Obsessive-compulsive disorder diagnosis

TORE (for obsessional symptoms)

  • Thought or act resisted unsuccessfully
  • Own thoughts in the patient’s mind (i.e. not psychotic)
  • Repetitive and unpleasant obsessions (thoughts, images or impulses)
  • Ego-dystonic – the patient does not enjoy these thoughts and finds them distressing

ICD-10 criteria. Obsessional symptoms or compulsive acts (or both) present on most days of the week for longer than 2 weeks. There needs to be associated distress or interference with activities as a result.