A. Compulsions often occupy a large portion of an individuals day, leading to marked occupational and social impairment.
B. Situations that provoke symptoms are often avoided, such as occurs when an individual with obsessions of contamination avoids touching anything that might be dirty.
C. Depression is common in patients with OCD. Alcohol or sedative-hypnotic drug abuse, in an attempt to reduce distress, is common.
D. Washing and checking rituals are common in children with OCD, and these children may not consider their behavior to be unreasonable or excessive.
E. Patients are reluctant to discuss symptoms, leading to an underdiagnosis of OCD.
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