Problem: How did social factors impact care based on this: The patient reports currently being in a polyamorous marriage and has recently begun seeing a new partner who resides an hour away. They express concern regarding a noticeable dysfunction in their sex drive, which they fear may have a detrimental impact on their new relationship. Additionally, L.D. has disclosed a long-standing issue with skin picking, which they have struggled with since elementary school, leading to habitual nail biting. Despite making efforts over the past five years to cease nail biting, they have shifted to focusing on the skin around their nails instead. The patient reported wanting to get help as it is causing some self-consciousness with the new relationship. They express that this behavior often occurs unconsciously, particularly when bored. During the past week, the patient was triggered by an incident at work that exacerbated feelings of inadequacy. This triggered a spiral of anxiety and OCD-related thoughts, reinforcing a belief of not being good enough to interact with others. Since the last appointment, they have been able to manage their intrusive OCD thoughts regarding driving long distances to visit their new partner, where they previously experienced anxiety-related thoughts such as "What if I hit someone? What if I crash? Despite these challenges, the patient reports an overall improvement in managing these thoughts, allowing them to visit their partner without significant distress. Need Assignment Help?