Obsessive Compulsive Assessment - Change Clinic by Dr. Heba Abdelaziz

This field is hidden when viewing the form

Score

Obsessions are unwanted ideas, images or impulses that intrude on thinking against your wishes and efforts to resist them. They usually involve themes of harm, risk and danger. Common obsessions are excessive fears of contamination; recurring doubts about danger, extreme concern with order, symmetry, or exactness; fear of losing important things.

1. TIME OCCUPIED BY OBSESSIVE THOUGHTS

How much of your time is occupied by obsessive thoughts?(Required)

None

Less than 1 hr/day or occasional occurrence

1 to 3 hrs/day or frequent

Greater than 3 and up to 8 hrs/day or very frequent occurrence

Greater than 8 hrs/day or nearly constant occurrence

2. INTERFERENCE DUE TO OBSESSIVE THOUGHTS

How much do your obsessive thoughts interfere with your work, school, social, or other important role functioning? Is there anything that you don’t do because of them?(Required)

None

Slight interference with social or other activities, but overall performance not impaired

Definite interference with social or occupational performance, but still manageable

Causes substantial impairment in social or occupational performance

Incapacitating

3. DISTRESS ASSOCIATED WITH OBSESSIVE THOUGHTS

How much distress do your obsessive thoughts cause you?(Required)

None

Not too disturbing

Disturbing, but still manageable

Very disturbing

Near constant and disabling distress

4. RESISTANCE AGAINST OBSESSIONS

How much of an effort do you make to resist the obsessive thoughts? How often do you try to disregard or turn your attention away from these thoughts as they enter your mind?(Required)

Try to resist all the time

Try to resist most of the time

Make some effort to resist

Yield to all obsessions without attempting to control them, but with some reluctance

Completely and willingly yield to all obsessions

5. DEGREE OF CONTROL OVER OBSESSIVE THOUGHTS

How much control do you have over your obsessive thoughts? How successful are you in stopping or diverting your obsessive thinking? Can you dismiss them?(Required)

Complete control

Usually able to stop or divert obsessions with some effort and concentration

Sometimes able to stop or divert obsessions

Rarely successful in stopping or dismissing obsessions, can only divert attention with difficulty

Obsessions are completely involuntary, rarely able to even momentarily alter obsessive thinking.

6. TIME SPENT PERFORMING COMPULSIVE BEHAVIORS

How much time do you spend performing compulsive behaviors? How much longer than most people does it take to complete routine activities because of your rituals? How frequently do you do rituals?(Required)

None

Less than 1 hr/day or occasional performance of compulsive behaviors

From 1 to 3 hrs/day, or frequent performance of compulsive behaviors

More than 3 and up to 8 hrs/day, or very frequent performance of compulsive behaviors

More than 8 hrs/day, or near constant performance of compulsive behaviors (too numerous to count)

7. INTERFERENCE DUE TO COMPULSIVE BEHAVIORS

How much do your compulsive behaviors interfere with your work, school, social, or other important role functioning? Is there anything that you don’t do because of the compulsions?(Required)

None

Slight interference with social or other activities, but overall performance not impaired

Definite interference with social or occupational performance, but still manageable

Causes substantial impairment in social or occupational performance

Incapacitating

8. DISTRESS ASSOCIATED WITH COMPULSIVE BEHAVIOR

How would you feel if prevented from performing your compulsion(s)? How anxious would you become?(Required)

None

Only slightly anxious if compulsions prevented

Anxiety would mount but remain manageable if compulsions prevented

Prominent and very disturbing increase in anxiety if compulsions interrupted

Incapacitating anxiety from any intervention aimed at modifying activity

9. RESISTANCE AGAINST COMPULSIONS

How much of an effort do you make to resist the compulsions?(Required)

Always try to resist

Try to resist most of the time

Make some effort to resist

Yield to almost all compulsions without attempting to control them, but with some reluctance

Completely and willingly yield to all compulsions

10. DEGREE OF CONTROL OVER COMPULSIVE BEHAVIOR

How strong is the drive to perform the compulsive behavior? How much control do you have over the compulsions?(Required)

Complete control

Pressure to perform the behavior but usually able to exercise voluntary control over it

Strong pressure to perform behavior, can control it only with difficulty

Very strong drive to perform behavior, must be carried to completion, can only delay with difficulty

Drive to perform behavior experienced as completely involuntary and over- powering, rarely able to even momentarily delay activity

Name

First Last

Phone

Password

Enter Password Confirm Password

This field is hidden when viewing the form

User ID if logged-in

Comments

This field is for validation purposes and should be left unchanged.