A 32-year-old patient diagnosed with Obsessive-Compulsive Disorder (OCD) and Bipolar Disorder presents with recurring intrusive thoughts related to cleanliness and compulsive hand-washing. They report periods of heightened energy and impulsivity alternating with depressive episodes. Current treatment includes mood stabilizers lithium and exposure-response prevention therapy for OCD.
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Obesity is a disease process which has reached epidemic proportions in the United States and impacts millions of adults around the world. The causes of obesity are complex and include an interplay between genetics, environment, psychologic factors and chronic diseases. As such, we must look at obesity as a chronic