A 44-year-old woman has fear of contamination leading to her repeated hand-washing. With regard to her management, consider the following statements: 1. Diagnosis is made on the basis of history. 2. The disorder responds to antidepressant drugs. 3. Patients may be subjected to cognitive behaviour therapy. 4. Admission to a psychiatry ward is mandatory. Which of the statements given above is/are correct?
1, 2 and 3
This describes Obsessive-Compulsive Disorder (contamination fear with compulsive hand-washing). Diagnosis is clinical, based on history; it responds well to SSRIs (antidepressants) and cognitive behaviour therapy (exposure and response prevention). Hospital admission is not mandatory for typical OCD, so statements 1, 2 and 3 are correct.