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OCD (Obsessive-compulsive disorder) Screening

General Instructions

This rating scale is designed to rate the severity and type of symptoms in patients with obsessive compulsive disorder (OCD). Rate the characteristics of each item during the prior week up until and including the time of the interview. Scores should reflect the average (mean) occurrence of each item for the entire week.

Explain: When obsessions occur as brief, intermittent intrusions, it may be difficult to assess time occupied by them in terms of total hours. In such cases, estimated time by determining how frequently they occur. Consider both the number of times the intrusions occur and how many hours of the day are affected. Ask yourself: How frequently do the obsessive thoughts occur?
Explain: If currently not working, try to determine how much performance would be affected if you were employed.
Explain: In most eases, distress is equated with anxiety; however, you may report that your obsessions are "disturbing" but not "anxiety." Only rate anxiety that seems triggered by obsessions, not generalized anxiety or associated with other conditions.
Explain: Only rate effort made to resist, not success or failure in actually controlling the obsessions. How much you resist the obsessions may or may not correlate with your ability to control them.
Explain: In contrast to the preceding item on resistance, the ability of the patient to control your obsessions is more closely related to the severity of the intrusive thoughts.
Explain: When rituals involving activities of daily living are chiefly present, ask yourself: How much longer than most people does it take to complete routine activities because of your rituals? If you're unable to figure how long, estimate time by determining how frequently you performed these. Consider both the number of times compulsions are performed and how many hours of the day are affected. Count separate occurrences of compulsive behaviors, not number of repetitions; e.g., a person who goes into the bathroom 20 different times a day to wash his hands 5 times very quickly, performs compulsions 20 times a day, not 5 or 5 x 20 = 100.
Explain: If currently not working, determine how much performance would be affected if you were employed.
Explain: Rate the degree of distress you would experience if performance of the compulsion were suddenly interrupted without reassurance offered. In most, but not all cases, performing compulsions reduces anxiety. If anxiety is actually reduced by preventing compulsions in the manner described above, then asked yourself: How anxious do you get while performing compulsions until you are satisfied they are completed?
Only rate effort made to resist, not success or failure in actually controlling the compulsions. How much you resist the compulsions may or may not correlate with your ability to control them.
Explain: In contrast to the preceding item on resistance, your ability to control your compulsions is more closely related to the severity of the compulsions.

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