OCD (Obsessive-compulsive disorder) Screening

1. How much of your time is occupied by obsessive thoughts? 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? None Mild, less than 1 hr/day or occasional intrusion. Moderate, 1 to 3 hrs/day or frequent intrusion Severe, greater than 3 and up to 8 hrs/day or very frequent intrusion Extreme, greater than 8 hrs/day or near constant intrusion

2. How much do your obsessive thoughts interfere with your social or work (or role) functioning? Is there anything that you don't do because of them? Explain: If currently not working, try to determine how much performance would be affected if you were employed. None Mild, slight interference with social or occupational activities, but overall performance not impaired. Moderate, definite interference with social or occupational performance, but still manageable. Severe, causes substantial impairment in social or occupational performance. Extreme, incapacitating.

3. How much distress do your obsessive thoughts cause you? 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. None Mild, not too disturbing Moderate, disturbing, but still manageable Severe, very disturbing Extreme, near constant and disabling distress

4. How much of an effort do you make to resist the obsessive thoughts? How often do you try to disregard or turn your attention away from these thoughts as they enter your mind? 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. Makes an effort to always resist, or symptoms so minimal doesn't need to actively resist Tries to resist most of the time Makes some effort to resist Yields to all obsessions without attempting to control them, but does so with some reluctance Completely and willingly yields to all obsessions

5. How much control do you have over your obsessive thoughts? How successful are you in stopping or diverting your obsessive thinking? Can you dismiss 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. Complete control Much control, usually able to stop or divert obsessions with some effort and concentration Moderate control, sometimes able to stop or divert obsessions Little control, rarely successful in stopping or dismissing obsessions, can only divert attention with difficulty No control, experienced as completely involuntary, rarely able to even momentarily alter obsessive thinking

6. How much time do you spend performing compulsive behaviors? 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. None Mild (spends less than I hr/day performing compulsions), or occasional performance of compulsive behaviors Moderate (speeds from I to 3 hrs/day performing compulsions), or frequent performance of compulsive behaviors Severe (spends more than 3 and up to 8 hrs/day performing compulsions), or very frequent performance of compulsive behaviors Extreme (spends more than 8 hrs/day performing compulsions), or near constant performance of compulsive behaviors (too numerous to count)

7. How much do your compulsive behaviors interfere with your social or work (or role) functioning? Is there anything that you don't do because of the compulsions? Explain: If currently not working, determine how much performance would be affected if you were employed. None Mild, slight interference with social or occupational activities, but overall performance not impaired Moderate, definite interference with social or occupational performance, but still manageable Severe, causes substantial impaiment in social or occupational performance Extreme, incapacitating. Can't work at all

8. How would you feel if prevented from performing your compulsion(s)? How anxious would you become? 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? None Mild only slightly anxious if compulsions prevented, or only slight anxiety during performance of compulsions Severe, prominent and very disturbing increase in anxiety if compulsions interrupted, or Prominent and very disturbing increase in anxiety during performance of compulsions Severe, causes substantial impaiment in social or occupational performance Extreme, incapacitating anxiety from any intervention aimed at modifying activity, or incapacitating anxiety develops during performance of compulsions

9. How much of an effort do you make to resist the compulsions? 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. Makes an effort to always resist, or symptoms so minimal doesn't need to actively resist Tries to resist most of the time Makes some effort to resist Yields to almost all compulsions without attempting to control them, but does so with some reluetance Completely and willingly yields to all compulsions

10. How strong is the drive to perform the compulsive behavior? How much control do you have over the compulsions? 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. Full Control Much control, experiences pressure to perform the behavior but usually able to exercise voluntary control over it Moderate control, strong pressure to perform behavior, can control it only with difficulty Little control, very strong drive to perform behavior, must be carried to completion, can only delay with difficulty No control. drive to perform behavior experjcoced as completely involuntary and overpowering, rarely able to even momentarily delay activity

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OCD (Obsessive-compulsive disorder) Screening

General Instructions

Your Screening Result

Level: Mild Symptoms

Score: 12

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