Given the high degree of diagnostic overlap and limited empirical literature surrounding the comorbidity between posttraumatic stress disorder (PTSD) and obsessive-compulsive disorder (OCD), appropriately conceptualizing the relationship between the comorbid symptoms and their impact on the treatment process can be challenging. This is especially true when the symptoms of the two disorders become functionally connected, with each symptom set maintaining the other. This article details the case of a veteran with comorbid PTSD and OCD who sought intensive trauma-focused treatment within the U.S. Veterans Health Administration. The dynamic relationship between his PTSD and OCD symptoms is described, along with its impact on trauma-focused treatment and the ability to maintain treatment gains. A novel attempt to integrate empirically based treatment strategies for OCD into intensive PTSD treatment, targeting both sets of symptoms simultaneously, is presented, along with implications for conceptualization and treatment of this comorbidity.

中文翻译：

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合并性强迫症对PTSD治疗的影响：案例研究。

鉴于高度的诊断重叠和围绕创伤后应激障碍（PTSD）与强迫症（OCD）之间的合并症的经验文献有限，适当概念化合并症症状及其对治疗过程的影响可能是具有挑战性的。当两种疾病的症状在功能上联系在一起，并且每种症状都保持另一种症状时，尤其如此。本文详细介绍了一名患有PTSD和OCD合并症的退伍军人，他们在美国退伍军人卫生管理局中寻求针对创伤的强化治疗。描述了他的PTSD和OCD症状之间的动态关系，以及它对以创伤为中心的治疗的影响以及维持治疗进展的能力。