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⏱️ 145s
🌱 Beginner Level — 0 / 50
OCD with Poor Insight
A 35-year-old man insists his checking rituals are justified, despite spending 6 hours daily verifying locked doors. He denies that his fears are excessive. Outline diagnosis and management steps.
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sfx_miss_firm
00:00 / 00:00
sfx_correct_minimal
00:00 / 00:00
sfx_complete_fanfare
00:00 / 00:00
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ERP still effective but requires motivational interviewing
Consider antipsychotic augmentation if resistant
DSM-5: OCD with poor/absent insight specifier
Monitor safety and impairment closely
SSRIs at higher doses, longer trial duration
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