Miloš Židanik
Health centre Maribor
Sodna ulica 13
2000 Maribor

 
Key words: psychotherapy, narcissistic personality disorder, aggression, obsessive-compulsive disorder, multiaxial assessment

Abstract:  Background. Obsessions are one of the most refractory psychiatric disorders. The therapeutic guidelines include psychopharmacotherapy and the use of behavioural and supportive psychotherapy.

Methods. This case report study presents a patient with a homocide obsessions at the forefront and narcissistic personality disorder in background. The use of analytical oriented psychotherapy, which helped to resolve axis-1 symptoms, is described.

Conclusions. In the therapy of patients it is important to have the knowledge about the national therapeutic guidelines and critical distance toward them as well. Which therapy to use should be decided by the individual patient's needs.