The obsessions or compulsions cause distress or interfere with the patient's social or individual functioning, usually by wasting time. If another Axis I disorder is present, the content of the obsessions or compulsions is not restricted to it (e.g., preoccupation with food in the presence of an Eating Disorder hair pulling in the presence of Trichotillomania concern with appearance in the presence of Body Dysmorphic Disorder preoccupation with drugs in the presence of a Substance Use Disorder preoccupation with having a serious illness in the presence of Hypochondriasis preoccupation with sexual urges or fantasies in the presence of a Paraphilia or guilty ruminations in the presence of a Major Depressive Disorder. (This should be distinguished from the temporary relief of tensions or anxiety.) The person often recognises that the behaviour is ineffectual and makes attempts to resist it, but is unable to.Ĭompulsions: repetitive behaviours or mental acts that are carried out to reduce or prevent anxiety or distress and are perceived to prevent a dreaded event or situation.Įxperiencing the obsessive thought or carrying out the compulsive act is not in itself pleasurable. The content of the obsession is often perceived as alien and not under the person's control.Ĭompulsive acts or rituals: stereotyped behaviours that are not enjoyable that are repeated over and over and are perceived to prevent an unlikely event that is in reality unlikely to occur. Obsessions: persistent ideas, thoughts, impulses, or images that are experienced as inappropriate or intrusive and that cause anxiety and distress. Often violent, obscene, or perceived to be senseless, the person finds these ideas difficult to resist. Obsessional thoughts: distressing ideas, images, or impulses that enter a person's mind repeatedly.

ICD-10 clinical descriptions and diagnostic guidelines

Dsm 5 mstptsd criteria