title: The girl who would not sit--case report.
abstract: A 21 year old girl presented with severe fear of contamination leading to 11 hours of cleaning per day and refusal to sit down anywhere except at home or in mother's car. She also had a moderate depressive episode secondary to social stressors and further isolation due to her lack of time to socialize as cleaning was her priority. She was supported according to the biopsychosocial model of care i.e. An antidepressant (Sertraline), 1:1 psychology and alternative housing away from precipitating and perpetuating stressors. She improved significantly over 6 months, but the cultural issues and stigma continued to hinder the longer-term care plans. The importance of understanding the beliefs and customs of the Travellers' community is highlighted with this case report.
authors.affiliation: East London Foundation Trust, London, UK, shevonne.matheiken@gmail.com.
authors.forename: Shevonne
authors.initials: S
authors.lastname: Matheiken
mesh_terms: D003469:Culture; D003866:Depressive Disorder / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology / Q000628:therapy; D005006:Ethnicity / Q000523:psychology*; D005239:Fear; D005260:Female; D006798:Housing; D006801:Humans; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology* / Q000628:therapy*; D011613:Psychotherapy; D020280:Sertraline / Q000627:therapeutic use; D012934:Social Isolation; D057545:Social Stigma; D012945:Social Values; D006113:United Kingdom; D055815:Young Adult
chemical_list: D020280:Sertraline