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A Case of Obsessive-Compulsive Disorder precipitated by Military Service

Chau Sian Lim, Kin Mun Wuan


Obsessive-Compulsive Disorder (OCD) is a common, debilitating psychiatric disorder that presents with either obsessions, compulsions, or both.  Obsessions frequently present as recurrent thoughts, and sometimes as recurrent images, although less common.  We present a unique case of a patient who developed obsessional images and thoughts of killing people after he was given a rifle during military service.   Psychodynamic themes were behind his symptoms.   In his younger days, he was a victim of bullying.  The obsessions with gun violence might have been the result of the isolation of undesirable thoughts of gaining control.  As he was a military serviceman, there were safety issues pertaining to fitness to use firearms and this was a consideration in our management.



psychiatric disorder, depressive symptoms, psychotherapy

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