OCD and Psychosis – Updated
In my previous post on OCD and Psychosis, I stated that one of the criteria for the diagnosis of obsessive-compulsive disorder is the sufferer’s realization that their obsessions and compulsions are irrational or illogical.
I was wrong. While this used to be the case, the DSM-5 now specifies that OCD may be seen with: good or fair insight, poor insight, absent insight/delusional beliefs.
Additionally, the statement, “At some point during the course of the disorder, the person has recognized that the obsessions or compulsions are excessive or unreasonable,” has been removed.