Obsessive-Compulsive Disorder (source)

• Started to develop after the accident.

Section I - Must check ONE or both of the following:

• ✔ I experience obsessions, defined as:
  • I have recurrent and persistent thoughts, urges, or images which are experienced, at some time during the disturbance, as intrusive and unwanted, and cause me marked anxiety and distress.
  • I try to suppress or ignore such thoughts, impulses, or images or to neutralize them with some other thought or action.
• ✔ I experience compulsions, defined as:
  • I partake in repetitive behaviors (eg, hand washing, ordering, checking) or mental acts (eg, praying, counting, repeating words silently) in response to an obsession or according to a specific set of rules I follow rigidly.
  • My behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation; however, these behaviors or mental acts may have little to do with what I’m trying to prevent, or they are clearly excessive.

Section II - Must check BOTH of the following:

• ✔ My obsession and or compulsions are time-consuming and cause significant stress in my everyday life.
• ✔ My symptoms are not caused by a medication, substance use, or another medical condition.

Section III - Common Symptoms and Behaviors Associated with OCD (not required for diagnosis):

• I feel an intense sense of responsibility to eliminate a threat, whether the threat is real or not.
• I overestimate how threatening something really is.
• ✔ I am a perfectionist.
• I am constantly checking on things to make sure they’re working properly or are okay.
• I am often disturbed by spontaneity and hate for things to be uncertain.
• ✔ I set higher standards for myself than I do for other people.
• I feel I must be in complete control of my thoughts and feelings at all times.
• ✔ Being triggered into a breakdown is especially bad because I am unable to calm myself immediately, which makes my symptoms worse.
• I worry about things being contaminated and unsafe.
• I find myself cleaning a lot.
• I sometimes wash my hands to the point of rubbing them raw.
• I am obsessed with symmetry.
• ✔ I repeat myself a lot.
• I have difficulty breaking routines.
• I have trouble getting to work or other obligations on time.
• I find myself compulsively counting things.
• ✔ I get intrusive thoughts, which are sometimes aggressive or sexual in nature.
• ✔ I am afraid I may harm myself or others, even though I don’t want to.
• ✔ Sometimes, I get violent thoughts which I can’t get rid of.
• I hoard objects.
• ✔ When I find new things I like (for example, a new TV show), I become obsessed with it.
• ✔ I experience a lot of anxiety.
• ✔ I have anxiety attacks.
• ✔ If something feels “incomplete,” it can leave me feeling uneasy or disgusted.
• Sometimes I have to change everything around me until it feels “right.”
• I find myself avoiding certain people and places because they may trigger some of my symptoms.
• I avoid public restrooms.
• ✔ I avoid group settings and other social interaction because I’m afraid I may harm others.
• ✔ I need to constantly be reassured by loved ones.
• ✔ I obsess over little things sometimes, like how a word sounds in my head or the way a sentence looks on paper.
• Other people have understandable fears of getting robbed or something, but I can become obsessed with it and it may keep me from leaving my home or taking extreme precautions to avoid the situation happening.
• Sometimes I imagine something terrible happening to a loved one, and * I try to get them do something to avoid the scenario I’ve made up, even if it makes no sense to them.
• ✔ I imagine all kinds of terrible scenarios happening to me or loved ones, and I can’t get them to go away.
• I would describe myself as hypersensitive to sounds, textures, etc.
• ✔ I have difficulty sleeping.
• With loved ones, sometimes I can’t help but focus on their negative aspects, and I have to question whether or not I really like them.
• ✔ I’m constantly second-guessing myself.
• I hate to be touched by others.
• I sometimes mirror other people.
• ✔ I repeat certain phrases to myself.

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