Glen is presenting in your office on referral and reports that he has certain obsessive thoughts, including thoughts of bodily injury. The further you examine, the more you see that these obsessions are beginning to intrude into Glen's personal and professional life. In the end, Glen also adds that the thoughts come from one of the overbearing male voices that he hears regularly. Your diagnosis would be:

Question

Quizplus · Accepted Answer

While Glen's presentation is certainly that of an OCD client, what makes the case unique is the fact that Glen hears voices. Obsessions, as defined by the diagnosis, must be known to come from the client's own mind. Further reality testing may be necessary to help Glen understand whether or not he can see the voices as part of his disorder. The voices also rule out PTSD or GAD as potential diagnoses, since neither of them involve auditory hallucinations.

Glen Is Presenting in Your Office on Referral and Reports