Differential consideration
OCD
F42.2OCD & Related
Why consider it
OCD spectrum but appearance-focused; use BDD diagnosis when appearance concerns predominate
Criteria and features to review
- 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
- D. Not better explained by symptoms of another mental disorder
Questions to clarify
- Which documented criteria and exclusions are met for each possibility?
- What timeline, course, and functional change best distinguishes the alternatives?
- Are substance, medication, medical, developmental, and contextual explanations adequately assessed?