A woman explains to her health care provider that she just has this cleaning ritual that she goes through every day. If something disrupts this cleaning schedule, she becomes:
A) Depressed.
B) Extremely anxious.
C) Aggressive to the point of lashing out.
D) Isolated from others.
Ans: B
Obsessions create tremendous anxiety; individuals perform compulsions to relieve the anxiety temporarily. If the compensatory ritual is not performed, the person feels increased anxiety and distress. Compulsions are necessary, not pleasurable. They are often recognized as odd or strange to the individual. Initially, attempts are made to resist the compulsive behavior, but eventually, resistance fails, and the repetitive behaviors are incorporated into daily routines. Depression, aggression, and isolation are not usual responses to this behavior.
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