Obsessive-Compulsive Disorder
A. Either obsessions or compulsions:
Obsessions as defined by (1) and (2):
1. 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 *
2. The person 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 as defined by (1) and (2):
1. 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
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 either are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive
B. The obsessions or compulsions are time consuming (for example, take more than 1 hour a day), or cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. ***
C. (formerly Criterion E.). The obsessive-compulsive symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.
D. The content of the obsessions or compulsions is not restricted to the symptoms of another mental disorder (e.g., excessive worries about real life problems in Generalized Anxiety Disorder; preoccupation with food or ritualized eating behavior in an Eating Disorder; hair pulling in Hair Pulling Disorder(Trichotillomania); stereotypies in Stereotypic Movement Disorder; preoccupation with appearance in Body Dysmorphic Disorder; preoccupation with drugs in a Substance Use Disorder; preoccupation with having a serious illness in Hypochondriasis; preoccupation with sexual urges or fantasies in a Paraphilia or Hypersexual Disorder; preoccupation with gambling or other behaviors in behavioral addictions or impulse control disorders; guilty ruminations in Major Depressive Disorder; paranoia or thought insertion in a Psychotic Disorder; or repetitive patterns of behavior in Autism Spectrum Disorder). ****
Specify whether OCD beliefs are currently characterized by:
Good or fair insight: Recognizes that OCD beliefs are definitely or probably not true, or that they may or may not be true
Poor insight: Thinks OCD beliefs are probably true
Absent insight: Completely convinced OCD beliefs are true
http://www.dsm5.org/ProposedRevision/Pages/proposedrevision.aspx?rid=164
Shared by tmph.
This is the new DSM Criteria for OCD. As you can see, OCD is characterized by both intrusive thoughts and behaviors to manage them.
