After reviewing the case, consider and answer these questions:


What struck you as particularly significant as you read the case?


Do you agree with the diagnosis and medication choice?


o Might this be obsessive-compulsive disorder (OCD)? Why or why not? 

What other evidence would you need to either confirm or rule out an OCD diagnosis?

o What medication might be a better choice for Beth than the Paxil? 

Are there certain classes of medications that you would want the prescribing physician to stick to, such as another SSRI, or possibly a benzodiazepine? Why?

How can you best help the client as a counselor?