Abstract

Introduction: Obsessive Compulsive Disorder (OCD) is a common disease causing to significant deterioration in the person’s social and occupational functions. In this case report cognitive behavioral therapy’s (CBT) location in treatmentresistant patients is discussed from pharmacotherapy and electroconvulsive therapy (ECT) resistant an OCD patient.
Case: Patient was 46 years old, male. Patient had recourse to with complaints that loved ones arrive per accident or sexual thoughts about inappropriate people that led to the unintentional and occurred to distress so repetitive behaviors to get rid of that woes. He hospitalized for treatment because of to intensify his symptoms in spite of treatment in the last 6 months. In the first 6 months of entering to clinic pharmacotherapy and 3 times a week in 20 ECT session was completed but he didn’t answer to these treatments. Thereupon CBT was started to patient. Therapy process started with evaluation and cross-sectional case formulation, afterward psychoeducation that contains OCD and OCD’s CBT model was done, the patient’s symptoms and the findings are evaluated in that context. Then CBT rationale that perform to the patient had been transferred. Patient’s coping methods with his current shortage and its results had been analyzed. Cognitive reconfiguration techniques related his current comments had been practised. Rationale of exposure and response prevention (ERP) therapies were transferred. Hypothesized about each situation before ERP therapy and these
hypothesis had been looked over with patient after ERP therapy.
Results: Cognitive Behavioral Therapy is an effective treatment for treatment-resistant patients with drug and ECT.

Key words: Obsessive-compulsive disorder, medication persistence, cognitive behavior therapy