What statement indicates a client with Obsessive Compulsive Disorder (OCD) has shown improvement?

The statement indicating improvement for a client with Obsessive Compulsive Disorder (OCD) is one that reflects a greater sense of control over their symptoms and thoughts. When a client expresses that they have more control over their thoughts and behaviors, it suggests a significant positive development in their treatment journey. This improvement indicates that they may have gained insights into their condition and have started to manage their compulsions and obsessions more effectively.

In contrast, the other statements do not demonstrate the same level of progress. A statement about only engaging in hand washing as a reward implies that the compulsive behavior is still tightly linked to their self-reward system, rather than showing a decrease in the need to perform the behavior. The mention of friends not knowing about the condition points more to a desire for secrecy rather than personal development or coping strategies. Lastly, recognizing that thoughts and behaviors are “not very normal” reflects awareness of the disorder but does not indicate any functional improvement or coping measures that empower the client. The ability to express control over one’s thoughts and behaviors is key in tracking recovery in OCD.