Criteria for OCD
Criteria A for OCD
Presence of Obsessions, Compulsions, or both
What is Body Dysmorphic Disorder?
Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others.
Define Obsessions
Recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress
Common Themes/Dimensions of Obsessions/Compulsions
cleaning (contamination obsessions and cleaning compulsions);
symmetry (symmetry obsessions and repeating, ordering, and counting compulsions);
forbidden or taboo thoughts (e.g., aggressive, sexual, or religious obsessions and related compulsions);
harm (e.g., fears of harm to self or others and checking compulsions).
Criteria B for OCD
The obsessions or compulsions are time-consuming (e.g., take more than 1 hour per day) or cause clinically significant distress or impairment in social, occupational, or other important areas of functioning
What is Hoarding Disorder?
AKA Clutter Disorder.
Persistent difficulty discarding or parting with possessions, regardless of their actual value.
This difficulty is due to a perceived need to save the items and the distress associated with discarding them.
The difficulty discarding possessions results in the accumulation of possessions that congest and clutter active living areas and substantially compromise their intended use. If living areas are uncluttered, it is only because of the interventions of third parties
How does a person with OCD attempt to neutralize an obsession?
By performing a compulsion
What is Sensory Phenomena?
Physical experiences (e.g., physical sensations, just-right sensations, and feelings of incompleteness) that precede compulsions
Criteria C for OCD
The obsessive-compulsive symptoms are not attributable to a substance or another medical condition
What is Trichotillomania?
AKA Hair-Pulling Disorder.
Recurrent pulling out of one’s hair, resulting in hair loss.
Define compulsions
Repetitive behaviors or mental acts that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly
True or False?
Men experience the onset of OCD at an earlier age than women
True!
Nearly 25% of men have an onset before age 10 years. Onset in girls is more typically in adolescence.
Criteria D for OCD
The disturbance is not better explained by the symptoms of another mental disorder
What is Excoriation?
AKA Skin-picking Disorder.
Recurrent skin picking resulting in skin lesions.
What is the aim of a compulsion?
The behaviors or mental acts are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation temporarily.
Specifiers
With good or fair insight
With poor insight
With absent insight/delusional beliefs
Tic-related