A disorder characterized by the presence of obsessions or compulsions or both that are time-consuming (more than 1 hour per day) or cause clinically significant distress or impairment.
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Obsessions
Repetitive and persistent thoughts, images, or urges that are intrusive, unwanted, and cause marked distress. Individuals attempt to ignore, suppress, or neutralize them with other thoughts or actions.
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Compulsions
Repetitive behaviors or mental acts performed in response to obsessions or rigid rules. They are performed to reduce distress or prevent feared events, but are often unrealistic or excessive.
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Body Dysmorphic Disorder
Preoccupation with perceived defects or flaws in physical appearance that are not observable or only slight to others. Preoccupations occur on average 3-8 hours per day and focus commonly on skin, hair, or nose.
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Hoarding Disorder
Persistent difficulty discarding possessions due to perceived need to save them and distress associated with discarding. This results in accumulation of possessions that clutter active living areas.
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Trichotillomania (Hair-Pulling Disorder)
Recurrent pulling out of hair resulting in hair loss with repeated unsuccessful attempts to decrease or stop the behavior. Most common sites are scalp, eyebrows, and eyelids.
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Excoriation (Skin-Picking) Disorder
Recurrent skin picking resulting in skin lesions with repeated attempts to decrease or stop the behavior. Most common sites are face, arms, and hands, often involving fingernails or tools.
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Body areas in Body Dysmorphic Disorder
Most commonly involve skin, hair, or nose, but can include eyes, teeth, weight, stomach, breasts, legs, face, lips, chin, eyebrows, and genitals.
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Time spent on preoccupations
In Body Dysmorphic Disorder, preoccupations are intrusive, unwanted, and time-consuming, occurring on average 3-8 hours per day and are usually difficult to resist or control.
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Common items saved in Hoarding
Most commonly newspapers, magazines, clothing, bags, books, mail, and papers, though virtually any item can be saved.
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Hair-pulling awareness styles
Some individuals display focused attention with preceding tension and subsequent relief, while others display automatic behavior without full awareness, with many experiencing both styles.
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Physical sensations in Trichotillomania
Some individuals report an itch-like or tingling sensation in the scalp that is alleviated by pulling hair. Pain does not usually accompany the hair pulling.