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Clinical Case Studies, Vol. 3, No. 4, 275-287 (2004)
DOI: 10.1177/1534650103259646
© 2004 SAGE Publications

A Mindfulness-Based Treatment of Obsessive-Compulsive Disorder

Nirbhay N. Singh

ONE Research Institute

Robert G. Wahler

University of Tennessee, Knoxville

Alan S. W. Winton

Massey University

Angela D. Adkins

Western State Hospital

The Mindfulness Research Group

Of those who suffer from obsessive-compulsive disorder (OCD), a substantial number do not respond well to the standard treatment of two trials of serotonin reuptake inhibitors and cognitive-behavioral therapy. In addition to being refractory to current treatments, these individuals often have comorbid disorders that contribute to a compromised quality of life. The authors present the case of such an individual who was assisted to improve her quality of life by accepting her OCD as a strength and enhancing her mindfulness so that she was able to incorporate her OCD in her daily life. Results showed that she successfully overcame her debilitating OCD and was taken off all medication within 6 months of intervention. Three years of postintervention follow-up showed that she was well adjusted, had a full and healthy lifestyle and that although some obsessive thoughts remained, they did not control her behavior.

Key Words: mindfulness-based treatment • obsessive-compulsive behavior • quality of life • nonpharmacological treatment


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