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The client approached Veda Rehabilitation and Wellness with longstanding concerns related to intrusive thoughts, compulsive behaviours, anxiety, emotional distress, and social isolation. The client reported experiencing recurrent intrusive thoughts, particularly involving the fear of harm or negative events happening to loved ones, especially his grandmother. These thoughts were distressing, unwanted, and occurred almost daily.
To reduce the anxiety associated with these thoughts, the client engaged in repetitive compulsive behaviours involving objects such as doorknobs, light switches, bottle caps, and body sensations. Over time, these symptoms began to interfere with his daily functioning and emotional wellbeing.
A 24-year-old male presenting with Autism Spectrum Disorder (ASD), Obsessive Compulsive Disorder (OCD), and Generalized Anxiety Disorder (GAD), with Attention Deficit Hyperactivity Disorder (ADHD) requiring further assessment.
The client also reported longstanding difficulties forming and maintaining friendships, increased emotional attachment within relationships, social isolation, and feelings of being misunderstood by family members.
CBT was introduced to help the client identify and challenge unhelpful thought patterns related to anxiety, self-criticism, and interpersonal difficulties.
ERP was incorporated to help the client gradually tolerate anxiety-provoking thoughts while reducing reliance on compulsive behaviours.
ACT was used to help the client respond differently to intrusive thoughts and uncomfortable emotions without becoming overwhelmed by them.
Structured interventions focused on improving communication skills, understanding social cues, building confidence, and maintaining relationships.
Therapy sessions focused on understanding emotions, improving distress tolerance, and developing healthier responses to rejection, loneliness, and interpersonal challenges.
The programme was supported through yoga, meditation, physical exercise, expressive arts therapy, wellness activities, and structured daily routines.
The client initially struggled with managing intrusive thoughts and resisting compulsive behaviours. Social situations often felt overwhelming, and previous experiences of rejection had contributed to low confidence and emotional withdrawal.
Feelings of being misunderstood by others further intensified loneliness and emotional distress. Building emotional awareness and gradually increasing social engagement became an important part of the treatment process.
This case highlighted how autism, anxiety, and obsessive-compulsive symptoms can interact and significantly affect emotional wellbeing and social functioning. Addressing these concerns simultaneously through a structured and multidisciplinary approach helped the client build healthier coping strategies and improve overall functioning.
“For a long time, I felt misunderstood and alone. Learning to understand my thoughts and emotions has helped me become more accepting of myself.”
Anonymity Assurance: Names and identifying details have been changed or omitted to protect confidentiality.
Medical Disclaimer: This case study is provided for informational purposes only and does not replace professional medical advice.
