A client suffering from an extremely severe form of obsessive-compulsive disorder (OCD) wants to know whether the physician-recommended neurosurgical procedure is likely to help alleviate his symptoms. The nurse should inform him that:
a. the procedure has a very low likelihood of success, but is the client's last hope
b. although used in less than 0.5% of OCD cases, the results have proven to be extremely positive, with the majority of clients experiencing no further symptoms and the rest being significantly improved
c. due to the procedure's high rate of success, it has become one of the preferred methods of treating OCD of all levels of severity
d. the client should trust the physician's judgment and learn not to question the recommendations of medical professionals
B
Neurosurgical treatment is extremely rare for cases of obsessive-compulsive disorder. Such treatment is typically reserved for only the most severe cases of the disease. The surgery involves making a series of lesions to interrupt the efferent tracks from the frontal cortex to the limbic and basal ganglia structures. In a recent study 65% of people who underwent this procedure were completely symptom free of obsessive-compulsive disorder, with no further need for treatment.
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