Q:

A patient with thought disorder washes hands 6 times each time he uses the toilet. What is the best management?

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A patient with thought disorder washes hands 6 times each time he uses the toilet. What is the best management?


  1. Psychodynamic therapy
  2. CBT
  3. Antipsychotics
  4. Refer to dermatology
  5. Reassure

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The key is B. CBT (Cognitive behavioral therapy). [The diagnosis is obsessive compulsive disorder.

For obsessive compulsive disorder CBT is the 1st treatment of choice and if fails next comes drugs].

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