Obsessive-Compulsive Disorder (OCD)

The film that this student chose to watch is Matchstick Men. Roy Waller, a middle aged Caucasian male, is the main character of the movie. Roy displays symptoms consistent with Obsessive-Compulsive Disorder, which is defined in the DSM-5 as the “presence of obsessions, compulsions, or both” (Desk Reference, 2013). This paper will discuss treatment options for Roy and how his strengths and resources can be utilized to help him manage this disorder. The paper will further discuss possible barriers for treatment, such as personal bias, agency policies, and government legislation. Evidenced based treatment for Obsessive-Compulsive Disorder (OCD) includes both pharmacological and psychological treatments. Often, treatment is most effective

This student values hard work, and therefore would have to consciously work to not impose that on the client, as that is not the focus of therapy. This student also has a bias against turning directly to a pharmacological intervention, however this student does not believe that the decision to not immediately turn to medication in this case is to do that bias, but rather based on the evidence of Mr. Waller responding to a

Waller’s treatment. For example, the limits placed on number of therapy sessions approved by managed care following the passing of the Affordable Care Act could reduce the number of therapy sessions below the recommended amount if he is using insurance for payment. Also, review of best practice literature indicates that it is often best for therapy sessions for OCD to occur twice weekly, however due to the time constraints and often heavy caseloads at local mental health agencies, it is unlikely that Mr. Waller would be scheduled more than once per week. This student believes that Mr. Waller’s prognosis is positive. The changes that he displayed towards the end of the film, such as gainful employment and supportive relationships, as well as his insight regarding his disorder, are good indicators of a positive outcome. This student believes that Mr. Waller will need to be the most carful during stressful times to avoid falling back into old patterns, and may benefit from a therapy support group if available in his