stuartbale1
New member
- Oct 18, 2015
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I have suffered from this condition after high school, i get away with it in high school but college and CFA is a different thing.
Any advice guys (especially from the seniors and charterholders)
Please read the following case:
A 19-year-old student is referred to the university health center for inability to complete his assignments on
time. He has always been a good student and was valedictorian of his high school class. However,
throughout his life he has found it difficult to keep up with his work and has invested a lot of time ensuring that
he knows all the content of his assignments. In high school, the student developed a methodical and
meticulous way of completing his assignments and often received perfect grades. Now, he records every
class, playing the lectures back later in the day to transcribe each word for word. He takes a long time to
complete assignments and missed a recent deadline for a report worth half his class grade. He spends
nearly all his time doing class work and is not involved in social activities. The student recognizes that his
manner of preparation and the inordinate amount of time he spends on it are not typical compared to other
college students. He also feels ashamed about his grades but believes that his work is superior to others,
even if it takes extra time. What is the most likely diagnosis in this patient?
This patient has obsessive-compulsive personality disorder. Those with this condition develop a need for
order and perfection and carry out activities in an extremely methodical way beginning before adulthood. They
frequently do not complete tasks in a timely manner due to being extremely rigid, meticulous, and focused on
the need for perfection. These patients often have anxiety, indecisiveness, and perseveration on
assignments. This patient’s obsessive-compulsive personality traits explain why he functioned well in high
school. However, with the pace of college work, his deficits are amplified. He has only limited insight, and the
statement that his work is “superior” suggests that his beliefs are ego-syntonic
Obsessive-compulsive disorder (OCD) is marked by obsessions that cause anxiety, resulting in
compulsive behaviors to decrease the anxiety. This patient could be viewed as obsessing about his grades
and the need to perform well. However, his impairment and distress are related to his pervasive and
extenuating pattern of the need for perfection and are not discrete obsessions or compulsions about his
activities. Patients with OCD have distinct ego-dystonic beliefs and are very uncomfortable and distressed
about their symptoms; this patient has beliefs that are ego-syntonic.
Any advice guys (especially from the seniors and charterholders)
Please read the following case:
A 19-year-old student is referred to the university health center for inability to complete his assignments on
time. He has always been a good student and was valedictorian of his high school class. However,
throughout his life he has found it difficult to keep up with his work and has invested a lot of time ensuring that
he knows all the content of his assignments. In high school, the student developed a methodical and
meticulous way of completing his assignments and often received perfect grades. Now, he records every
class, playing the lectures back later in the day to transcribe each word for word. He takes a long time to
complete assignments and missed a recent deadline for a report worth half his class grade. He spends
nearly all his time doing class work and is not involved in social activities. The student recognizes that his
manner of preparation and the inordinate amount of time he spends on it are not typical compared to other
college students. He also feels ashamed about his grades but believes that his work is superior to others,
even if it takes extra time. What is the most likely diagnosis in this patient?
This patient has obsessive-compulsive personality disorder. Those with this condition develop a need for
order and perfection and carry out activities in an extremely methodical way beginning before adulthood. They
frequently do not complete tasks in a timely manner due to being extremely rigid, meticulous, and focused on
the need for perfection. These patients often have anxiety, indecisiveness, and perseveration on
assignments. This patient’s obsessive-compulsive personality traits explain why he functioned well in high
school. However, with the pace of college work, his deficits are amplified. He has only limited insight, and the
statement that his work is “superior” suggests that his beliefs are ego-syntonic
Obsessive-compulsive disorder (OCD) is marked by obsessions that cause anxiety, resulting in
compulsive behaviors to decrease the anxiety. This patient could be viewed as obsessing about his grades
and the need to perform well. However, his impairment and distress are related to his pervasive and
extenuating pattern of the need for perfection and are not discrete obsessions or compulsions about his
activities. Patients with OCD have distinct ego-dystonic beliefs and are very uncomfortable and distressed
about their symptoms; this patient has beliefs that are ego-syntonic.
