Person feels driven to perform in response to an obsession or to rules that must be applied rigidly. Obsessions Repetitive thoughts Ritual, compulsive behaviors Mixed depression with anxiety Emotional or behavioral symptoms in response to identifiable stressor occurring within 3 months of onset. Major depression Mood disorder of sadness, poor concentration, five or more symptoms daily for more than 2 weeks and these are a change in functioning. Regular work or other activities are impaired.
Substance use continues despite knowledge of problem.
Consult DSM-IV for diagnostic criteria.