5-column thought record
What is a 5-column thought record? See an explanation, figure, example and printable PDF for use in cognitive behavioural therapy and with care in OCD.
Terms and models
A clinical reference guide to key concepts, clinical models and treatment principles in OCD.
What is a 5-column thought record? See an explanation, figure, example and printable PDF for use in cognitive behavioural therapy and with care in OCD.
Learn how DSM-5-TR describes OCD, what the criteria mean in practice, and how insight, tic-related OCD and ICD-11 fit into clinical assessment.
ICD-11 is WHO's international disease classification. Learn what ICD-11 means for OCD, how the criteria are understood, and why comorbidity, insight and clinical assessment still matter.
Intrusive thoughts are unwanted thoughts, images or impulses. Learn why they are common, and when they can become obsessions in OCD.
Negative reinforcement makes an OCD response more likely when it is followed by relief. Learn the difference between reinforcement, punishment, escape and avoidance.
Obsessions and compulsions are central OCD symptoms. Learn how intrusive thoughts, mental rituals, avoidance and reassurance can keep OCD going.
What does relief mean in OCD? Learn why compulsions and mental rituals can bring short-term safety or completion without being the same as recovery.
The cognitive diamond is a model in cognitive behavioural therapy used to understand the interaction between thoughts, feelings, body and action in a specific situation.
The three-part functional model of OCD distinguishes between retrospective, reactive and proactive functions. Learn what OCD strategies are trying to achieve.