Assessment of Risk Behaviors and Substance Use in OCD

Kate-Morrison

Independent practice, Kate Morrison LLC, Sandy, Utah

Key Points

  1. Anne considered suicide in the past as an option to keep her daughter safe, but doesn’t currently have suicidal ideation.
  2. Anne’s harm obsessions are egodystonic, which means that they are not consistent with her values system and are highly distressing.
  3. It’s important to attend to Anne’s obsessions and be prepared to intervene if they become risky behaviors.
  4. Anne used alcohol and cannabis in the past, but stopped when her OCD symptoms started.
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Risk-Related Information

Suicidal Ideation

  • Anne has had some thoughts of suicide in the past. The last time was about two months ago, but she currently has no suicidal ideation.
  • She considered suicide in the past as an option to keep her daughter safe: “If I am not alive, then I can’t harm her.” But she feels she’s the only one truly able to protect her daughter from other forms of harm. This is one of the reasons that she has chosen to stay alive and not attempt suicide.
  • She doesn’t have any intent, denies planning to follow through with those thoughts, and has no history of suicide attempts.

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