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Diagnosis Of Obsessive Compulsive
Disorder - OCD
There is no laboratory test for OCD. Diagnosis is made with the following:
- Close clinical examination of emotional past
- Criteria for diagnosis
- Current symptoms
- Differential diagnosis
- Examination of family history (see risk factors)
OCD can be mild or severe. There are four essential factors in the
diagnosis of OCD that distinguish OCD from ordinary, mildly
intrusive worries or brooding. They are the following:
- Symptoms cause significant distress
- Symptoms take up more than 1 hour a day
- Symptoms significantly interfere with work, relationships, or daily
functioning
- The person recognizes that his or her obsessions and compulsions are
unreasonable or excessive
Differential diagnosis of requires distinguishing OCD from other
psychiatric disorders. The following psychiatric disorders feature symptoms
that may, at first, resemble OCD:
All of these conditions are differentiated from OCD by type and severity of
symptoms. For example, although schizophrenic delusions may resemble
obsessions common in OCD,
people experiencing delusions do not have insight into their content. They
believe the delusions involve external influence and are not the product of
their own mind. Some of these disorders may occur with OCD (see
course and prognosis).
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