diagnosing obsessive compulsive disorder
Simple screening questions can be used clinically to help diagnose OCD when the symptoms are significantly distressing or interfering in a person's life. NICE suggests the following questions:
A positive response to one of the above questions warrants onward referral (1).
Some patients may have symptoms which are easily observable and reported while some may be unaware of their symptoms or feel too ashamed and stigmatised to seek help. These patients may present with
Covert or stigmatizing compulsions are difficult to recognise especially since patients believe that their own intrusive thoughts or images are too shameful and try to hide it without revealing the content of their intrusive thoughts (owing to the fear of being misunderstood or being reported to social services). Onward referral after reassuring the patient that unacceptable or senseless thoughts are extremely normal in OCD (1).
Last reviewed 01/2018