Obsessive Compulsive Disorders DSM-5-TR

Obsessive Compulsive Disorders

Obsessive-Compulsive Disorder

Obsessions: persistent intrusive, unwanted, inappropriate mostly non-psychotic thoughts. Compulsions: repetitive behaviours driven to perform in response to obsessions intended to reduce distress & anxiety. Patient percieves as excessive/unreasonable. Marked distress/ interference, time consuming (>1 hour/day). Add Specifier: with good or fair insight, with poor insight, with absent insight/ delusional beliefs.

Trichotillomania

recurrent hair pulling and hair loss, failed attempts to stop hair pulling, marked distress or impairment.

Hoarding Disorder

Can’t discard possessions regardless of value. Possessions accumulate, cluttering living space. Marked distress or impairments.

Excoriation (skin-picking) Disorder

Persistent skin picking causing lesions or infections. Failed attempts to stop skin picking. Not related to substance use (cocaine, methamphetamine, etc). Marked distress or impairment.

Body Dysmorphic Disorder

Preoccupation with imagined defect in physical appearance. Repetitive checking, grooming, picking, comparing, or reassurance seeking. Work/social impairment.