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Wednesday, March 22, 2006

Okay, Somebody out there wanted to know about OCD. No one I know qualifies- but anyways you asked. This is the DSM-IV-TR diagnositc criteria:

The person has either obsessions or compulsions or can have both
obsessions are defined by 1, 2, 3 and 4

  1. recurrent and persisent thoughts, impulses or images that are intrusive and inappropriate and cause marked anxiety or distress.
  2. it isn't just excessive worry about real-life problems
  3. the person attempts to ignore or suppress such thoughts, impulses or images or tries to neutralize them with some other thought or action.
  4. the person recognizes that the obsessive thoughts, impulses or images are coming from within themselves- ie the thoughts aren't being places in their head by someone else.

Compulsions are defined by 1 AND 2
  1. Repetitive behaviours or mental acts that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly.
  2. the behaviours or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation. However the acts are not connected in any logical way with which they are designed to neutralize or prevent, or are clearly excessive.
AND At some point the person has recognized that the obsessions or complusions are excessive or unreasonable.

KEY- the compulsions are things they DO NOT want to do, but have to do. ex. not being able to go to sleep until a glass on the bedside table is in the EXACT place it NEEDS to be. It may take hours, and the person may need to look at it from many different angles and create rules for how they can be sure that the glass is in the right spot. The person does not want to do this, it is a way to reduce anxiety.

So is vacuming the carpet in a particular way so all the fibers are the same way OCD? No unless it interferes with their life (like missing work because the carpet isn't right.) Or there are bizarre rules attached to it -like you have to vacume it by taking three steps forward and then two back starting in one place and then working is couter-clockwise circles.

So no. None of you have OCD. But if you want to see if someone else has OCD, try messing with their routines. For most people it wouldn't bother them that much. A person with OCD would freak. ex I walked on the right side of a tree and my Riverview patient who ONLY goes around things on the left. The patient stopped and was unable to continue on until I had undone it by walking backwards around the tree.

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