14th February 2025

A 45-year-old man with a background of eczema, obsessive-compulsive disorder and Tourette’s syndrome has spent 2-3 hours per day in the last fortnight performing repetitive rituals which he feels are out of his control.

A 45-year-old man with a background of eczema, obsessive-compulsive disorder and Tourette’s syndrome has spent 2-3 hours per day in the last fortnight performing repetitive rituals which he feels are out of his control. His wife is concerned as this is out of character for him and he has been late to work 6 times.

His wife takes him to the GP again as she has had enough of his tardiness. She asks the GP what treatment can be offered for him at this stage.

What is the first-line management of the likely underlying disorder?

Select the SINGLE most appropriate option from the list below. Select ONE option only.