Obsessive-compulsive disorder (OCD), characterized by repetitive thoughts (obsessions) and behaviors (compulsions), is a leading cause of health-related disability in the world. Various kinds of obsessions and compulsions exist and tend to co-occur in dimensions (e.g., doubting/checking, symmetry/ordering, contamination/cleaning). Cognitive-behavioral therapy (CBT) consisting of exposure and response (ritual) prevention (ERP) is arguably the safest and most efficacious treatment for OCD. ERP involves exposing OCD patients to stimuli that provoke obsessions while coaching them to not ritualize. There is increasing evidence to suggest that the specific symptom dimensions of OCD have unique correlates and different responsiveness to ERP. Although many patients respond to ERP, only a subset achieve minimal symptoms. Given the challenges that may arise in ERP treatment of specific OCD dimensions, there has been increasing interest in examining OCD with relationship-related themes that focus on the romantic relationship or partner. In this case report, we present a case of an adult with OCD containing relationship themes and highlight ERP adaptations we utilized to improve his treatment course.

中文翻译：

---

加强关系强迫症患者的暴露和反应预防治疗：病例报告。

强迫症 (OCD) 以重复的想法 (强迫症) 和行为 (强迫症) 为特征，是世界上与健康相关的残疾的主要原因。存在各种强迫观念和强迫行为，并且往往在维度上同时出现（例如，怀疑/检查、对称/排序、污染/清洁）。由暴露和反应（仪式）预防（ERP）组成的认知行为疗法（CBT）可以说是强迫症最安全和最有效的治疗方法。ERP 包括让强迫症患者接触引起强迫观念的刺激，同时指导他们不要仪式化。越来越多的证据表明，强迫症的特定症状维度具有独特的相关性和对 ERP 的不同反应。尽管许多患者对 ERP 有反应，但只有一小部分患者症状轻微。鉴于特定强迫症维度的 ERP 治疗可能出现的挑战，人们越来越有兴趣通过关注浪漫关系或伴侣的关系相关主题来检查强迫症。在本病例报告中，我们介绍了一个包含关系主题的强迫症成人病例，并强调了我们用来改善他的治疗过程的 ERP 适应。