Quote:
Originally Posted by jimi...
I have a hard time understand how OCD has a delusional variant in itself (that isn't for example dysmorphophobia). I have looked around for a definition in DSM-5 but pretty hard to find.
You have a link?
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This describes briefly the findings in the DSM V in relation to delusional thought.
Quote: American Psychiatric Publishing
"
Specifiers for Obsessive-Compulsive and Related Disorders
The “with poor insight” specifier for obsessive-compulsive disorder has been refined in DSM-5 to allow
a distinction between individuals with good or fair insight, poor insight, and “absent insight/delusional”
obsessive-compulsive disorder beliefs (i.e., complete conviction that obsessive-compulsive disorder
beliefs are true). Analogous “insight” specifiers have been included for body dysmorphic disorder and
hoarding disorder. These specifiers are intended to improve differential diagnosis by emphasizing that
individuals with these two disorders may present with a range of insight into their disorder-related be
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liefs, including absent insight/delusional symptoms. This change also emphasizes that the presence of
absent insight/delusional beliefs warrants a diagnosis of the relevant obsessive-compulsive or related
disorder, rather than a schizophrenia spectrum and other psychotic disorder. The “tic-related” specifier
for obsessive-compulsive disorder reflects a growing literature on the diagnostic validity and clinical
utility of identifying individuals with a current or past comorbid tic disorder, because this comorbidity
may have important clinical implications"