Effectiveness of Technology-Based Interventions for Scrupulous Obsessions and Compulsions: A Case Report

Abstract

Introduction: Cognitive-behavioral therapy (CBT) is one of the most important well-known treatments for obsessive-compulsive disorder (OCD), including the scrupulosity type. Technology-based interventions can increase the effects of CBT by different methods. The aim of this study was to examine the effectiveness of online cognitive therapy in a Muslim patient with scrupulosity employing in-vivo exposure, with the therapist virtually present and using a treatment application. Case Presentation: The patient was a 37-year-old female diagnosed with scrupulosity in OCD by a psychiatrist. The patient’s symptoms were measured at baseline for 6 weeks then underwent 12 sessions of CBT with the therapist present via video call. All the exposure sessions were conducted in real situations triggering thoughts and compulsions. The therapy application was also used between sessions as an assistive treatment tool. Conclusions: The results of this treatment model showed a decrease in obsessive symptoms and beliefs and anxiety and depression symptoms at the end of treatment and after a 3-month follow-up. Moreover, the quality of life was improved in the patient.