OCD & Related
Anxiety & Fear-Based
Presence of obsessions (recurrent/persistent intrusive thoughts/urges/images + attempts to suppress or neutralise), compulsions (repetitive behaviours/mental acts driven by rigid rules aimed at reducing distress/feared event), or both
Excessive anxiety/worry about multiple events/activities, more days than not for ≥6 months
B. Obsessions/compulsions are time-consuming (>1 hr/day) or cause clinically significant distress/impairment C. Not attributable to physiological effects of a substance or another medical condition D. Not better explained by symptoms of another mental disorder
B. Difficulty controlling the worry C. ≥3 of 6 somatic/cognitive symptoms (≥1 in children): restlessness; easily fatigued; difficulty concentrating; irritability; muscle tension; sleep disturbance D. Clinically significant distress or impairment
A. Presence of obsessions (recurrent/persistent intrusive thoughts/urges/images + attempts to suppress or neutralise), compulsions (repetitive behaviours/mental acts driven by rigid rules aimed at reducing distress/feared event), or both B. Obsessions/compulsions are time-consuming (>1 hr/day) or cause clinically significant distress/impairment C. Not attributable to physiological effects of a substance or another medical condition
A. Excessive anxiety/worry about multiple events/activities, more days than not for ≥6 months B. Difficulty controlling the worry C. ≥3 of 6 somatic/cognitive symptoms (≥1 in children): restlessness; easily fatigued; difficulty concentrating; irritability; muscle tension; sleep disturbance
With good or fair insight; With poor insight; With absent insight / delusional beliefs; Tic-related
No DSM-5-TR specifiers for this disorder
GAD (worry is ego-syntonic, future-focused, realistic - OCD obsessions are ego-dystonic, intrusive, irrational); OCPD (ego-syntonic perfectionism without obsessions/compulsions); MDD (rumination is mood-congruent, not intrusive; no compulsions)
Panic disorder (discrete panic attacks with fear of recurrence); Social anxiety disorder (fear specifically of social scrutiny); OCD (intrusive obsessions are ego-dystonic)