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1 Discussion Forum: Mrs. Z Student’s Name Institutional Affiliation Course Code and Name Instructor Name Due Date Discussion Forum: Mrs. Z

2 1. Diagnosis for Mrs. Z: Obsessive-compulsive disorder (OCD) is Mrs. Z's diagnosis by the DSM-5. The diagnostic criteria for OCD are met by her symptoms of constant checking, intrusive thoughts, and avoidance of anxiety-inducing events. Her checking habits worsened in high school, resulting in worry, marital problems, and social and occupational handicaps. Mrs. Z's obsessional thoughts center on her children being harmed, a typical OCD motif. Her obsessive activities, such as making daily trips past her daughter's school and performing repetitive prayers, are carried out to ease anxiety and avoid injury. However, these actions significantly disturb her and obstruct her everyday activities (National Institute of Mental Health, 2020). 2. Treatment Plan for Mrs. Z: Cognitive-behavioral therapy (CBT), which incorporates exposure and response prevention (ERP), is the most effective treatment for OCD. ERP aims to prevent Mrs. Z from participating in obsessive behaviors by gradually exposing her to anxiety-inducing events. She will learn from this that it is rare that her fears will materialize and that she may manage her anxiety without resorting to rituals. With Mrs. Z, the therapist will create a hierarchy of anxiety-provoking circumstances, starting with the least stressful and moving up to the most stressful (Hezel & Simpson, 2019). For instance, Mrs. Z could begin by stopping by her daughter's school just once daily instead of three times. The therapist will also assist Mrs. Z in overcoming her obsessional views and forming more sensible and useful ones. This will entail using cognitive restructuring strategies like recognizing and correcting cognitive distortions, challenging the validity of the data supporting her concerns, and coming up with alternate theories to explain her fears.

3 The therapist will work with Mrs. Z to create a daily schedule that enables her to partake in more adaptive and gratifying activities because her checking behaviors have grown time- consuming. She will also practice deep breathing, progressive muscle relaxation, and mindfulness meditation with the therapist's help as she learns relaxation and stress-management techniques. Mrs. Z could find it difficult to attend regular therapy sessions because she works as a teacher. Therefore, the therapist could conduct phone or video conferencing sessions. The therapist could also provide Mrs. Z with self-help books and worksheets to reinforce the techniques she acquired in therapy.

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4 Reference National Institute of Mental Health. (2020). Overview of evidence-based treatments for anxiety disorders: https://www.nimh.nih.gov/health/topics/anxiety-disorders Hezel, D. M., & Simpson, H. B. (2019). Exposure and response prevention for obsessive-compulsive disorder: A review and new directions. Indian journal of psychiatry , 61 (Suppl 1), S85. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343408/

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