Obsessive-Compulsive Disorder
Symptoms
Either obsessions or compulsions:
Obsessions as defined by (1), (2), (3), and (4):
1. recurrent and persistent thoughts, impulses, or images that
are experienced, at some time during the disturbance, as intrusive
and inappropriate and that cause marked anxiety or distress
2. .the thoughts, impulses, or images are not simply excessive
worries about real-life problems
3. the person attempts to ignore or suppress such thoughts, impulses,
or images, or to neutralize them with some other thought or action
4. the person recognizes that the obsessional thoughts, impulses,
or images are a product of his or her own mind (not imposed from
without as in thought insertion)
Compulsions as defined by (1) and (2):
1. repetitive behaviors (e.g., hand washing, ordering, checking)
or mental acts (e.g., praying, counting, repeating words silently)
that the person feels driven to perform in response to an obsession,
or according to rules that must be applied rigidly
2. the behaviors or mental acts are aimed at preventing or reducing
distress or preventing some dreaded event or situation; however,
these behaviors or mental acts either are not connected in a realistic
way with what they are designed to neutralize or prevent or are
clearly excessive
--- And: ---
At some point during course of the disorder, the person
has recognized that the obsessions or compulsions are excessive
or unreasonable.
Note: This does not apply to children.
The obsessions or compulsions cause marked distress,
are time consuming (take more than 1 hour a day), or significantly
interfere with the person's normal routine, occupational (or academic)
functioning, or usual social activities or relationships.
If another disorder is present, the content of the obsessions
or compulsions is not restricted to it.
The disturbance is not due to the direct physiological effects
of a substance (e.g., a drug of abuse, a medication) or a general
medical condition.
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