Handouts & questionnaires for obsessive compulsive disorder & body dysmorphic disorder
Here are a collection of downloadable forms, questionnaires and handouts that I use when working with people struggling with obsessive compulsive disorder and body dysmorphic disorder.
Normal intrusions - a list of 52 "normal intrusive thoughts" with the percentage of 293 students (none of whom had been diagnosed with a mental health problem) who reported that they had experienced this thought. I often hand out this leaflet to help people realize that experiencing occasional disturbing intrusive thoughts is totally normal.
OCD diagnosis & prevalence - leaflet giving DSM-IV diagnostic criteria for obsessive-compulsive disorder and some details of prevalence rates.
Obsessive-compulsive inventory (OCI) - this is designed as a questionnaire to be completed by people suffering from OCD (unlike the interviewer administered Y-BOCS below). It is recommended for use by the NHS Increasing Access to Psychological Therapies (IAPT) initiative. Here is a Word version with each question 'tagged' to indicate which subscale it refers to (the hoarding subscale is probably the least helpful). The UK Institute of Psychiatry website provides a PDF version of the scale and see too pages 22-23 of their booklet for more details on OCI scoring, including typical scores for OCD sufferers and a 'normal' control group. It is suggested too that a total score of 40 or more suggests probable "caseness". Note both versions of the OCI given above just assess distress, not frequency, of symptoms.
Yale-Brown obsessive compulsive scale (Y-BOCS) - probably the best known OCD assessment scale. Ideally it is administered by somebody who is trained in its use. For online versions of the Y-BOCS scale & checklist, a downloadable PDF of the scale, background research and other helpful information visit www.brainphysics.com/ybocs.php
OCD flow chart (Menzies) - an interesting & informative flow chart developed by Menzies and colleagues in Australia.
OCD flow chart & explanation (Wells) - this flow chart developed by Adrian Wells is particularly helpful in guiding cognitive behavioural therapy for OCD. The behavioural exposure & response prevention approach is at the heart of treatment, but other cognitive targets can usefully be included in therapy. The explanatory background sheet gives helpful instructions on using the flow chart that are relevant for both sufferer and therapist.
BDD-YBOCS questionnaire - the Y-BOCS (see above) adapted for Body Dysmorphic Disorder.
BDD-YBOCS score sheet - answers to the questionnaire scale (above) can be scored onto this sheet.
Dysfunctional thoughts record - a classic cognitive therapy thought record sheet adapted for use in OCD.
Assessing rituals - simple listing, general diary & timed diary - forms for assessing what rituals are being used.
Assessing obsessions - simple listing of obsessions, often used with the rituals diaries (see above)
Target symptoms list (long term goals) - this sheet & the one below are used in conjunction with Lee Baer's fine self-help OCD book "Getting control" - often useful to use with therapist help.
Rating progress (practice goals) - used with Lee Baer's book on OCD (see above).
Exposure practice record - a simple exposure & response prevention exercise record sheet for OCD exposure (real life) practice.
Imagery practice record - a simple exposure & response prevention exercise record sheet for OCD exposure (in imagery) practice.