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ICD-10 - Obsessive-Compulsive Disorder


[From World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic Criteria for Research. Copyright, World Health Organization, Geneva, 1993.] ...

  1. Either obsessions or compulsions (or both) are present on most days for a period of at least 2 weeks.
  2. Obsessions (thoughts, ideas, or images) and compulsions (acts) share the following features, all of which must be present:
    1. They are acknowledged as originating in the mind of the patient and are not imposed by outside persons or influences.
    2. They are repetitive and unpleasant, and at least one obsession or compulsion that is acknowledged as excessive or unreasonable must be present.
    3. The patient tries to resist them (but resistance to very long-standing obsessions or compulsions may be minimal). At least one obsession or compulsion that is unsuccessfully resisted must be present.
    4. Experiencing the obsessive thought or carrying out the compulsive act is not in itself pleasurable. (This should be distinguished from the temporary relief of tension or anxiety.)
  3. The obsessions or compulsions cause distress or interfere with the patient's social or individual functioning, usually by wasting time.
  4. Most commonly used exclusion clause. The obsessions or compulsions are not the result of other mental disorders, such as schizophrenia and related disorders or mood [affective] disorders.
The diagnosis may be further specified by the following four-character codes:
Predominantly obsessional thoughts and ruminations
Predominantly compulsive acts [obsessional rituals]
Mixed obsessional thoughts and acts
Other obsessive-compulsive disorders
Obsessive-compulsive disorder, unspecified

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