1. Intrusive, recurrent, and unwanted thoughts, images, or impulses that distress and/or interfere with the client’s daily routine, job performance, or social relationships.
2. Failed attempts to ignore or control these thoughts, images, or impulses or neutralize them with other thoughts and actions.
3. Recognition that obsessive thoughts are a product of his/her own mind.
4. Excessive concerns about dirt or unfounded fears of contracting a dreadful disease or illness.
5. Obsessions related to troubling aggressive or sexual thoughts, urges, or images.
6. Persistent and troubling thoughts about religious issues; excessive concern about morality and right or wrong.
7. Repetitive and intentional behaviors and/or mental acts that are done in response to obsessive thoughts or increased feelings of anxiety or fearfulness.
8. Repetitive and intentional behaviors and/or mental acts that are done to neutralize or prevent discomfort or some dreaded even; however, these behaviors or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive and unreasonable.
9. Recognition of repetitive behaviors and/or mental acts as excessive and unreasonable.
10. Cleaning and washing compulsions (e.g., excessive hand washing, bathing, showering, cleaning of household items).
11. Hoarding or collecting compulsions.
Checking compulsions (e.g., repeatedly checking to see if door is locked, rechecking homework to make sure it is done correctly, checking to make sure that no one has been harmed.
