مريض عنده اضطراب الوسواس القهري يغسل يديه ٤٠ مرة قبل الإفطار ويتأخر عن العلاج الجماعي. ما التدخل الأنسب في البداية؟

A man with OCD washes his hands 40 times before breakfast and is late for group therapy. What is the best initial intervention?

1. Ignore the lateness and cancel his sessions
2. Penalise him for being late to the session
3. Stop all handwashing immediately
4. Allow time for rituals while gradually limiting them

Answer: D) Allow time for rituals while gradually limiting them. Abruptly blocking rituals sharply raises anxiety; allow time first, then set gradual limits with CBT (exposure and response prevention).