A case report of obsessive- compulsive disorder: Reduce fear of guilt to reduce symptoms
In this study, we present the case of a 27-year-old man who experienced obsessive symptoms for over ten years and then underwent treatment focused on reducing feelings of guilt. Although the patient had already received behavioural cognitive therapy, his symptoms did not significantly improve.
After only a few interventions intended to manipulate guilt into non-symptomatic domains, we observed a reduction in obsessive symptoms. Although generalizations cannot be made based on a single case, this treatment seems consistent with the hypothesis that a sense of guilt has a central role in generating and maintaining obsessive-compulsive disorder. Furthermore, this case study highlights the importance of developing therapeutic procedures aimed at reducing feelings of guilt.