AN ATLAS OF DEPRESSION - PART 8

Thời gian ở xáo trộn, như xâm nhập và gây được đánh dấu-đó và lịch sự lo lắng hay suy Các suy nghĩ, xung, hoặc hình ảnh không phải lo lắng quá mức về thực Đơn giản chỉ cần-Những vấn đề cuộc sống Cố gắng bỏ qua hoặc ngăn chặn suy nghĩ như vậy, xung, hoặc hình ảnh cá nhân | Obsessions Compulsions 1 Recurrent and persistent thoughts impulses or images that are experienced at some time during the disturbance as intrusive and inappropriate and that cause marked anxiety or distress 2 The thoughts impulses or images are not simply excessive worries about real-life problems 3 The person attempts to ignore or suppress such thoughts impulses or images or to neutralize them with some other thought or action 4 The person recognizes that the obsessional thoughts impulses or images are a product of his or her own mind not imposed from without as in thought insertion 1 Repetitive behaviors . handwashing ordering checking or mental acts . praying counting repeating words silently that the person feels driven to perform in response to an obsession or according to rules that must be applied rigidly 2 The behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation however these behaviors or mental acts either are not connected in a realistic way with what they are designed to neutralize or prevent or are clearly excessive ị ị At some point during the course of the disorder has the person recognized that their obsessions or compulsions are excessive or unreasonable Note this does not apply to children r Yes No Has the obsession or compulsion caused marked distress are they time-consuming take more than 1 h day or significantly interfere with the person s normal routine occupational or academic functioning or usual social activities or relationships Ậ Yes If another Axis I disorder is present is the content of the obsessions or compulsions restricted to it . preoccupation with food in the presence of an eating disorder hair pulling in the presence of trichotillomania concern with appearance in the presence or body dysmorphic disorder preoccupation with drugs in the presence of a substance use disorder preoccupation with having a serious illness in the presence of hypochondriasis .

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