Kathy Gilmour was referred to the social worker by her family physician due to excessive handwashing. She takes no medications other than an antibiotic ointment to reduce the possibility of infection - her hands are washed to the extent she has open sores. Kathy admits to spending up to 4 hours a day washing her hands. Sometimes she spends more time washing if she feels the washing has not been done "right'" What is the most likely diagnosis for Kathy?

Question

Quizplus · Accepted Answer

The excessive handwashing and fear of not washing correctly are characteristic symptoms of obsessive-compulsive disorder (OCD). The use of an antibiotic ointment to prevent infection suggests that she is aware of the potential harm of excessive handwashing. Body dysmorphic disorder (A) involves a preoccupation with perceived flaws in one's appearance, and trichotillomania (D) is a disorder characterized by pulling out one's hair. While generalized anxiety disorder (B) can involve excessive worry and anxiety, it does not typically manifest in the obsessive-compulsive behaviors seen in Kathy's case.

Kathy Gilmour Was Referred to the Social Worker by Her