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Processes and mechanisms
Repeated checking or ritualised responses that may relate to doubt or an intrusive concern.
Fit, function and alternatives
A contextual factor earns a place in the formulation when case evidence links it to the presentation, not because it is present.
Check alternatives
Do not infer the process from a label, search phrase or diagnosis alone. Assess actual circumstances and source-specific population limits.
Next steps
Elicit case evidence, examine alternatives, discuss the hypothesis with the person, and revise when relevant evidence changes.
Qualification
Distinguish ordinary checking, actual safety needs and OCD assessment. The same act can have different functions.
Caveats for this record