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Using the following form you can generate a Target Symptoms List. Check all symptoms that apply. Distinguish between current and past symptoms (first and second check-boxes). Items marked "*" may or may not be an OCD phenomena.


AGGRESSIVE OBSESSIONS
Fear might harm self
Fear might harm others
Violent or horrific images
Fear of blurting out obscenities or insults
Fear of doing something else embarrassing*
Fear will act on unwanted impulses (e.g., to stab friend)
Fear will steal things
Fear will harm others because not careful enough (e.g. hit/run motor vehicle accident)
Fear will be responsible for something else terrible happening (e.g., fire, burglary)
Other

CONTAMINATION OBSESSIONS
Concerns or disgust with bodily waste or secretions (e.g., urine, feces, saliva)
Concern with dirt or germs
Excessive concern with environmental contaminants (e.g. asbestos, radiation toxic waste)
Excessive concern with household items (e.g., cleansers solvents)
Excessive concern with animals (e.g., insects)
Bothered by sticky substances or residues
Concerned will get ill because of contaminant
Concerned will get others ill by spreading contaminant (Aggressive)
No concern with consequences of contamination other than how it might feel

SEXUAL OBSESSIONS
Forbidden or perverse sexual thoughts, images, or impulses
Content involves children or incest
Content involves homosexuality*
Sexual behavior towards others (Aggressive)*
Other

HOARDING/SAVING OBSESSIONS
(distinguish from hobbies and concern with objects of monetary or sentimental value)
             

RELIGIOUS OBSESSIONS (Scrupulosity)
Concerned with sacrilege and blasphemy
Excess concern with right/wrong, morality
Other

OBSESSION WITH NEED FOR SYMMETRY OR EXACTNESS
Accompanied by magical thinking (e.g., concerned that another will have accident dent unless less things are in the right place)
Not accompanied by magical thinking

MISCELLANEOUS OBSESSIONS
Need to know or remember
Fear of saying certain things
Fear of not saying just the right thing
Fear of losing things
Intrusive (nonviolent) images
Intrusive nonsense sounds, words, or music
Bothered by certain sounds/noises*
Lucky/unlucky numbers
Colors with special significance
3 superstitious fears
Other

SOMATIC OBSESSIONS
Concern with illness or disease*
Excessive concern with body part or aspect of Appearance (eg., dysmorphophobia)*
Other

CLEANING/WASHING COMPULSIONS
Excessive or ritualized handwashing
Excessive or ritualized showering, bathing, toothbrushing grooming, or toilet routine Involves cleaning of household items or other inanimate objects
Other measures to prevent or remove contact with contaminants
Other

CHECKING COMPULSIONS
Checking locks, stove, appliances etc.
Checking that did rot/will not harm others
Checking that did not/will not harm self
Checking that nothing terrible did/will happen
Checking that did not make mistake
Checking tied to somatic obsessions
Other

REPEATING RITUALS
Rereading or rewriting
Need to repeat routine activities jog, in/out door, up/down from chair)
Other

COUNTING COMPULSIONS
             

ORDERING/ARRANGING COMPULSIONS
             

HOARDING/COLLECTING COMPULSIONS
(distinguish from hobbies and concern with objects of monetary or sentimental value (e.g., carefully reads junk mail, piles up old newspapers, sorts through garbage, collects useless objects)
             

MISCELLANEOUS COMPULSIONS
Mental rituals (other than checking/counting)
Excessive listmaking
Need to tell, ask, or confess
Need to touch, tap, or rub*
Rituals involving blinking or staring*
Measures (not checking) to prevent: harm to self - harm to others terrible consequences
Ritualized eating behaviors*
Superstitious behaviors
Trichotillomania *
Other self-damaging or self-mutilating behaviors*
Other




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