Initial Presentation of OCD and Psychosis in an Adolescent during the COVID-19 Pandemic
Table 1
Mental status exam on each admission for the first and second hospitalizations.
First hospitalization
Second hospitalization
Appearance
Well-groomed.
Well-groomed.
Behavior
Good eye contact. Activity level is appropriate.
Eye contact is mostly avoided.
Motor
No abnormal movements. Normal gait and station.
No abnormal movements and no psychomotor agitation or retardation.
Speech
Normal rate, rhythm, and volume. Well-articulated.
Low rate, tone, and volume. Difficult to hear at times.
Mood
Appropriate.
“When can I get out of here?”
Affect
Restricted but appropriate to content and congruent to mood.
Euthymic, avoidant, and congruent to mood.
Thought process
Linear and logical.
Poverty of content.
Thought content
Reality-based. Denies auditory and visual hallucinations.
Delusion of “contamination is everywhere.” Auditory and visual hallucinations, obsessive ruminations and compulsions, and responding internally is not observed.
Suicidal ideation
Without ideation, plan, or intent. Without self-injurious behaviors.
Homicidal ideation
Insight
No insight.
Poor.
Judgment
Poor.
Poor.
Attention/memory
Adequate attention. Intact memory.
Attention is good and concentration is sustained. Intact immediate and short-term memory.
Intelligence
Average for age based upon fund of knowledge, comprehension, and vocabulary.
