1- Either obsession or compulsion Obsession - recurrent & persistent thought, impulses or images - some ppl r bothered by recurrent thoughts

defined by (T/I/I) that r xperienced at some time during d or impulses that seem inappropriate or do x disturbances, as intrusive & inappropriate & that make sense, but they keep repeating over cause anxiety or distress & over & r difficult to get out o ur mind. (e:g intrusive, repeated thoughts that u might hurt or kill some1 u even though u didnt want to) has anything like this happen to u? if yes : describe whats it like? How often does it happen? How do u feel when u hv these prob? - What about intrusive, freq, repeated image? If yer: Tell me bout it? How often does it happen? How do u feel when u hv these prob? - that thought, impulse or image r x simply xcessive worries bout real life prob - px attempts to ignore or suppress T/I/I or - what do u do to deal w this? neutralize T/I/I w some other thought or action - Do u try to ignore/ get rid o these thoghts/image & put them out o ur mind? - Do u tell urself things or imagine certain other images in order to neutralize or counteract d unpleasant thought/image? - px recognize that d obsession T/I/I r product o px - r these ur own thought, or do u believe they own mind r put into ur head by some1, r some force or power from outside? If outside : Tell me how that happen? Compulsion - repetitive behavior or mental act that px feels - Some ppl r bothered by having to do defined by driven to perform in response to obsession or something over & over that they cant resist according to rules that must b applied rigidly. when they try. Eg: they wash their hands repeatly check whether d door locked or stove is turned off, or count things xcessively. Hv u had any difficulties like this? If yes: Like what? Describe what its like? - Do u hv any rituals that u always hv o do in a particular order & if d order is wrong u hv to start all over from d beginning? If yes: like what? - D behavior or mental act aimed to : - If u not (compulsion), do u get very anxious or tense? IF not : So, y u do it? Reducing stress - What do u think might happen if u didnt Prevent some dreaded events / situations (compulsion)? - However, these behavior or mental act r x connected in realistic ways w what they r designed to neutralize or prevent or r x clearly xcessive

DSM-IV-TR dx criteria for obsessive-compusive disorder

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2- at some point during course o o disorder, px hv recognized that d O or C r excessive or unreasonable Note : this does x apply to children

3- O-C cause marked distress, time consuming (>1hr/d)or significant interfere w px norm routine, occupation, academic, fx, usual social actvt,or r/ship

4- if another Axis I disorder is present, d content o O-C is x restricted to it

- Does d (O-C) seem unreasonable or xcessive, ut u still feel fell compelled to do it? - If no : did u ever think (O-C) was unreasonable or Xcessive? If no : did other ppl think so? If yes : what did they say? Could u think theyre wrong? - Does it bother u a lot that u hv d (O-C)? - What effect has it had on ur life? - Has it affected ur job(school)?...marriage?... r/ship w friends?... social life? leisure actvt? If yes : in what way? - Does it keep u from completing ur daily routine & chores? - How much time a d do u spend (O-C)? E:g - Preoccupation w food in presence o eating disorder - Hair pulling in presence o trichotillomania - Concern o appearance in d presence o body dysmorphic disorder - Preoccupation w drugs in presence o substance use disorder - Preoccupation w having serious illness in presence o hypochondriasis - Guilty illuminations in presence o major diepressive disorder

5- d disturbance not d/t direct physiological effects o substance or a general medical condition

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