Kate constantly thinks about jumping in front of an oncoming car when she is walking.The only way she seems to be able to stop these self-destructive thoughts is to say Mother Goose nursery rhymes over and over to herself.In this case,Kate's symptoms are most consistent with

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Kate's repetitive behavior of reciting Mother Goose nursery rhymes in order to stop her self-destructive thoughts is characteristic of obsessive-compulsive disorder (OCD). OCD often involves intrusive and persistent thoughts (obsessions) that cause anxiety, which are then relieved by engaging in a repetitive behavior or mental act (compulsion). In this case, Kate's self-destructive thoughts are her obsession, and reciting nursery rhymes is her compulsion that temporarily relieves her anxiety.

Kate Constantly Thinks About Jumping in Front of an Oncoming