Obsessive Compulsive and Related Disorders

Question 1

OBSESSIVE-COMPULSIVE DISORDER .

Answer 1

A. presence of obsessions, compulsions, or both:
Obsessions are defined by (1) (2):

I. Recurrent and persistent thoughts. urges. or images that are experienced. at some
time during the disturbance, as intrusive and unwanted, and that in ‘Mist individuals
cause marked anxiety or distress.

2. The individual attempts to ignore or suppress thoughts, urges, or urges, or to
   neutralize them with some Other thought or action (by performing compulsion)

Compulsions are defined by (1) and (2)

1. Repetitive behaviors (e.g., hand washing, 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.
2. Behaviors or mental acts are aimed at preventing or reducing anxiety or distress, or preventing some event or situation: however, these behaviors Or mental acts are not connected in a way with what they are to neutralize or prevent, or are clearly excessive.
   Note: Young children may not be able to the aims Of these behaviors or mental acts,

B. The or compulsions are (e.g., take more than I hour per
day) or cause clinically significant distress or impairment social, occupational, or
Other important areas Of functioning.

C. The obsessive-compulsive symptoms are not attributable to the physical effects
of a substance (e.g., a drug of abuse, a medication) Or another medical condition.

D. The disturbance not better explained by symptoms of another mental
(e.g., excessive worries, as in anxiety disorder, preoccupation with appearance. as in body dysmorphic disorder; difficulty discarding or parting With possessions, as in disorder; hair pulling, as in trichotillomania hairpulling skin picking. as in excoriation 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 sexual urge delusional as in schizophrenia spectrum and Other psychotic disorders; or
patterns of behavior, as in autism spectrum

Question 2

BODY DYSMORPHIC DISORDER

Answer 2

A. with one or more perceived in physical that
are not observable or appear slight to Others.

B. At some poult course of the disorder, me individual has repetitive
behaviors (e.g., mirror checking. excessive grooming. skin reassurarwe seek-
ing) or mental acts (e.g., comparing his or her appearance with that of others) in response to the concerns.

C. The preoccupation causes clinCaIIy significant distress or in social, wcu*
pational, or other areas of functioning,

D. The appearance preoccupation is not better explained by c«werns with fat or
weight in an individual whOE synvtoms meet diagnostic criteria for an eating

Question 3

HOARDING DISORDER

Answer 3

Diagnostic Criteria
Hoarding Disorder
300.3 (F42)
A. Persistent difficulty discarding Or parting with Of actual value.

B. This is due to a perceived need to save the items and to distress associated
with discarding them.

C. The difficulty of discarding possessions results in accumulation Of that
congest and clutter active living areas and substantially compromises their intended
use. If living areas are uncluttered, it is only because Of the interventions Of third parties
(e.g., family members, cleaners, authorities),

D. The hoarding causes clinically significant distress impairment occupational, or Other important areas Of functioning (including maintaining a sale environment- for self and others).

E. The hoarding is not attributable to another medical condition (e.g.. brain injury, cerebrovascular disease, Prader WiIIs syndrome).

F. The hoarding is not better explained by the symptoms of another mental disorder (e.g.,
Obsessions in Obsessive-compulsive disorder. decreased energy in major depressive
disorder, delusions in schizophrenia or another psychotic disorder, cognitive deficits in major neurocognitive disorder. restricted interests in autism spectrum disorder).

Question 4

TRICHOTILLOMANIA

Answer 4

A. Recurrent pulling out of one’s hair, resulting in hair loss,

B. Repeated attempts to decrease Or Stop hair pulling.

C. The hair pulling causes clinically significant distress or impairment in social, occupational
Or Other important areas Of functioning.

D. The hair pulling or hair loss not attributable to another medical condition (e.g., a dermatologic condition).

E. The hair pulling is not better explained by the symptoms of another mental disorder
(e.g., attempts to improve a perceived defect or flaw in appearance in body dysmorphic
disorder)

Question 5

EXCORIATION (SKIN-PICKING) DISORDER .

Answer 5

A. Recurrent picking resulting in skin lesions.

B. Repeated attempts to decrease or Stop skin picking.

C The skin picking causes clinically significant distress or impairment in social occupational, or other important areas of functioning.

D. The skin picking is not attributable to the physiological effects Of a substance (e.g., Cocaine) or another medical condition (e.g., scabies),

E. The skin *king not better explained by symptoms Of another mental disorder (e.g.,
delusions or tactile hallucinations in a psychotic disorder, attempts to improve a perceived detect or flaw in appearance in dysmorphic disorder. stereotypes in
stereotypic movement disorder, or intention to harm oneself in nonsuicidal self-injury),