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A. Either obsessions or compulsions:
(1) recurrent and persistent thoughts, impulses, or images
that are experienced, at some time during the disturbance, as
intrusive and inappropriate and that cause marked anxiety or
distress
(2) the thoughts, impulses, or images are not simply
excessive worries about real-life problems
(3) the person attempts to ignore or suppress such thoughts,
impulses, or images or neutralize them with some other thought
or action
(4) the person recognizes that the thoughts, impulses, or
images are a product of his or her own mind (not imposed from
without as in thought insertion)
(1) repetitive behaviors (eg, hand washing, ordering,
checking) or mental acts (eg, praying, counting, repeating works
silently) that the person feels driven to perform in response to
an obsession, or according to rules that must be applied rigidly
(2) the behavior or mental acts are aimed at preventing or
reducing distress or preventing some dreaded event or situation;
however, these behaviors or mental acts either are not connected
in a realistic way with what they are designed to neutralize or
prevent or are clearly excessive
B. At some point during the course of the disorder, the
person has recognized that the obsessions or compulsions are
excessive or unreasonable.
C. The obsessions or compulsions cause marked distress, are
time consuming (takes more than 1 hour/day) or significantly
interfere with the person's normal routine, occupation (or
academic functioning), or usual social activities or
relationships.
D. If another Axis I disorder B. is present, the content of
the obsessions or compulsions is not restricted to it.
E. The disturbance is not due to the direct physiological
effects of a substance (eg, a drug of abuse, a medication) or a
general medical condition.
F. Specify if:
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