Please check which boxes apply currently or have happened in the past but are not current. If you have not had a symptom, please move to the next question.
| Contamination Obsessions | ||
| Current | Past | |
|
Concern with dirt, germs, certain illnesses(e.g., AIDS) |
||
|
Concerns or disgust with bodily waste or secretions (e.g. urine, feces, saliva) |
||
|
Excessive concern with environmental contaminants (e.g., asbestos, radiation, toxic waste) |
||
|
Excessive concern with household items (e.g., cleaners, solvents) |
||
|
Excessive concern about animals / insects |
||
|
Excessively bothered by sticky substances or residues |
||
|
Concerned will get others ill by spreading contaminant (aggressive) |
||
|
No concern with consequences of contamination other than how it might feel |
||
|
Other |
||
| Aggressive Obsessions | ||
| Fear might harm self | ||
|
Fear might harm others |
||
| Fear harm will come to self | ||
| Fear harm will come to others (maybe because of something child did or did not do) | ||
| Violent or horrific images | ||
| Fear of blurting out obscenities or insults | ||
| Fear of doing something embarrassing | ||
| Fear will act on unwanted impulses (e.g., to stab a family member) | ||
| Fear will steal things | ||
|
Fear will be responsible for something terrible happening (e.g. ,fire, burglary, flood) |
||
| Other | ||
| Sexual Obsessions | ||
| Forbidden or perverse sexual thoughts, images, impulses | ||
| Content involves homosexuality | ||
| Sexual behavior towards others (aggressive) | ||
|
Other |
||
| Hoarding/Saving Obsessions | ||
| Fear of losing things | ||
| Other | ||
| Magical Thoughts / Superstitious Obsessions | ||
| Lucky / unlucky numbers, colors, words | ||
|
Other |
||
| Somatic Obsessions | ||
| Excessive concern with illness or disease | ||
|
Excessive concern with body part or aspect of appearance (e.g. dysmorphophobia) |
||
|
Other |
||
| Religious Obsessions | ||
| Excessive concern or fear of offending religious objects | ||
|
Excessive concern with right / wrong morally |
||
|
Other |
||
| Miscellaneous Obsessions | ||
| The need to know or remember | ||
|
Fear of saying certain things |
||
|
Fear of not saying just the right thing |
||
|
Intrusive (non-violent) images |
||
|
Intrusive sounds, words, music or numbers |
||
|
Other |
||
|
|
||