Reference
Guide | Reference

64  OCD Pattern Prototype

64.1 Summary

  • A pattern of intrusive thoughts or urges paired with repetitive rituals or mental acts aimed at reducing distress.

64.2 Prototype Features

  • Obsessions or intrusive doubts that feel unwanted.
  • Compulsions, checking, or mental rituals.
  • Temporary relief followed by return of distress.

64.3 Threshold Guidance

  • Use when obsessions/compulsions are recurrent and impairing.

64.4 Expected Domain Profile

  • Compulsivity and Perseveration: moderate to high.
  • Anxiety and Threat Sensitivity: variable, often elevated.

64.5 Time-Course and Trajectory

  • Chronic with fluctuating intensity.
  • Trigger-linked spikes.

64.6 Differential and Red Flags

  • Psychosis with fixed delusional beliefs.
  • Trauma intrusions without rituals.
  • Substance effects or neurologic contributors.

64.7 Specifiers (treatment-relevant, non-prescriptive)

  • Course/time pattern (chronic, fluctuating).
  • Contributors (sleep loss, stress).
  • Risk modifiers (time-consuming rituals, self-neglect).

64.8 Measurement Prompts

  • Brief obsession/compulsion measure.
  • Time spent on rituals.

64.10 Documentation Snippet (1-2 lines)

  • “Intrusive doubts with checking and ritualizing; Compulsivity 3; chronic course.”