you have Obsessive Compulsive Disorder?
Obsessive Compulsive Disorder page contains an abridged version of the
(The Diagnostic and Statistical Manual of
Fourth Edition (DSM-IV) is a guide to the diagnosis of mental disorders
in the United States.)
page has been included for information purposes only - as a guideline
to diagnosis- and although these criteria are displayed to provide a
guideline to diagnosis they cannot substitute a visit to a doctor or
mental health practitioner.
A "diagnosis" is merely a label .
It does not
define you as a person.
Be very aware of the power of Labelling- see my pages on the need for
certainty and The power of words - subscribe to my RSS feed (see top
left of page) and get it as soon as it's published!
DIAGNOSTIC CRITERIA FOR
Compulsive Disorder is characterised by
a) Obsessions are defined by:
i) 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
ii) the thoughts, impulses, or images are not simply excessive worries
about real-life problems
iii) the person suffering from
obsessive compulsive disorder attempts to ignore or suppress such
impulses, or images, or to neutralize them with some other thought or
iv) the person recognizes that the obsessional thoughts, impulses, or
are a product of his or her own mind (not imposed from without as in
b) Compulsions as defined by:
ii) 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
ii)the behaviors or mental acts of an obsessive compulsive disorder
sufferer 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
At some point during the
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
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 Axis I disorder
is present, the
content of the obsessions or compulsions is not restricted to it (e.g,
preoccupation with food in the presence of an Eating Disorder; hair
pulling in the presence of Trichotillomania; concern with appearance in
the presence of Body Dysmorphic Disorder; preoccupation
with drugs in the presence of a Substance Use Disorder; preoccupation
with having a serious illness in the presence of Hypochondriasis;
preoccupation with sexual urges or fantasies in the presence of a
Paraphilia; or guilty ruminations in the presence of Major Depressive
With Obsessive compulsive
disturbance is not due to the direct physiological effects of a
(e.g., a drug of abuse, a medication) or a general medical condition.
compulsions must cause marked distress, be time consuming (take more
than 1 hour per day), or significantly interfere with the individuals
normal routine, occupational functioning, or usual social activities or
Obsessions or compulsions can displace
useful and satisfying behavior and can be highly disruptive to overall
Because obsessive intrusions can be
distracting, they frequently result in inefficient performance of
tasks that require concentration, such as reading or computation.
addition, many individuals avoid objects or situations
that provoke obsessions or compulsions. Such avoidance can become
extensive and can severely restrict general functioning.