Obsessive-Compulsive Disorder Nursing Diagnosis & Care Plan

March 15, 2023 by andrew

Obsessive-compulsive disorder (OCD) is a psychological health disorder manifested by duplicated unwanted thoughts (fixations) that lead to repeated behaviors (compulsions). These thoughts as well as actions disrupt the individual’s daily tasks and also function performance.

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The source of OCD is mostly unidentified. Nevertheless, these threat elements might increase the advancement of OCD:

  • Family history of OCD
  • Architectural variants in specific brain areas
  • Tics (quick muscle mass twitches).
  • Depression.
  • Anxiety.
  • Background of trauma.

OCD generally begins throughout the adolescent or young grown-up phase and worsens via their adult years. This cycle results in ritualistic habits that interfere with maintaining a normal life and relationships.

Obsessive concepts may include the following:.

  • Fear of germs or illness.
  • Anxiety regarding death or harm to liked ones.
  • Intrusive or aggressive ideas.
  • Needing points to look a certain method.

Obsessive ideas lead to compulsive behaviors like:.

  • Finishing points in a fixed order or number of times.
  • Counting objects, such as bottles or steps.
  • Fear of drinking hands, using public toilets, or touching doorknobs.
  • Monitoring and also rechecking secured doors, light switches, and so on.

OCD is a mental health disorder discovered in the Diagnostic and Statistical Manual of Mental Disorders. A comprehensive psychological analysis is essential to diagnose OCD. A physical examination can eliminate other causes of the patient’s signs and symptoms.

Nursing Process.

Obsessive-compulsive disorder (OCD) is typically underreported and also might not be well recognized by others. The management of OCD aims at regulating the signs to avoid them from disrupting tasks of everyday living. Therapy commonly consists of psychotherapy as well as medications. Nursing care must concentrate on preventing injuries or self-harm and also supporting adherence to the treatment regimen.

Nursing Care Plans Related to OCD.


Anxiety related to obsessive-compulsive disorder can be triggered by distress from recurring, relentless, uncontrolled, and undesirable ideas and habits.

Nursing Diagnosis: Anxiety.

Associated with:.

  • Contrasting beliefs.
  • Undesirable thoughts (fixations).
  • Not logical advises.
  • Recurring actions (compulsive habits).
  • Triggers or stress factors.
  • Function efficiency disputes.
  • Humiliation.

As evidenced by:.

  • Distressed look.
  • Verbalized feelings of instability.
  • Severe worry.
  • Vulnerability.
  • Powerlessness.
  • Cranky mood.
  • Palpitations.
  • Tachypnea.
  • High blood pressure.
  • Focused breathing.
  • Oversensitive body experiences.
  • Constant blinking.

Anticipated outcomes:.

  • Patient will certainly reveal understanding concerning OCD as well as just how it associates with their anxiety.
  • Patient will show treatments to reduce stress without looking to obsessive-compulsive behaviors.


1. Analyze the client’s level of anxiety.

Anxiety intensifies the unwanted thoughts and also recurring actions of an individual with OCD. Have the individual rate their anxiety on a 0-10 range.

2. Display for physical signs.

Anxiety can cause the following:.

  • Palpitations.
  • Rapid breathing.
  • High blood pressure.
  • Hand-wringing.
  • Restlessness.

3. Observe the routines.

Observe for indicators of OCD. Clients with OCD are unlikely to look for treatment early. They might really feel ashamed of their fixation as well as obsessions. Keep in mind unusual behaviors or routines.


1. Offer security.

Patients with OCD might have invasive and violent ideas of damaging somebody or themselves. The nurse may require to remove objects that could be made use of to create injury, or the patient may require 1:1 supervision.

2. Start cognitive-behavioral therapy.

Cognitive behavior modification (CBT) is recommended as the first-line treatment for OCD. Talk therapy concentrates on thoughts, habits, and also sensations as well as can be useful for both OCD and also anxiety or various other psychological health comorbidities.

3. Urge relaxation.

Symptoms can be stressful to an individual with OCD. Stress can be soothed by activities like massage, yoga exercise, and also meditation.

4. Administer SSRIs as gotten.

Selective serotonin reuptake inhibitors are drugs recommended to take care of obsessions and obsessions and decrease anxiety.

5. Consider various other therapy options.

Newer treatments might be thought about if OCD is uncontrolled by psychotherapy or medicines. Deep Transcranial Magnetic Stimulation non-invasively stimulates afferent neuron utilizing electromagnetic fields to minimize signs and symptoms of OCD.

Inadequate Coping.

Ineffective coping related to obsessive-compulsive disorder can be triggered by illogical ideas as well as methods leading to maladaptive coping systems.

Nursing Diagnosis: Ineffective Coping.

Associated with:.

  • Inadequate confidence in managing a situation.
  • Insufficient sense of control.
  • Inadequate tension launch approaches.
  • Inadequate social support.
  • Stressors.
  • Situational crises.
  • Ritualistic habits.
  • Anxiety.

As confirmed by:.

  • Transformed focus.
  • Poor focus.
  • Obsessive-compulsive behaviors.
  • Ritualistic behaviors.
  • Harmful actions.
  • Poor analytical capabilities.
  • Inability to cope with stressors.

Expected end results:.

Patient will decrease the technique or get rid of ritualistic actions.
Client will certainly have the ability to develop healthy coping strategies to manage their distress.


1. Analyze the individual’s history.

Attempt to discover triggers or sources of the client’s fixations, such as a background of injury or misuse. Inquire about a family history of mental disease.

2. Assess coping devices.

If the person uses maladaptive coping habits such as using alcohol or drugs to relax them or protect against ceremonial behaviors, review. Unsafe coping techniques may need additional treatment.

3. Identify OCD triggers.

Specific events or ideas usually set off ceremonial behaviors. Recognition of triggers can help in reducing ceremonial habits.


1. Monitor OCD behaviors.

An OCD journal tracks the individual’s triggers and also how frequently they employ compulsions. It assesses the severity of the OCD and also monitors progression.

2. Direct exposure therapy.

Direct Exposure Response Prevention Therapy reveals an individual to a trigger creating a fascination. Controlled direct exposure to a setting off circumstance educates the patient exactly how to respond as well as deal effectively.

3. Slow down the rituals.

Suggest facing the triggers and wait 10 secs prior to acting upon the obsession. It boosts the size of time prior to using the ritual. This can possibly reduce the compulsive behavior and its disturbance.

4. Encourage self-help strategies.

Urge the person to attempt deep breathing, meditation, and also progressive muscle relaxation to minimize stress and launch concerns.

5. Provide positive feedback.

Dealing with OCD is testing. Provide favorable feedback and acknowledge minor successes.

Social Isolation.

Social isolation pertaining to obsessive-compulsive disorder can be brought on by withdrawal from culture because of inappropriate thoughts and also actions negating the norms of society.

Nursing Diagnosis: Social Isolation.

Connected to:.

  • Trouble developing relationships.
  • Obsessive-compulsive habits.
  • Unacceptable ideas as well as actions.
  • Fear.
  • Anxiety.
  • Low self-confidence.
  • Insufficient psychosocial support system.
  • Lack of social support.
  • Ineffective social abilities.

As shown by:.

  • Social withdrawal.
  • Reduced eye contact.
  • Revealed sensations of withdrawal from others.
  • Fixation with own thoughts.
  • Reports of instability in public.
  • Loneliness.
  • Discontentment with social assistance.
  • Absence of social activities.
  • Minimal interaction with others.
  • Depression.
  • Stretched partnerships.

Expected end results:.

  • Individual will establish a connection with others.
  • Individual will join social activities.
  • Client will discuss their thoughts as well as sensations with a relied on family member.


1. Observe the client’s social communications.

Even if they are not distressed concerning their signs and symptoms, clients with OCD battle in social circumstances. Observe for absence of eye call, tense pose, as well as a lack of verbal communication.

2. Examine the result of OCD routines on the individual’s connections.

OCD often influences partnerships as their individual life is interrupted by OCD regimens, resulting in resentment on both sides.

3. Establish the individual’s social activities as well as duties.

OCD symptoms eat vast amounts of time. OCD can be crippling and stop the patient from holding a job, managing responsibilities, as well as connecting with others.

4. Keep in mind for self-destructive propensities.

A significant risk variable for suicidal ideation is social isolation. Patients with OCD typically experience isolation, anxiety, depression, and low self-esteem as well as might have thoughts of suicide.


1. Include the individual’s loved ones in their care.
The person’s friends and family frequently wish to assist yet may need to discover how. The patient requires time and assistance to take care of their problem.

2. Offer security.

Damage OCD (HOCD) is characterized by invasive ideas to damage oneself or dedicate physical violence versus others. The nurse ought to analyze for these ideas and also offer safety to the individual and also others.

3. Encourage family therapy.

Patients with OCD ought to focus on receiving treatment for their condition. Family members therapy might aid the service provider understand the client’s fascinations and recommend on how they can help.

4. Motivate little actions.

Have the individual start with a little action like a call or video chat. This can assist develop their confidence in connecting and interacting with others.

5. Offer support groups.

The individual may gain from support from others that also have problem with OCD. Encourage on community sources or on the internet teams.

Strick reminder from Brain Health USA to seek a doctor’s advice in addition to using this app and before making any medical decisions. 

Read our previous blog post here: https://brainhealthusa.com/20-unexpected-signs-of-bipolar-depression/.


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