Without further examination, one can only note the similarities in isolating behavior between Asperger's and OCD patients. In Jake's particular case, the symptoms while he was a child included insistence on sameness, preference for symmetry, and systems of arranging preferred objects (Leckman, 1999)

Etiology: One can surmise that Jake is genetically predisposed to OCD through his mother. In general, OCD and some other genetically-linked psychiatric disorders can move from mother to son to daughter (i.e. change sex with each generation). OCD in the father can be enhanced through the birth of a child, and has been documented in clinical studies (Abramowitz, 2001). This may be in response to the hormonal changes of the mother, or the change in routine (and perceived risk) of the father after the birth of the child. It could also be a heightened response to post-partum depression on the part of the wife.

Recommended Treatment

Jake's...
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