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A 41-Year-Old Woman Agrees to Talk with the Physician at Her

question 240

Multiple Choice

A 41-year-old woman agrees to talk with the physician at her husband's insistence. She says, "I've always had trouble throwing things away, especially magazines, newspapers, and old clothes. I constantly worry that I may need the items again or will want something after throwing it out." Her husband is concerned that the large piles in their house continue to grow, making it difficult to move around or find a place to sit. He says, "The house has become unlivable; we never have friends or family over because it is too embarrassing. Maybe she acts this way because she was poor growing up, but I don't know how we can continue to live like this." The patient has attempted to clean rooms or throw things away on many occasions but always becomes severely anxious at the thought of parting with various items. She has no problems with sleep, appetite, concentration, or motivation. Which of the following is the most appropriate next step in management?

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Definitions:

Epicenter

The point on the Earth's surface directly above the focus of an earthquake, where the seismic waves are felt most strongly.

Seismograms

The recorded output of a seismograph, which shows the motion of the ground during an earthquake or other seismic event.

Nomogram

A graphical calculating device, a two-dimensional diagram designed to allow the approximate graphical computation of a function.

Seismic Station

A facility equipped with instruments for detecting and recording earthquakes and other ground vibrations.