OCD

Obsession Related Presenting Problems

Client reports recurrent, intrusive thoughts, images, urges, or doubts that are experienced as unwanted and difficult to dismiss.
Patient experiences persistent fears related to harm, responsibility, contamination, morality, relationships, health, or other personally significant concerns.
Client reports a strong need for certainty regarding memories, decisions, relationships, safety, morality, or other areas of perceived uncertainty.
Patient experiences intrusive thoughts or concerns related to sexual, aggressive, religious, existential, identity, or taboo themes that contribute to significant distress.

Client engages in repetitive checking, cleaning, washing, counting, ordering, repeating, or other behaviors intended to reduce anxiety or prevent a feared outcome.
Patient frequently seeks reassurance, confirmation, confession, or information from others or external sources to reduce doubt or distress.
Client engages in mental compulsions such as reviewing, analyzing, counting, praying, neutralizing, or attempting to replace unwanted thoughts.
Patient spends significant time reviewing events, comparing options, researching information, or mentally replaying experiences in an effort to achieve certainty or reduce distress.

Client avoids situations, people, objects, responsibilities, or activities due to fear of triggering obsessive thoughts or experiencing distress.
Patient reports that obsessive-compulsive symptoms interfere with work, school, relationships, self-care, parenting, healthcare engagement, or other daily responsibilities.
Client experiences difficulty completing routines or making decisions due to time spent engaging in compulsions, rumination, checking, reassurance seeking, or avoidance.
Patient reports reduced participation in meaningful, social, recreational, or valued activities due to obsessive-compulsive symptoms.

Client primarily experiences mental compulsions, rumination, internal checking, or self-reassurance that may not be readily observable to others.
Patient engages in covert rituals involving reviewing memories, analyzing feelings, monitoring bodily sensations, testing internal experiences, or attempting to neutralize thoughts.
Client presents excessive research, comparison, planning, or information gathering as problem-solving or responsible decision-making while these behaviors function to reduce obsessive doubt.
Patient engages in avoidance or safety behaviors that may appear to reflect personal preference, caution, or conscientiousness but are driven by obsessive fears or the need to prevent distress.

Client experiences significant anxiety, distress, guilt, disgust, or discomfort in response to obsessive thoughts and difficulty tolerating associated uncertainty.
Patient reports feeling compelled to achieve certainty or eliminate doubt before making decisions, completing tasks, or moving forward.
Client recognizes that obsessive concerns or compulsive behaviors may be excessive or unreasonable but continues to experience difficulty resisting them.
Patient experiences difficulty accepting uncertainty or the possibility that feared outcomes cannot be completely prevented, confirmed, or ruled out.