Psychiatric Technician Practice Exam

According to DSM IV-TR, how long must obsessions and compulsions be engaged in for a diagnosis?

1. Less than 30 minutes

2. 30 minutes to one hour

3. More than one hour

4. Only when triggered by a stressor

The correct answer is: More than one hour

For a diagnosis of obsessive-compulsive disorder (OCD) as outlined in the DSM-IV-TR, it is specified that obsessions and compulsions must significantly consume time, typically defined as more than one hour per day. This time-engagement indicates the impact that these symptoms have on an individual’s functioning, as they can interfere greatly with daily living activities, relationships, and overall quality of life. Engaging in obsessions and compulsions for over one hour illustrates the intensity and persistence of these symptoms, supporting the diagnosis of OCD. The focus on time helps mental health professionals assess the severity of the disorder, guiding treatment decisions and interventions needed to manage the symptoms effectively. Options suggesting shorter durations do not align with the criteria set by the DSM-IV-TR, which emphasizes the chronic aspect and the degree to which these symptoms preoccupy the individual’s mind. The mention of being triggered by a stressor is relevant to some mental health conditions, but it does not pertain to the time criteria required for diagnosing OCD specifically.