OCI

Omar Hussein
Name………………………………………… 16 / 1/ 2025
Date………………..

The following statements refer to experiences which many people have in their everyday lives. In the
column labelled DISTRESS, please CIRCLE the number that best describes HOW MUCH that
experience has DISTRESSED or BOTHERED YOU DURING THE PAST MONTH. The numbers in
this column refer to the following labels: 0 = Not at all 1 = A little 2 = Moderately 3 = A lot
4 = Extremely
___________________________________________________________________________
DISTRESS

1. Unpleasant thoughts come into my mind against my will and 0 1 2 3 4

I cannot get rid of them

2. I think contact with bodily secretions (perspiration, saliva, 0 1 2 3 4

blood, urine, etc) may contaminate my clothes or somehow
harm me.

3. I ask people to repeat things to me several times, even though 0 1 2 3 4

I understood them the first time.

4. I wash and clean obsessively. 0 1 2 3 4

5. I have to review mentally past events, conversations and actions 0 1 2 3 4

to make sure that I didn't do something wrong.

6. I have saved up so many things that they get in the way. 0 1 2 3 4

7. I check things more often than necessary 0 1 2 3 4

8. I avoid using public toilets because I am afraid of disease or 0 1 2 3 4

contamination.

9. I repeatedly check doors, windows, drawers etc. 0 1 2 3 4

10. I repeatedly check gas and water taps and light switches after 0 1 2 3 4
turning them off.

11. I collect things I don't need. 0 1 2 3 4

12. I have thoughts of having hurt someone without knowing it. 0 1 2 3 4

13. I have thoughts that I might want to harm myself or others. 0 1 2 3 4

14. I get upset if objects are not arranged properly. 0 1 2 3 4

15. I feel obliged to follow a particular order in dressing, 0 1 2 3 4

undressing and washing myself.

16. I feel compelled to count while I am doing things 0 1 2 3 4

17. I am afraid of impulsively doing embarrassing or harmful 0 1 2 3 4

things.

18. I need to pray to cancel bad thoughts or feelings. 0 1 2 3 4

19. I keep on checking forms or other things I have written. 0 1 2 3 4

20. I get upset at the sight of knives, scissors and other sharp 0 1 2 3 4
objects in case I lose control with them.

21. I am excessively concerned about cleanliness. 0 1 2 3 4

22. I find it difficult to touch an object when I know it has been 0 1 2 3 4

touched by strangers or certain people.

23. I need things to be arranged in a particular order 0 1 2 3 4

 DISTRESS
24. I get behind in my work because I repeat things over and over 0 1 2 3 4
again.

25. I feel I have to repeat certain numbers. 0 1 2 3 4

26. After doing something carefully, I still have the impression 0 1 2 3 4

I have not finished it.

27. I find it difficult to touch garbage or dirty things. 0 1 2 3 4

28. I find it difficult to control my own thoughts. 0 1 2 3 4

29. I have to do things over and over again until it feels right. 0 1 2 3 4

30. I am upset by unpleasant thoughts that come into my mind 0 1 2 3 4

against my will.

31. Before going to sleep I have to do certain things in a certain 0 1 2 3 4

way.

32. I go back to places to make sure that I have not harmed anyone. 0 1 2 3 4

33. I frequently get nasty thoughts and have difficulty in getting 0 1 2 3 4

rid of them.

34. I avoid throwing things away because I am afraid I might need 0 1 2 3 4

them later.

35. I get upset if others change the way I have arranged my things. 0 1 2 3 4

36. I feel that I must repeat certain words or phrases in my mind 0 1 2 3 4

in order to wipe out bad thoughts, feelings or actions.

37. After I have done things, I have persistent doubts about whether 0 1 2 3 4
I really did them.

38. I sometimes have to wash or clean myself simply because 0 1 2 3 4

I feel contaminated.

39. I feel that there are good and bad numbers. 0 1 2 3 4

40. I repeatedly check anything which might cause a fire. 0 1 2 3 4

41. Even when I do something very carefully I feel that it is not 0 1 2 3 4

quite right.

42. I wash my hands more often or longer than necessary. 0 1 2 3 4

_______________________________OCI Scoring ________________________________

For therapist use:

Washing 16 Related questions : 4,8,38,42
Checking 19 Related questions : 7,9,10,19,40
Doubting 19 Related questions : 3,17,18,30,37
Ordering 14 Related questions : 14,15,23,35
Obsessions 20 Related questions : 1,2,12,13,28
Hoarding 10 Related questions : 6,11,34
Neutralising 11 Related questions : 16 ,20,36
Total 109
 Case Study Report
Patient Background:
The patient completed the Obsessive-Compulsive Inventory (OCI) scoring system, with a total score of
109, indicating a significant level of distress and dysfunction associated with obsessive-compulsive
symptoms.

Symptom Severity Analysis:

1. Washing (16):
• The patient demonstrates moderate compulsions related to excessive washing behaviors,
likely linked to contamination fears.
2. Checking (19):
• High level of compulsive checking behaviors, possibly to prevent perceived harm or
ensure safety.
3. Doubting (19):
• High scores indicate pervasive doubts, which may contribute to repetitive behaviors and
decision-making difficulties.
4. Ordering (14):
• Moderate need for arranging items or maintaining specific orderliness.
5. Obsessions (20):
• High levels of intrusive thoughts causing significant distress, pointing to the core of
obsessive-compulsive symptoms.
6. Hoarding (10):
• Mild tendencies to accumulate or struggle with discarding items, which may not be a
primary concern.
7. Neutralizing (11):
• Moderate reliance on rituals or mental acts to “neutralize” intrusive thoughts or prevent
feared outcomes.

Clinical Impression:
The patient presents with severe obsessive-compulsive disorder (OCD), characterized by high
obsessional distress (score 20) and prominent compulsive behaviors, particularly checking, doubting,
and washing. These symptoms significantly impair daily functioning and require targeted intervention.

Treatment Recommendations:
1. Cognitive Behavioral Therapy (CBT):
• Focused on Exposure and Response Prevention (ERP) to reduce compulsive behaviors and
address underlying fears.
2. Pharmacological Intervention:
• Consider selective serotonin reuptake inhibitors (SSRIs) to manage obsessive thoughts and
compulsive behaviors.
3. Psychoeducation:
• Educate the patient about OCD mechanisms to enhance insight and collaboration in therapy.
4. Stress and Anxiety Management:
• Incorporate relaxation techniques and mindfulness exercises to reduce general anxiety.
5. Family or Support Involvement:
• Encourage supportive interactions and reduce accommodation of OCD behaviors by
close ones.
Prognosis:
With consistent therapeutic engagement and possible pharmacological support, the prognosis is
favorable. Structured interventions can substantially reduce symptom severity and improve overall
quality of life.