IRJMSH Vol 6 Issue 10 [Year 2015] ISSN 2277 – 9809 (0nline) 2348–9359 (Print) International Research Journal of Management Sociology & Humanity ( IRJMSH ) Page 135 www.irjmsh.com MANAGEMENT OF OBSESSIVE COMPULSIVE DISORDER- A CASE STUDY Pankaj Singh Research Scholar (Psychology), R & D Centre, Bharathiar University, Coimbatore. Email Id- ahlawat.pank@gmail.com ABSTRACT The present case study describes an intensive treatment approach targeting specifically obsessional thoughts and compulsive behaviours, directed at helping “K,” a 32-year-old Male suffering from Obsessive Compulsive Disorder with contamination obsessions and washing/cleaning compulsions. Due to official commitment K was unable to physically undergo the treatment program and thus interventions were given through telephonic instructions. Since treatment program was carried out without K's physical presence, a mutual contract was established to execute the intervention program effectively with K and his wife. K's wife helped K to sincerely practice the techniques instructed by me. K and his wife were highly motivated to execute the treatment program effectively. This intervention program based on Behaviour Therapy was successfully implemented after physical interview and diagnosis. The program consisted of intensive, multi-modal treatment Program, four hours per day, six days per week, for twelve weeks. Interventions used are: i) Exposure and Response Prevention (Meyer, 1966) ii) Jacobson Progressive Muscle Relaxation Technique (Jacobson, 1938) iii) Rate of Reduction of Breathing (Ganesan, 2012) iv) Saturation of Thought Technique (Warren, 2015) v) Thought Stopping (Wolpe, 1958) In addition to individualized exposure and response prevention (ERP), Jacobson Progressive Muscle Relaxation and Reduction of Rate of Breathing was used to counter compulsive behaviours. Obsessional thoughts were countered by practicing Thought stopping and Thought Saturation technique. By practicing these techniques K found significant relief from obsessional thoughts and helped K to divert his attention from the intrusive thoughts. Pretreatment evaluation included assessment of the symptoms and psycho-education about OCD. The first phase of the treatment included practicing of JPMR and Reduction of rate of breathing. These techniques helped K to learn the way to activate parasympathetic nervous system and to alleviate the effect of OCD symptoms. In the second phase in addition to the above two techniques K was instructed to gradually practice ERP from mild to severe symptoms with the support of his wife. These techniques specifically targeted compulsive behaviours. Whereas, to counter the obsessive thoughts, two techniques Thought Stopping and Thought Saturation were used, this relieved K from obsessional and intrusive thoughts in a significant way. K’s obsessive-compulsive symptoms and anxiety steadily decreased during the intervention. Studies have shown that symptoms of OCD are resistant to treat by traditional techniques. This case study illustrates that specific behavioral strategies targeting the characteristic features of contamination obsession and washing/cleaning compulsion may provide better results for patients even when treatment given telephonically. Keywords: Obsessive Compulsive Disorder, Behaviour Therapy.