Obsessive-compulsive disorder diagnostic criteria: Difference between revisions
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*C. The obsessive-compulsive symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition. | *C. The [[obsessive-compulsive disorder| obsessive-compulsive]] [[symptoms]] are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition. | ||
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*D. The disturbance is not better explained by the symptoms of another mental disorder(e.g., excessive worries, as in [[generalized anxiety disorder]]; preoccupation with appearance,as in body dysmorphic disorder; difficulty discarding or parting with possessions,as in hoarding disorder; hair pulling, as in [[trichotillomania]] hair-pulling disorder;skin picking, as in excoriation [skin-picking] disorder; stereotypies, as in [[stereotypic movement disorder]]; ritualized eating behavior, as in eating disorders; preoccupation with substances or gambling, as in substance-related and addictive disorders; preoccupation with having an illness, as in illness anxiety disorder; sexual urges or fantasies,as in paraphilic disorders; impulses, as in disruptive, impulse-control, and conduct disorders;guilty ruminations, as in [[major depressive disorder]]; thought insertion or delusional preoccupations, as in [[schizophrenia]] spectrum and other psychotic disorders; or repetitive patterns of behavior, as in [[autism spectrum disorder]]). | *D. The disturbance is not better explained by the [[symptoms]] of another mental disorder(e.g., excessive worries, as in [[generalized anxiety disorder]]; preoccupation with appearance,as in [[body dysmorphic disorder]]; difficulty discarding or parting with possessions,as in [[hoarding disorder]]; hair pulling, as in [[trichotillomania]] hair-pulling disorder;skin picking, as in excoriation [skin-picking] disorder; stereotypies, as in [[stereotypic movement disorder]]; ritualized eating behavior, as in [[eating disorders]]; preoccupation with substances or [[gambling]], as in substance-related and [[addiction|addictive]] [[disorders]]; preoccupation with having an illness, as in [[illness anxiety disorder]]; [[sexual]] urges or fantasies,as in paraphilic disorders; impulses, as in disruptive, impulse-control, and [[conduct disorders]];guilty ruminations, as in [[major depressive disorder]]; thought insertion or delusional preoccupations, as in [[schizophrenia]] spectrum and other [[psychotic]] disorders; or repetitive patterns of behavior, as in [[autism spectrum disorder]]). | ||
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*Tic-related: The individual has a current or past history of a tic disorder. | *[[Tic]]-related: The individual has a current or past history of a [[tic disorder]]. | ||
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Revision as of 18:03, 14 August 2018
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Obsessive-compulsive disorder Microchapters |
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Differentiating Obsessive-Compulsive Disorder from other Diseases |
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Obsessive-Compulsive Disorder due to Another Medical Condition |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sonya Gelfand; Kiran Singh, M.D. [2]
Overview
The diagnosis of obsessive compulsive disorder is based on clinical assessment. Obsessive compulsive disorder is diagnosed according to the DSM-V guidelines, by the presence of obsessions, compulsions or both. The symptoms must be time consuming, causing significant impairment of normal life activities and not being associated with a psychological disorder or substance abuse. Lastly, the symptoms must not fall into any other category of mental disorders to classify them as an obsessive compulsive disorder.[1][2]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Obsessive Compulsive Disorder[1]
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Note: Young children may not be able to articulate the aims of these behaviors or mental acts. AND
AND
AND
Specify if:
Specify if:
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Common Obsessions and Related Compulsions in OCD:
| Obsessions | Related Compulsions |
|---|---|
| Fear of contamination | Repeated cleaning or washing |
| Continuous doubting | Repeated checking |
| Thoughts that are violent
or sexual |
Repeated thoughts of "undoing" |
| Fear of inflicting injury to
others |
Repeatedly actions to check for
injured indivuials |
| Prsesnce of symmetry | Repeated rearrangement and
reordering |
| Religious scurpulosity | Repeated religious acts |
| Superstitions related to
"luck" |
Repeated superstitions to invite
luck |
+Adopted from JAMA[2]
References
- ↑ 1.0 1.1 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
- ↑ 2.0 2.1 Hirschtritt ME, Bloch MH, Mathews CA (2017). "Obsessive-Compulsive Disorder: Advances in Diagnosis and Treatment". JAMA. 317 (13): 1358–1367. doi:10.1001/jama.2017.2200. PMID 28384832.