A schoolteacher presents to the PMHNP office at the urging o…
A schoolteacher presents to the PMHNP office at the urging of her peers. She states, “I just like things a little cleaner than my coworkers do.” At the school cafeteria, she brings her own utensils because she’s seen the kitchen staff touch the forks with their bare hands. At home, she must first wash her hands, then dry them, using only a clean towel and never touching her fingers of her other hand, and repeat this 5 times before she can stop. She believes that the world is dirty and no longer goes out to shows or movies which she previously enjoyed. The most effective medication for this disorder is