When re-evaluation redefines diagnosis and treatment: a case of obsessive-compulsive disorder with poor insight mistaken for psychosis
Obsessive–compulsive disorder can be deceptively difficult to identify when insight is limited and compulsions take the form of marked avoidance. This case describes a 32-year-old woman with an 18-month course of worsening daily functioning, including reduced intake, neglected personal care, social isolation, and sleep...