]> 2026-07-31T09:38:58+00:00 WBR0041 0 en Generalized anxiety disorder Obsessive compulsive personality disorder (OCPD) Obsessive compulsive disorder (OCD) OCD is characterized by the presence of obsessions that are only relieved by executing compulsions. In contrast to OCPD, patients with OCD have insight and recognize that their symptoms are excessive and out of the ordinary. Paranoid personality disorder Panic disorder Behavioral Science/Psychiatry Gonzalo Romero (Reviewed by Yazan Daaboul) A 17-year-old male adolescent presents to the outpatient clinic accompanied by his mother for a routine check-up. The patient's mother explains that he developed a very strange behavior over the past year that is gradually worsening. Recently, his mother noticed that he spends a lot of time during the day washing his hands; although they are clean. She states that he washes his hands extensively at least 30 times a day. He doesn't touch any shared utensil in the house to "prevent germs from contaminating his hands". He spends a lot of time washing his hands to the extent he often arrives late to his classes and other scheduled meetings. When asked about his behavior, the patient replies: "I can't help it, it's so frustraing. I can't stop it although I tried. I feel that if I do not wash my hands every now and then I will get sick and die". Otherwise, the patient and his mother have no other complaints. On physical exam, his vitals are stable. The patient appears anxious; his hands are dry and cracking. What is the most likely diagnosis? C General Principles Handwashing.jpg http://en.wikipedia.org/wiki/File:Cuci_tangan_pakai_sabun.jpg Explanation 2020-10-27T23:08:29Z 2459150.4642245 WBR0041