Obsessive-compulsive disorder

Definition

Obsessive-Compulsive Disorder is characterised by the presence of persistent obsessions or compulsions, or most commonly both. Obsessions are repetitive and persistent thoughts, images, or impulses/urges that are intrusive, unwanted, and are commonly associated with anxiety. The individual attempts to ignore or suppress obsessions or to neutralize them by performing compulsions. Compulsions are repetitive behaviours including repetitive mental acts that the individual feels driven to perform in response to an obsession, according to rigid rules, or to achieve a sense of ‘completeness’. In order for obsessive-compulsive disorder to be diagnosed, obsessions and compulsions must be time consuming (e.g. taking more than an hour per day) or result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.

Inclusions

• anankastic neurosis
• obsessive-compulsive neurosis

Exclusions

• obsessive compulsive behaviour (MB23.4)

3 subordinate codes

• 6B20.0Obsessive-compulsive disorder with fair to good insight
• 6B20.1Obsessive-compulsive disorder with poor to absent insight
• 4B4ZDiseases of the immune system, unspecified

Nearby in Obsessive-compulsive or related disorders

• 6B21Body dysmorphic disorder
• 6B22Olfactory reference disorder
• 6B23Hypochondriasis
• 6B24Hoarding disorder
• 6B25Body-focused repetitive behaviour disorders
• Substance-induced obsessive-compulsive or related disorders
• 4B4YOther specified diseases of the immune system
• 4B4ZDiseases of the immune system, unspecified