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Symptoms and Signs – Differential Diagnosis of Obsessive-Compulsive Disorder (OCD)
• Delusions or psychosis, which may be mistaken for obsessive thoughts; distinguished from OCD in that the individual recognizes the ideas are not real
• Major depression, hypochondriasis, and several anxiety disorders with predominant obsessions or compulsions; however, in these disorders, the thoughts are not anxiety provoking or extremes of normal concern
• Other conditions in which compulsive behaviors are seen (e.g., trichotillomania)
• Other psychiatric disorders in which obsessive thoughts occur (e.g., body dysmorphic disorder or phobias)
• Paraphilias or pathologic gambling; distinguished from compulsions in that they are usually enjoyable
• Tics and stereotypic movements that appear compulsive but are not driven by the desire to neutralize an obsession
• Delusions or psychosis, which may be mistaken for obsessive thoughts; distinguished from OCD in that the individual recognizes the ideas are not real
• Major depression, hypochondriasis, and several anxiety disorders with predominant obsessions or compulsions; however, in these disorders, the thoughts are not anxiety provoking or extremes of normal concern
• Other conditions in which compulsive behaviors are seen (e.g., trichotillomania)
• Other psychiatric disorders in which obsessive thoughts occur (e.g., body dysmorphic disorder or phobias)
• Paraphilias or pathologic gambling; distinguished from compulsions in that they are usually enjoyable
• Tics and stereotypic movements that appear compulsive but are not driven by the desire to neutralize an obsession
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