1. Either obsessions or compulsions |
Obsessions |
Recurrent thoughts, impulses or images that cause
marked anxiety or distress, are experienced as intrusive, go beyond
excessive worry about real-life problems, and are not related to
another mental disorder (eg, are not limited to thoughts about food in a person
with anorexia nervosa). |
Compulsions |
Ritualistic behaviors or mental acts that are performed
in response to an obsession or need to be rigidly carried out. These
behaviors are excessive and performed to decrease anxiety or distress
or avoid some dreaded event, but they are not realistically connected
to those dreaded events. |
2. The obsessions or compulsions are time-consuming
(more than one hour per day), cause clinically significant distress, or
interfere with a person's daily routine and occupational or social
functioning. |