A failure analysis of a chronic, severe, and refractory case of Obsessive-Compulsive Disorder with Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Beta etiology will be utilized in an effort to understand, explain, and offer potential answers and solutions in a case that did not realize clinically significant improvement. The patient demonstrated an inadequate quantitative response to efficacious interventions while improvements in qualitative markers of treatment success were made, yet were inconsistent with the quantitative information. Subtype differences will be highlighted and new benchmarks for "success" in failure cases will be recommended. Suggestions for using failure analysis in complex cases will be made to improve the understanding and treatment of recalcitrant conditions.
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