•When caring for a patient with OCD, the goal is to systematically decrease the undesirable behavior by reducing the amount of repetitions and time spent. This should be done gradually to allow the patient time to cope. Therapy may not completely extinguish certain behaviors.
•Obsessive compulsive disorder is characterized by pervasive pattern of preoccupation with perfectionism, mental and interpersonal control, and orderliness at the expense of flexibility, openness, and efficiency.
•Expecting to omit one behavior each day is unrealistic because the patient may have used ritualistic behaviors to reduce anxiety for a long time. Drugs may become a source of obsession and must be used with caution. Allowing time for rituals would perpetuate the undesirable behaviors.