Kathy Gilmour was referred to the social worker by her family physician due to excessive

handwashing. She takes no medications other than an antibiotic ointment to reduce the
possibility of infection – her hands are washed to the extent she has open sores. Kathy
admits to spending up to 4 hours a day washing her hands. Sometimes she spends more
time washing if she feels the washing has not been done “right’” What is the most likely
diagnosis for Kathy?



a) Body dysmorphic disorder
b) Generalized anxiety disorder
c) Obsessive-compulsive disorder
d) Trichotillomania


c)

Social Work & Human Services

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