Obsessive-compulsive disorder diagnostic criteria: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Obsessive-compulsive disorder}} | {{Obsessive-compulsive disorder}} | ||
{{CMG}}; {{AE}} {{KS}} | {{CMG}}; {{AE}} {{Sonya}}, {{KS}} | ||
==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, [[compulsion]]s 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.<ref name="DSMV">{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref><ref name="pmid28384832">{{cite journal| author=Hirschtritt ME, Bloch MH, Mathews CA| title=Obsessive-Compulsive Disorder: Advances in Diagnosis and Treatment. | journal=JAMA | year= 2017 | volume= 317 | issue= 13 | pages= 1358-1367 | pmid=28384832 | doi=10.1001/jama.2017.2200 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28384832 }} </ref> | |||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
===DSM-V Diagnostic Criteria for Obsessive Compulsive Disorder<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | ===DSM-V Diagnostic Criteria for Obsessive Compulsive Disorder<ref name="DSMV">{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | ||
{{cquote| | {{cquote| | ||
*A. Presence of obsessions, | *A. Presence of obsessions, [[compulsion]]s, or both: | ||
:*Obsessions are defined by (1) and (2): | :*Obsessions are defined by (1) and (2): | ||
::*1. Recurrent and persistent thoughts, urges, or images that are experienced, at sometime during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress. | ::*1. Recurrent and persistent thoughts, urges, or images that are experienced, at sometime during the disturbance, as intrusive and unwanted, and that in most individuals cause marked [[anxiety]] or [[distress]]. | ||
::*2. The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (i.e., by performing a compulsion). | ::*2. The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (i.e., by performing a compulsion). | ||
:*Compulsions are defined by (1) and (2): | :*Compulsions are defined by (1) and (2): | ||
::*1. Repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g. | ::*1. Repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g. praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly. | ||
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 anxiety or distress,or preventing some dreaded event or situation; however, these behaviors or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive. | ::*2. The behaviors or mental acts are aimed at preventing or reducing [[anxiety]] or [[distress]],or preventing some dreaded event or situation; however, these behaviors or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive. | ||
<SMALL>''Note:Young children may not be able to articulate the aims of these behaviors or mental acts .''</SMALL> | <SMALL>''Note: Young children may not be able to articulate the aims of these behaviors or mental acts.''</SMALL> | ||
'''''AND''''' | '''''AND''''' | ||
*B. The obsessions or | *B. The obsessions or [[compulsion]]s 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. | ||
'''''AND''''' | '''''AND''''' | ||
*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. | ||
'''''AND''''' | '''''AND''''' | ||
*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]]). | ||
Specify if: | Specify if: | ||
| Line 39: | Line 43: | ||
Specify if: | Specify if: | ||
*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]]. | ||
}} | }} | ||
=== Common Obsessions and Related Compulsions in OCD: === | |||
{| class="wikitable" | |||
!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 | |||
|} | |||
+<small>Adopted from JAMA<ref name="pmid28384832">{{cite journal| author=Hirschtritt ME, Bloch MH, Mathews CA| title=Obsessive-Compulsive Disorder: Advances in Diagnosis and Treatment. | journal=JAMA | year= 2017 | volume= 317 | issue= 13 | pages= 1358-1367 | pmid=28384832 | doi=10.1001/jama.2017.2200 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28384832 }} </ref></small> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Psychiatry]] | [[Category:Psychiatry]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Needs overview]] | [[Category:Needs overview]] | ||
Latest revision as of 22:59, 29 July 2020
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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]
| “ |
Note: Young children may not be able to articulate the aims of these behaviors or mental acts. AND
AND
AND
Specify if:
Specify if:
|
” |
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.