[Exposing obsessive-compulsive patients: often only 3 simple questions are enough. The family physician as "facilitator of self-disclosure"].
For numerous patients with obsessive-compulsive disorder, the family doctor is the first contact person. Many of these patients have concealed their problem for years. This paper summarizes the forms of the disorder and their indirect manifestations in the doctor's office, discusses the reasons for concealment on the part of the patient and/or his relatives, and describes the family doctor's help in three areas: aiding the "birth of revelation"; initiating pharmacotherapy and supporting behavior therapy-related self-help for patient and relatives; motivating patient and relatives to seek expert psychiatric and psychotherapeutic aid. In the second part of the paper, the family doctor is given model explanations designed as answers to common questions asked by sufferers from obsessive-compulsive disorder.
Hand
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I
Klinik für Psychiatrie und Psychotherapie, Universität Hamburg-Eppendorf. hand@uke.uni-hamburg.de
D001521:Behavior Therapy; D005194:Family Practice; D006801:Humans; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis* / Q000523:psychology; D010817:Physician-Patient Relations; D012650:Self Disclosure; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology