OBSESSIVE-COMPULSIVE DISORDER (OCD) 213 3. Conduct Psychological Testing (3) A. Psychological testing was administered to evaluate the nature and severity of the client's obsessive-compulsive problem. B. The Yale-Brown Obsessive-Compulsive Scale (Goodman and colleagues) was used to assess the depth and breadth of the client's OCD symptoms. C. The psychological testing results indicate that the client experiences significan t interference in his/her daily life from obsessive-compulsive rituals. D. The psychological testing indicated a rather mild degree of Obsessive-Compulsive Disorder within the client. E. The results of the psychological testing were interpreted to the cl ient. 4. Refer for Physical Evaluation (4) A. The client was referred to a physician to undergo a thorough examination to rule out any medical etiologies for anger outbursts and to receive recommendations for further treatment options. B. The client has followed through on the physician evaluation referral and specific medical etiologies for anger outbursts were reviewed. C. The client was supported as he/she is seeking medical treatment that may decrease his/her anger outbursts. D. The client has foll owed through on the physician evaluation referral but no specific medical etiologies for anger outbursts have been identified. E. The client declined evaluation by a physician for a prescription of psychotropic medication, and was redirected to cooperate with this referral. 5. Follow Up on Physical Evaluation Recommendations (5) A. The client was supported in following up on the recommendations from the medical evaluation. B. The client's follow-up on the recommendations from the medical evaluation has been monitored. C. The client has been following up on the recommendations from the medical evaluation, and the benefits and trials of this were reviewed. D. The client has not regularly followed up on his/her medical evaluation recommendations, and was redirected to do so. 6. Review Psychoactive Chemicals (6) A. The client's use of psychoactive chemicals, such as nicotine, caffeine, alcohol, or street drugs was reviewed. B. The client's pattern of psychoactive chemical use was connected to his/her sym ptoms. C. The client was supported as he/she identified that his/her psychoactive chemical use is affecting his/her anxiety symptoms. D. As the client has decreased his/her psychoactive chemical use, anxiety symptoms have been noted to decrease as well. E. The client denies any connection between his/her psychoactive chemical use and his/her anxiety symptoms and has continued to utilize psychoactive chemicals, despite encouragement to discontinue this. 