Topic summary

Obsessive-compulsive

Obsessive-compulsive

Extracted from the Wikipedia article Obsessive–compulsive disorder.

Diagnosis

Moreover, the obsessions or compulsions must be time-consuming, often taking up more than one hour per day or cause impairment in social, occupational or scholastic functioning. It is helpful to quantify the severity of symptoms and impairment before and during treatment for OCD. In addition to the person's estimate of the time spent each day harboring obsessive-compulsive thoughts or behaviors, concrete tools can be used to gauge the person's condition. This may be done with rating scales, such as the Yale–Brown Obsessive–Compulsive Scale (Y-BOCS; expert rating) or the obsessive–compulsive inventory (OCI-R; self-rating). A 2025 systematic review found that the 8-question Child Behavior Checklist–Obsessive-Compulsive Subscale (CBCL-OCD/OCS) demonstrates moderate accuracy in identifying children likely to have OCD and may help guide referrals for specialist evaluation. With measurements such as these, psychiatric consultation can be more appropriately determined, as it has been standardized.