Compulsions

a. Repetitive behaviors or acts that the person feels driven to perform in response to an obsession.

b. These behaviors or mental acts are aimed at preventing distress or preventing a specific dreaded event, but they are not connected in a realistic way to what they are attempting to prevent, or they are clearly excessive.

3. The person has recognized that the obsessions or compulsions are excessive or unreasonable.

4. The obsessions or compulsions cause marked distress, take more than a hour a day, or significantly interfere with functioning.

5. If another psychiatric disorder is present, the content of the symptoms is not restricted to the disorder (eg, preoccupation with food in an eating disorder or preoccupation with drugs in a substance abuse disorder).

6. The disturbance is not caused by substance abuse or a medical condition.

7. Specify if the patient has poor insight into his illness. Poor insight is present if for most of the current episode, the person does not recognize the symptoms as excessive or unreasonable.

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