Primarily obsessional obsessive–compulsive disorder
Lesser-known form of OCD involving mostly mental compulsions that are difficult to observe / From Wikipedia, the free encyclopedia
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Primarily obsessional obsessive–compulsive disorder, also known as purely obsessional obsessive–compulsive disorder (Pure O),[1] is a lesser-known form or manifestation of OCD. It is not a diagnosis in the DSM-5.[2] For people with primarily obsessional OCD, there are fewer observable compulsions, compared to those commonly seen with the typical form of OCD (checking, counting, hand-washing, etc.). While ritualizing and neutralizing behaviors do take place, they are mostly cognitive in nature, involving mental avoidance and excessive rumination.[3] Primarily obsessional OCD takes the form of intrusive thoughts often of a distressing, sexual, or violent nature (e.g., fear of acting on impulses).[4]
According to the DSM-5, "The obsessive-compulsive and related disorders differ from developmentally normative preoccupations and rituals by being excessive or persisting beyond developmentally appropriate periods. The distinction between the presence of subclinical symptoms and a clinical disorder requires assessment of a number of factors, including the individual's level of distress and impairment in functioning."[2]