 211 OBSESSIVE-COMPULSIVE DISORDER (OCD) CLIENT PRESENTATION 1. Recurrent/Persistent Thoughts (1) * A. The client described recurrent and persistent thoughts or impulses that are viewed as senseless, intrusive, and time consuming and that interfere with his/h er daily routine. B. The intensity of the recurrent and persistent thoughts and impulses is so severe that the client is unable to efficiently perform daily duties or interact in social relationships. C. The strength of the client's obsessive thoughts ha s diminished, and he/she has become more efficient in his/her daily routine. D. The client reported that the obsessive thoughts are under significant control and he/she is able to focus attention and effort on the task at hand. 2. Failed Control Attempts (2) A. The client reported failure at attempts to control or ignore his/her obsessive thoughts or impulses. B. The client described many different failed attempts at learning to control or ignore his/her obsessions. C. The client is beginning to experi ence some success at controlling and ignoring his/her obsessive thoughts and impulses. 3. Recognize Internal Source of Obsessions (3) A. The client has a poor understanding that his/her obsessive thoughts are a product of his/her own mind. B. The client reported that he/she recognizes the obsessive thoughts are a product of his/her own mind and are not coming from some outside source or power. C. The client acknowledged that the obsessive thoughts are related to anxiety and are not a sign of any psychot ic process. 4. Compulsive Behaviors (4) A. The client described repetitive and intentional behaviors that are performed in a ritualistic fashion. B. The client's compulsive behavior pattern follows rigid rules and has many repetitions to it. C. The rep etitive and intentional behaviors of the client are performed in response to obsessive thoughts. D. The client's repetitive and compulsive behavior is engaged in to prevent some dreaded situation from occurring, which the client is often not able to defin e clearly. E. The client's repetitive and compulsive behavior rituals are not connected in any realistic way with what the client is trying to prevent or neutralize. * The numbers in parentheses correlate to the number of the Behavioral Definition statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 