Question 1 Do you feel driven to collect certain types of objects that have little or no use, and feel unable

to throw them away? Examples Hoarding dozens of old food wrappers in your bedroom. Having multiple piles of trash and jun accumulate around your house or yard. Question ! Have you fre"uently e#perienced thoughts or images in your mind of natural disasters or horrific violence? Examples $rrationally having a recurring fear that an earth"ua e will stri e. %epeatedly playing imagery in your head of physical torture or violent war scenes. Question & Do you feel an overwhelming and persistent sense of fear and an#iety about being contaminated or infected by germs, bacteria or dirt? Examples 'eeling disgusted by ma ing physical contact with other people, such as sha ing hands (eing unable to touch door handles in public)buildings or use public transpo Question * +re you always abandoning and restarting wor or writing mid)way through, because it is messy or you feel it,s "uality is inade"uate? Examples -ften ta ing several attempts to fill out a written application form. %epeatedly deleting your progress in writing a simple email, and rewriting it from the start. Question . Do you often thin about or e#perience images in your mind of unacceptable se#ual thoughts, including criminal and inhumane acts? Examples /#periencing visions in your mind of forced or violent se#. %epeated thoughts of se# involving humiliation or degradation of one partner.

Question 0 Do you feel uncomfortable or have negative associations with a particular color? Examples /#periencing discomfort or strain when entering a room with walls painted with a certain color. 'eeling li e any of your possessions that contain a certain color are unluc y.

Question 1 Do you often feel driven to count and "uantify groups of objects, or your possessions? Examples 2ubconsciously counting the number of items stac ed on a supermar et shelf. 3ounting the amount of tiles on the floor as you are wal down a corridor. Question 4 Do you often worry about losing a particular personal belonging, a possession that is important to you? Examples +lways clasping a piece of jewellery to your body, for fear of dropping it. 5eeding to regularly chec that a family photo)album is in fact where you left it uestion 6 Do you e#perience constant religious)based fears, or e#cessively practise religious rituals and rites? Examples (eing unable to restrain yourself from constantly repeating religious verses or praying. +n e#cessive and irrational fear of committing even very minor sins. Question 17 Do you repeatedly chec whether appliances are turned off, or eep rechec ing that doors and windows are loc ed? Examples %epeatedly chec ing the stove is switched off over. 3hec ing the front and bac door are loc ed several times before going to bed Question 11 Do you feel uncomfortable with uneven numbers generally, or seeing groups of objects in odd)numbered multiples? Examples +voiding purchasing food)pac ages from the supermar et in odd)numbered multiples. 'eeling li e you have to remove a can of soda from a pac et to even the remaining number. Question 1! Do you seem to have a persistent fear of infecting other people with a disease or illness? Examples Having to cover your mouth public spaces to prevent germs spreading. +n an#ious concern that you may infect a partner with a 28D without ever having been diagnosed with it. Question 1&

+re you often late for social events or appointments because of e#cessive personal) grooming routines? Examples 'eeling compelled to adhere to a strict, lengthy regime for applying ma e)up and styling hair before being able to leave the house for wor . /#cessively straightening your tie and collar whilst on the way to a dinner engagement, and being constantly concerned that it is out of place. Question 1* Do you often feel compelled to organize and reposition objects in a certain order, or to arrange your possessions in similar patterns? Examples 3onstantly feeling li e you need to straighten furniture in your house. +lways ta ing care to evenly space groceries in the pantry, and have face them facing the same way. Question 1. Do you have recurring thoughts or images of yourself or someone you now suffering a serious injury, or death? Examples -ften picturing yourself falling from a building rooftop. 3onstantly worrying that a family member will die in a car accident. Question 10 Do you feel driven to repeatedly clean your bedroom or house to the point where your friends and family consider it e#cessive? Examples 9iping the itchen benches over and over, and feeling concerned if anyone prepares food on them. Dusting your house multiple times each day, including rooms where people aren,t li ely to enter. Question 11 Do you often feel li e your s in is unclean or infected with germs, and feel a urgent need to shower? Examples 9ashing your hand multiple times each hour, and feeling repulsed by touching other people,s s in. Having several showers each day, even to the point where your s ins becomes dry and irritated. Question 14 Do you routinely worry about personal security without reasonable cause ) of being robbed or physically attac ed? Examples -ften fearing your home to be bro en into and robbed while you are at wor . 're"uently chec ing your poc ets because you feel li e your wallet has been stolen.

3hild : +dolescent -3D 8est

3hildren and adolescents with -bsessive)3ompulsive Disorder ;-3D< e#perience obsessions ;repetitive, unwanted thoughts, ideas, or images<, and:or perform compulsions ;repetitive behaviors< in an effort to avoid or decrease the an#iety created by these obsessions. 8he -3D 3enter of =os +ngeles offers the following brief "uestionnaire in an effort to help you get a better idea of whether or not your child is e#hibiting signs of -bsessive)3ompulsive Disorder ;-3D<. 2imply chec those items that apply to you, and email it to us using the simple form below. 9hile this "uestionnaire is not meant to replace a thorough evaluation, it may help in identifying traits of -bsessive)3ompulsive Disorder ;-3D<.

1. !. &. *.

>y child worries e#cessively about dirt and:or germs and:or bodily fluids ;blood, spit, sweat, urine, etc<. >y child washes and:or showers e#cessively or in a very specific way. >y child avoids touching other people or being touched by others. >y child e#cessively cleans his:her room or toys or boo s or other objects that don,t really need cleaning. >y child ta es e#tra care that his:her things ;i.e., clothes, bedroom, toys, school boo s< are always neat and clean and orderly, and gets upset if others mess things up. $f my child does things on one side of his:her body, he:she often needs to do a similar action on the other side in order to ma e things ?e"ual?, or ?even?, or symmetrical. 2ometimes my child has to repeatedly chec things ;i.e., water faucets, light switches, door loc s<. >y child often has to put things away ?just right? or put things away in special places. >y child often needs to count several times while doing basic tas s ;i.e. getting dressed, putting away toys<. >y child often needs to do basic behaviors ;i.e., homewor , getting dressed, putting away toys, eating< in a very specific order.

..

0.

1. 4. 6. 17.

11.

>y child often chec s his:her homewor or household chores repeatedly to ma e sure that things are correct and perfect, and sometimes needs to redo his:her homewor or household chores to ma e things are 177@ perfect. >y child needs do his:her homewor at a certain time and:or place. >y child worries e#cessively that his:her parents or brothers or sisters might have an accident or that something bad might happen to them. >y child worries e#cessively about accidentally hurting other people. >y child worries e#cessively about purposely hurting him:her self, family members, school mates, or others. >y child is very uncomfortable with household items ;i.e., nives, scissors, bro en glass, etc.< that he:she thin s of as dangerous. >y child has certain ?bad? or ?unluc y? numbers that must be avoided at all costs, and certain ?good? or ?special? numbers?

1!. 1&. 1*. 1.. 10. 11. 14.

DSM IV Obsessive Compulsive Disorder (OCD) Criteria

+. /ither obsessions or compulsionsA Obsessions as defined by (1), (2), (3), and (4)A ;1< recurrent and persistent thoughts, impulses, or images that are e#perienced at some time during the disturbance, as intrusive and inappropriate and that cause mar ed an#iety or distress ;!< the thoughts, impulses, or images are not simply e#cessive worries about real)life problems ;&< the person attempts to ignore or suppress such thoughts, impulses, or images, or to neutralize them with some other thought or action

;*< the person recognizes that the obsessional thoughts, impulses, or images are a product of his or her own mind ;not imposed from without as in thought insertion< Compulsions as defined by (1) and (2): ;1< repetitive behaviors ;e.g., hand washing, ordering, chec ing< or mental acts ;e.g., praying, counting, repeating words silently< that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly ;!< the behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situationB however, these behaviors or mental acts either are not connected in a realistic way with what they are designed to neutralize or prevent or are clearly e#cessive (. +t some point during the course of the disorder, the person has recognized that the obsessions or compulsions are e#cessive or unreasonable. Note: 8his does not apply to children. 3. 8he obsessions or compulsions cause mar ed distress, are time consuming ;ta e more than 1 hour a day<, or significantly interfere with the personCs normal routine, occupational ;or academic< functioning, or usual social activities or relationships. D. $ another +#is $ disorder is present, the content of the obsessions or compulsions is not restricted to it ;e.g., preoccupation with food in the presence of an /ating DisorderB hair pulling in the presence of 8richotillomaniaB concern with appearance in the presence of (ody Dysmorphic DisorderB preoccupation with drugs in the presence of a 2ubstance Dse DisorderB preoccupation with having a serious illness in the presence of HypochondriasisB preoccupation with se#ual urges or fantasies in the presence of a EaraphiliaB or guilty ruminations in the presence of >ajor Depressive Disorder<. /. 8he disturbance is not due to the direct physiological effects of a substance ;e.g., a drug of abuse, a medication< or a general medical condition.