1. Either obsessions or compulsions |
Obsessions |
Recurrent thoughts, impulses or images that cause marked anxiety or distress, are experienced as intrusive, go beyond excessive worry about real-life problems, and are not related to another mental disorder (eg, are not limited to thoughts about food in a person with anorexia nervosa). |
Compulsions |
Ritualistic behaviors or mental acts that are performed in response to an obsession or need to be rigidly carried out. These behaviors are excessive and performed to decrease anxiety or distress or avoid some dreaded event, but they are not realistically connected to those dreaded events. |
2. The obsessions or compulsions are time-consuming (more than one hour per day), cause clinically significant distress, or interfere with a person's daily routine and occupational or social functioning. |
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