| Zhang Jinran,Li Jie,Zhang Daolong,Interview and treatment of stuttering comorbid obsessive-compulsive disorder[J].SICHUAN MENTAL HEALTH,2020,33(4):365-367 |
| Interview and treatment of stuttering comorbid obsessive-compulsive disorder |
DOI：10.11886/scjsws20200507002 |
| English keywords:Stuttering Obsessive-compulsive disorder Bio-psycho-social intervention |
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| The purpose of this article is to present the clinical diagnosis and treatment process of one case of stuttering comorbid obsessive-compulsive disorder. The client was a 23-year-old unmarried male who started stuttering since childhood. Symptoms worsened when he was exposed to stress and anxiety, which influenced his work and social life. Due to repetitive counting and calculation behaviors in the second year of high school, he was diagnosed as obsessive-compulsive disorder, and began to receive drug treatment of selective serotonin reuptake inhibitors (SSRIs) and second generation antipsychotics. During the treatment process, there was an improvement in the obsessive thinking and compulsive behaviors, while symptoms including drowsiness and emotional irritability developed. After reducing the dosage of seroquel, patients had insomnia and anxiety, and accompanied by palpitation, nervousness, and diarrhea after eating, which aggravated stuttering. After this consultation, the client was diagnosed with stuttering comorbid obsessive-compulsive disorder, which required bio-psycho-social intervention. Active exercise was applied to relieve stress, fluoxetine and low-dose seroquel were used to alleviate drowsiness, and beta-blocker propranolol was given to relieve anxiety. In the aspects of psychology and sociology, mindfulness and cognitive behavioral therapies, and less interpersonal jobs such as accounting are recommended. |
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