Impacto Laboral da Perturbação Obsessivo-Compulsiva: Caso Clínico

Sofia Talambas, Maria Amaral, A. Vieira, M. Rodrigues, M. Manzano
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Abstract

Introduction Obsessive-Compulsive Disorder (OCD) is a common psychiatric pathology, classically considered chronic and debilitating because of the significant impact it can have on overall patient functionality, including at work. Its etiology is still unclear, and the clinical presentation is quite heterogeneous, manifesting itself through obsessions and/or compulsions that are associated with high levels of anxiety and time consumption. Case Report A 40-year-old female, working as an administrative assistant in a hospital, with a history of almost 20 years of obsessive doubt and verification rituals. Due to the worsening of symptoms, and their high impact on work capacity, she started a psychiatry follow-up. Then, according to the employee’s expectations and limitations, she was transferred to a different workstation, with less social interactions and different responsibilities. Subsequently, after both interventions, significant clinical improvement was shown. Discussion The close relationship between Occupational Medicine and Psychiatry, unequivocally contributes to manage mental illness in the workplace, either identifying reasonable adjustments to meet the needs of workers with mental illness, or attending the ones noticed during their regular activities. Conclusion It is essential to implement strategies for effective communication between both medical specialities, and aim to prevent occupational risks, by protecting and promoting healthy workplaces. Keywords: Obsessive Compulsive Disorder; Psychiatry, Occupational Health.
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强迫症对工作的影响:临床案例
强迫症(OCD)是一种常见的精神疾病,通常被认为是慢性的,使人衰弱,因为它会对患者的整体功能产生重大影响,包括工作。其病因尚不清楚,临床表现也很复杂,表现为与高度焦虑和时间消耗相关的强迫和/或强迫行为。病例报告一名40岁女性,在医院担任行政助理,有近20年的强迫性怀疑和证实仪式的历史。由于症状的恶化及其对工作能力的严重影响,她开始了精神病学随访。然后,根据员工的期望和限制,将她调到不同的工作站,社交活动较少,职责不同。随后,在两种干预措施后,临床表现出显著改善。职业医学和精神病学之间的密切关系无疑有助于管理工作场所的精神疾病,要么确定合理的调整以满足患有精神疾病的工人的需求,要么在他们的日常活动中照顾那些被注意到的人。结论通过保护和促进健康的工作场所,实施两种医学专业之间有效沟通的策略,以预防职业风险。关键词:强迫症;精神病学,职业健康。
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