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 | |
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Concern with dirt, germs, certain illnesses(e.g., AIDS) |
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Concerns or disgust with bodily waste or secretions (e.g. urine, feces, saliva) |
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Excessive concern with environmental contaminants (e.g., asbestos, radiation, toxic waste) |
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Excessive concern with household items (e.g., cleaners, solvents) |
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Excessive concern about animals / insects |
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Excessively bothered by sticky substances or residues |
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Concerned will get others ill by spreading contaminant (aggressive) |
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No concern with consequences of contamination other than how it might feel |
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Other |
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| Aggressive Obsessions | ||
| Fear might harm self | ||
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Fear might harm others |
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| 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 | ||
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Fear will be responsible for something terrible happening (e.g. ,fire, burglary, flood) |
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| Other | ||
| Sexual Obsessions | ||
| Forbidden or perverse sexual thoughts, images, impulses | ||
| Content involves homosexuality | ||
| Sexual behavior towards others (aggressive) | ||
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Other |
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| Hoarding/Saving Obsessions | ||
| Fear of losing things | ||
| Other | ||
| Magical Thoughts / Superstitious Obsessions | ||
| Lucky / unlucky numbers, colors, words | ||
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Other |
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| Somatic Obsessions | ||
| Excessive concern with illness or disease | ||
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Excessive concern with body part or aspect of appearance (e.g. dysmorphophobia) |
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Other |
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| Religious Obsessions | ||
| Excessive concern or fear of offending religious objects | ||
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Excessive concern with right / wrong morally |
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Other |
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| Miscellaneous Obsessions | ||
| The need to know or remember | ||
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Fear of saying certain things |
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Fear of not saying just the right thing |
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Intrusive (non-violent) images |
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Intrusive sounds, words, music or numbers |
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Other |
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