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OCD SEVERITY IS RATED IN HOURS A DAY
OCD Has A Severity Scale And It Counts Hours
The Condition Is Assumed To Mean A Few Minutes Of Straightening
That Sits At The Bottom Of The Scale
It Runs From Zero To Forty
Time And Interference And Distress Each Get A Rating
What Those Ratings Add Up To Has A Name At Each Level
This Part Covers The Range From Mild To Severe And What It Costs
THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.
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WHERE THE MILD END SITS ⏳
The Criteria Set A Floor Before Anything Counts
Symptoms Must Be Time Consuming Or Cause Significant Distress
One Hour A Day Is The Figure The Criteria Name
An Hour Of Anything Daily Is Not A Preference
Clinicians Rate Severity With A Scale Called The Yale Brown
Its First Question Asks How Much Time The Thoughts Occupy
The Lowest Rating Above Zero Is Less Than An Hour A Day
One To Three Hours Is The Rating Above It
That Is The Mild End Of The Range
The Same Scale Asks What Those Hours Interfere With
Slight Interference With Social Activities Is The Lowest Rating
Overall Performance Is Not Impaired At That Level
The Behaviours Themselves Are Ordinary Actions Repeated
Washing Checking Repeating And Straightening Are Named Examples
Some Rituals Are Mental And Happen Under The Breath
Thinking Or Saying Things Over And Over Counts
People With The Condition Usually Know It Makes No Sense
Patients Recognise The Irrational Nature Of Their Obsessions
They Report Feeling Powerless To Control Them Anyway
Only 2% To 4% Lack Insight Into Their Condition
Knowing Does Not Stop It
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WHAT THE SEVERE END TAKES 🧱
The Same Scale Keeps Going Past The Mild Ratings
Its Third Rating Is More Than Three Hours A Day
It Runs Up To Eight
The Top Rating Is More Than Eight Hours A Day
That One Is Described As Nearly Constant
Interference Has A Top Rating Called Incapacitating
Distress Ends At Near Constant And Disabling
Control Ends At Completely Involuntary
Obsessions Are Rarely Altered Even Momentarily At That Point
The Totals Sort People Into Named Bands
8 To 15 Is Mild
16 To 23 Is Moderate
24 To 31 Is Severe
32 To 40 Is The Extreme Band
A United States Survey Sorted Diagnosed Adults By Impairment
Serious Impairment Covers 50.6% Of Them
Moderate Impairment Accounts For 34.8%
Mild Impairment Is 14.6%
The Mild Band Is The Smallest Of The Three
Most Diagnosed Adults Are Not In It
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WHAT IT COSTS AROUND THEM 🏠
Researchers Have Measured What That Does To A Life
One Study Compared Quality Of Life Against Symptom Severity
Severity Correlated With Every Subscale They Measured
Work Shows Up In The Same Research
A British National Survey Recorded Employment For This Group
48% Perceived A Salary
16% Were Unemployed
36% Were Financially Inactive
3% Had Never Had A Job
The Condition Also Involves The People Nearby
Researchers Call Their Response Accommodation
Family Members Give Reassurance About The Fear
Some Take Part In The Rituals Themselves
Others Help The Person Avoid What Sets It Off
Those Three Are The Most Frequent Practices Recorded
Higher Accommodation Predicted Worse Outcomes Across All Treatments
Delays Before Seeking Treatment Have Named Causes
Embarrassment About The Symptoms Is One Of Them
Lack Of Knowledge About The Disorder Is Another
The Range Runs From Under An Hour To More Than Eight
Both Ends Have The Same Diagnosis
