaviors of the client are performed in response to obsessive thoughts. A.V.’s repetitive and compulsive behavior is engaged in to prevent some dreaded situation from occurring, which the client is not yet able to define clearly. Today’s clinical contact focused on building the level of trust with the client through consistent eye contact, active listening, unconditional positive regard, and warm acceptance. Empathy and support were provided for the client’s thoughts and feelings during today’s clinical contact. Client was provided with support and feedback as she described her maladaptive pattern of anxiety. Active listening was used as the client described the nature, history, and severity of her obsessive thoughts and compulsive behaviors. Through clinical interview, the client described a severe degree of interference in her daily routine and ability to perform a task efficiently because of the significant problem obsessive thoughts and compulsive behaviors. The Anxiety Disorder’s Interview Schedule for DSM-IV (DiNardo, Brown, and Barlow) was used to assess the client’s frequency, intensity and duration and history of obsessions. It was noted that the client gave evidence of compulsive behaviors within the interview. Psychological testing was administered to evaluate nature and severity of the client’s obsessive compulsive problem. The Yale-Brown Obsessive Compulsive Scale (Gordman and Colleagues) was used to assess depth and breadth of the client’s OCD symptoms. Follow up session/ appointment TBA.