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Obsessive Compulsive Disorder (OCD) - Obsessive Compulsive Disorder (OCD) Symptom, Cause, Treatment
Obsessive-Compulsive Disorder
- The patient has obsessions or compulsions, or both.
Obsessions. The patient must have all of:
1 Recurring, persisting thoughts, impulses or images inappropriately intrude into awareness and cause marked distress or anxiety.
2 These ideas are not just excessive worries about ordinary problems.
3 The patient tries to ignore or suppress these ideas or to neutralize them by thoughts or behavior.
4 There is insight that these ideas are a product of the patient's own mind.
Compulsions. The patient must have all of:
1 The patient feels the need to repeat physical behaviors (checking the stove to be sure it is off, handwashing) or mental behaviors (counting things, silently repeating words).
2 These behaviors occur as a response to an obsession or in accordance with strictly applied rules.
3 The aim of these behaviors is to reduce or eliminate distress or to prevent something that is dreaded.
4 These behaviors are either not realistically related to the events they are supposed to counteract or they are clearly excessive for that purpose.
- During some part of the illness the patient recognizes that the obsessions or compulsions are unreasonable or excessive.*
- The obsessions and/or compulsions are associated with at least 1 of:
-Cause severe distress
-Take up time (more than an hour per day)
-Interfere with the patient's usual routine or social, work or personal functioning
- If the patient has another Axis I disorder, the content of obsessions or compulsions is not restricted to it.
- The symptoms are not directly caused by a general medical condition or by substance use, including medications and drugs of abuse.
Specify if With Poor Insight. During most of this episode the patient does not realize that these thoughts and behaviors are unreasonable or excessive.
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