The essential features of Obsessive-Compulsive Disorder (OCD) are recurrent obsessions, e.g., persistent ideas, thoughts, impulses, images, that cause marked anxiety or distress, and compulsions; or repetitive behaviors, e.g., hand-washing, ordering, checking used to prevent or reduce anxiety or distress. The obsessions and compulsions are time-consuming (take more than one hour per day) and significantly interfere with the individual’s normal routine, job functioning, usual social activities and/or relationships with others.

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