This article discusses the treatment of a young person with obsessive-compulsive disorder (OCD) characterized primarily by symptoms of physical and mental contamination, as well as religious obsessions. The treatment was complicated by several factors that will be reviewed and addressed. First, this client had a comorbid diagnosis of attention-deficit/hyperactivity disorder. Second, the young client's mother was also diagnosed with OCD and had a significantly anxious presentation. This impacted treatment in two primary ways. One important way treatment was complicated was that the client frequently attempted to manage her mother's emotions by underreporting her own distress at times. The other implication of the mother's diagnosis was that it became difficult to involve her in the treatment of her daughter and reduce her accommodation of her daughter's symptoms. The manner in which these complicating factors were addressed in the successful treatment of this client by adapting evidence-based practice will be presented as a guide for clinicians facing similar challenges.

中文翻译：

---

合并症，父母精神病理学和小儿强迫症治疗的适应性研究：一个案例研究。

本文讨论了一种以强迫症（OCD）为主要特征的身体和精神污染症状以及宗教痴迷的年轻人的治疗方法。由于一些因素将使治疗变得复杂，这些因素将被审查和解决。首先，该客户患有并发注意力不足/多动障碍。其次，年轻来访者的母亲也被诊断出患有强迫症，并且表现得非常焦虑。这从两个主要方面影响了治疗。一种使治疗变得复杂的重要方式是，来访者经常试图通过有时少报自己的苦恼来控制母亲的情绪。母亲的另一种暗示 的诊断是，很难让她参与女儿的治疗并减轻她对女儿症状的适应。通过采用循证实践，成功解决了该客户的这些复杂因素，将为面临类似挑战的临床医生提供指导。