A 27-year-old man presents with a 6-month history of increasing repetitive behavioral routines. He is now unable to leave the house without undertaking lengthy repetitive checking of locks, taps, and switches. He is taking longer and longer time so that he is often late for work. He is worried about losing his job as other colleagues have been made redundant. He had a similar episode when he was 19, but that settled within a few weeks which is why he has delayed seeking help. Mental state examination His eye contact is good. He is anxious and gently rubs his hands together without looking at them.
His mood is not low subjectively or objectively. His speech is normal. There are no delusions or hallucinations and nothing else of note. What is the most likely diagnosis? What treatment do you suggest? *This case is from Docplexus editorial team for educative purpose only. Source: 100 cases…
