Other Specified Obsessive-Compulsive and Related Disorders

Primer

Other specified Obsessive-Compulsive and Related Disorder is a category of DSM-5 diagnoses that applies to individuals who have symptoms characteristic of obsessive compulsive disorders (e.g. - obsessive compulsive disorder, body dysmorphic disorder) but do not meet the full criteria for any of them. This category in OCD also includes disorders with cultural components that have symptoms characteristic of OCD. “Other Specified” diagnoses are not limited to these disorders and are used throughout the DSM-5 to capture presentations where individuals have significant clinical impairment but do not meet standard criteria.[1]

Diagnostic Criteria

Body dysmorphic-like disorder with actual flaws

Body dysmorphic-like disorder without repetitive behaviors

Body-focused repetitive behavior disorder (e.g. - nail/lip biting, cheek chewing)

Obsessional jealousy

Shubo-kyofu (excessive fear of having a bodily deformity)

Koro (fear that penis or vulva/nipples will recede into body)

Jikoshu-kyofu (fear of having offensive body odour)

Cultural

Taijin kyofusho

Common in Japan/Korea, characterized by a fear that one's appearance/behaviors are embarrassing or are offensive to others.

Jikoshi–kyofu (Olfactory Reference Syndrome)

Preoccupation with belief of having foul/offensive body odour. There are repetitive behaviours in response to odour concerns (e.g. - washing, comparing to others). Can cause significant distress/impairment.

References

1) American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA.