OCD With Harm Obsessions: The Case of Anne

Kate-Morrison

Independent practice, Kate Morrison LLC, Sandy, Utah

Key Points

  1. Anne Wilson is a 38-year-old, white, heterosexual female, who attends therapy to address her intense worries about her daughter’s safety, which are related to her harm obsessions.
  2. Anne has presented symptoms of obsessive-compulsive disorder (OCD) since childhood.
  3. Her symptoms have waxed and waned throughout her life, increasing during transition situations.
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Introduction

Jazmin: Welcome to Psychotherapy Academy Clinical Cases. Today we will work on a clinical case about Acceptance and Commitment Therapy (ACT) for obsessive-compulsive disorder with Dr. Kate Morrison, our faculty and expert in this case conceptualization.

Client’s Demographic Information

Dr. Morrison: Anne Wilson is a 38-year-old white heterosexual, cisgender female who uses she/her pronouns.

  • She was raised in a Catholic family but currently identifies as an atheist.
  • She has been married to her husband for 15 years and is satisfied with her marriage. They have a one-year-old daughter. Still, some of the things she’s coming into therapy for have negatively impacted their relationship.
  • She was born and raised in California and moved to Colorado for college. However, she’s now living in Utah with her husband and their daughter.
  • She was previously employed full time as an engineer, but took parental leave when she had her daughter, and could not return to work because of her symptoms.
  • She describes being financially stable, but is a little concerned about finances long term because she hasn’t been able to return to work. They’re living off one income while having the expense of a new child in the family.

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