Obsessive-Compulsive Disorder: Medical History

The medical history (history of illness) represents an important component in the diagnosis of obsessive-compulsive disorder.

Family history

Social history

  • Is there any evidence of psychosocial stress or strain due to your family situation?

Current medical history/systemic history (somatic and psychological complaints).

  • In the past month, have you often felt down, sadly depressed, or hopeless?
  • In the past month, have you had significantly less desire and pleasure in doing things you usually enjoy?
  • Do you wash and clean a lot?
  • Do you check very much?
  • Do you have nagging thoughts that you want to get rid of but can’t?
  • Do everyday activities take you a long time?
  • Do you worry about order and symmetry?
  • What other complaints have you noticed?
  • Since when do they occur?
  • In what frequency do they occur?
  • Was/is there a trigger for the thoughts/actions?
  • What are you doing to address these compulsions?
  • How does your environment deal with the problem?
  • What is your daily routine?
  • Do you feel limited in your quality of life?
  • Do you feel so bad that you think about death or that it would be better to be dead?* .

Vegetative history including nutritional history.

  • Do you eat a balanced diet?
  • Do you suffer from binge eating?
  • Do you drink alcohol? If so, what drink(s) and how many glasses per day?
  • Do you use drugs? If yes, what drugs and how often per day or per week?

Self history incl. medication history.

  • Pre-existing conditions (mental health problems)
  • Operations
  • Allergies
  • Medication history

* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Information without guarantee)