Please use the following information to answer the next three questions: Mei-Lin
ID: 3467733 • Letter: P
Question
Please use the following information to answer the next three questions: Mei-Lin is an 11-year-old girl. Every time she walks to or from school she has to avoid the cracks because she thinks if she doesn't, something terrible will happen to her mother Sometimes her friends leave her behind because of how slowly this makes her walk. Even though she really wants to walk with her friends, she doesn t want to tell them why she can't keep up. When she gets to the stairs to her house she needs to look over her leit shoulder 3 times and see her mailbox before going inside. If she doesn't, she feels very uncomfortable. Sitting down for dinner is often very difficult because whenever she sits in the dining room she has to stand-up and sit down three times before she can relax. Also, whenever she puts salt on her food she has to throw a pinch over her right shoulder. Before getting in bed she has to touch each knee to her mattress then count to three in place lifting each foot as she counts. If she gets into bed and still feels anxious she has to get out of bed and do it again. Sometimes she does this repeatedly for 15 minutes until she feels ok about it. Once when her mom asked her about the behavior she didn't admit why she was doing it; she knew it seemed crazy to think her behaviors had any influence on bad things happening, but she still felt she needed to do them and she didn't know how she was going to explain that to her mom. 7. From this information what, if any, disorder should Mei-Lin be diagnosed with? a. Obsessive-compulsive disorder b. She does not meet the criteria for OCD because she has compulsions without obsessions c. She does not meet the criteria for OCD because her actions are too time consuming She should only be diagnosed with OCD if we knew this activity had persisted for at least 3 years d. 8. How would the diagnosis above change if Mei-Lin only worried about terrible things a. She would continue not to meet the diagnostic criteria for OCD b. She would no longer meet the diagnostic c. She would still meet the diagnostic criteria, but with no compulsions d. She would still meet the diagnostic criteria, but with no obsessions criteria because she would no longer have compulsions 9. If Mei-Lin met the diagnostic criteria for OCD, how would you characterize her insight? a. Good or fair e. Absent/delusional beliefs d. DissociativeExplanation / Answer
7. Correct Answer - A
She has shown all the symtoms of OCD and has definite obsessions and compulsion she is also taking a lot of her time and causing her anxiety and distress.
8. Correct Answer - C
She would then still be diagnosed as OCD, but pure obsessional OCD, without compulsions.
9.Correct Answer - A
Her insight is good, as she realizes tat her thoughts are irrational and may sound crazy to others.