A 45-year-old woman presents describing obsessive concerns that she has harmed or will accidentally harm someone. Her most debilitating symptoms occur in the context of driving. She reports being troubled by obsessions and compulsions for approximately 4 hours each day. When she drives over a pothole or speed bump, she experiences overwhelming uncertainty about whether she may have accidentally run over a child. In an attempt to ease the anxiety she drives back and forth on her street in order to search for any indication that a child has been injured. When she completes these compulsions, she returns to her home and engages in checking compulsions for any evidence of blood or clothing under her car or on her tires. She then calls her husband repeatedly at work to ask for reassurance that she has not harmed anyone. Although she is aware that her concerns are irrational, she finds it very difficult to resist her impulses to engage in these rituals. Which of the following would be the most likely diagnosis?

Question

Quizplus · Accepted Answer

The Answer of A 45-year-old woman presents describing obsessive concerns that she has harmed or will accidentally harm someone. Her most debilitating symptoms occur in the context of driving. She reports being troubled by obsessions and compulsions for approximately 4 hours each day. When she drives over a pothole or speed bump, she experiences overwhelming uncertainty about whether she may have accidentally run over a child. In an attempt to ease the anxiety she drives back and forth on her street in order to search for any indication that a child has been injured. When she completes these compulsions, she returns to her home and engages in checking compulsions for any evidence of blood or clothing under her car or on her tires. She then calls her husband repeatedly at work to ask for reassurance that she has not harmed anyone. Although she is aware that her concerns are irrational, she finds it very difficult to resist her impulses to engage in these rituals. Which of the following would be the most likely diagnosis?

A 45-Year-Old Woman Presents Describing Obsessive Concerns That She Has