Yale-Brown Obsessive Compulsive Scale (Y-BOCS)

Questions 1 to 5 are about your obsessive thoughts.

Obsessions are unwanted ideas, images or impulses that intrude on thinking against your wishes and efforts to resist them. They usually involve themes of harm, risk and danger. Common obsessions are excessive fears of contamination; recurring doubts about danger, extreme concern with order, symmetry, or exactness; fear of losing important things.

Questions 6 to 10 are about your compulsive behaviors.

Compulsions are urges that people have to do something to lessen feelings of anxiety or other discomfort. Often they do repetitive, purposeful, intentional behaviors called rituals. The behavior itself may seem appropriate but it becomes a ritual when done to excess. Washing, checking, repeating, straightening, hoarding and many other behaviors can be rituals. Some rituals are mental. For example, thinking or saying things over and over under your breath.

1. How much of your time is occupied by obsessive thoughts?

None 0Less than 1 hr/day or occasional occurrence +11 to 3 hrs/day or frequent +2Greater than 3 and up to 8 hrs/day or very frequent occurrence +3Greater than 8 hrs/day or nearly constant occurrence +4

2. How much do your obsessive thoughts interfere with your work, school, social, or other important role functioning? Is there anything that you don’t do because of them?

None 0Slight interference with social or other activities, but overall performance not impaired +1Definite interference with social or occupational performance, but still manageable +2Causes substantial impairment in social or occupational performance +3Incapacitating +4

3. How much distress do your obsessive thoughts cause you?

None 0Not too disturbing +1Disturbing, but still manageable +2Very disturbing +3Near constant and disabling distress +4

4. How much of an effort do you make to resist the obsessive thoughts? How often do you try to disregard or turn your attention away from these thoughts as they enter your mind?

Try to resist all the time 0Try to resist most of the time +1Make some effort to resist +2Yield to all obsessions without attempting to control them, but with some reluctance +3Completely and willingly yield to all obsessions +4

5. How much control do you have over your obsessive thoughts? How successful are you in stopping or diverting your obsessive thinking? Can you dismiss them?

Complete control 0Usually able to stop or divert obsessions with some effort and concentration +1Sometimes able to stop or divert obsessions +2Rarely successful in stopping or dismissing obsessions, can only divert attention with difficulty +3Obsessions are completely involuntary, rarely able to even momentarily alter obsessive thinking +4

6. How much time do you spend performing compulsive behaviors? How much longer than most people does it take to complete routine activities because of your rituals? How frequently do you do rituals?

None 0Less than 1 hr/day or occasional performance of compulsive behaviors +1From 1 to 3 hrs/day, or frequent performance of compulsive behaviors +2More than 3 and up to 8 hrs/day, or very frequent performance of compulsive behaviors +3More than 8 hrs/day, or near constant performance of compulsive behaviors (too numerous to count) +4

7. How much do your compulsive behaviors interfere with your work, school, social, or other important role functioning? Is there anything that you don’t do because of the compulsions?

8. How would you feel if prevented from performing your compulsion(s)? How anxious would you become?

None 0Only slightly anxious if compulsions prevented +1Anxiety would mount but remain manageable if compulsions prevented +2Prominent and very disturbing increase in anxiety if compulsions interrupted +3Incapacitating anxiety from any intervention aimed at modifying activity +4

9. How much of an effort do you make to resist the compulsions?

Always try to resist 0Try to resist most of the time +1Make some effort to resist +2Yield to almost all compulsions without attempting to control them, but with some reluctance +3Completely and willingly yield to all compulsions +4

10. How strong is the drive to perform the compulsive behavior? How much control do you have over the compulsions?

Complete control 0Pressure to perform the behavior but usually able to exercise voluntary control over it +1Strong pressure to perform behavior, can control it only with difficulty +2Very strong drive to perform behavior, must be carried to completion, can only delay with difficulty +3Drive to perform behavior experienced as completely involuntary and over-powering, rarely able to even momentarily delay activity. +4

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Sub-clinical state

Yale-Brown Obsessive Compulsive Scale (Y-BOCS)

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