Educational tool

An OCD reflection, not a diagnosis

35 questions about intrusive thoughts, rituals, reassurance, avoidance, and time cost over the past month, plus eight yes/no rule-out flags. This is for noticing patterns. It will not say you have OCD or any other disorder.

Four things to read first

  • Educational use only. This tool is for self-reflection and learning. It does not diagnose and it does not replace professional care.
  • Privacy. Your answers stay in this browser (localStorage). Nothing is sent to a server. Share only with people you trust or with a clinician.
  • Clinical follow-up. If your symptoms are distressing, persistent, or getting in the way of life, a licensed mental health professional can help clarify what is going on and what might help.
  • Crisis. If you may harm yourself or you do not feel safe, call or text 988 in the US, or use your local emergency number. Do not use this page as a safety plan.

Answer based on the past month. 0 = Not at all. 1 = Several days. 2 = More than half the days. 3 = Nearly every day.

0 of 43 answered. Answers save on this device only.

Intrusive thoughts, images, or urges

Unwanted thoughts that show up even when you do not want them.

01 Unwanted thoughts, images, or urges popped into my mind even when I didn't want them.

02 The thoughts felt upsetting, disturbing, or "not like me."

03 I worried that having a thought might mean something bad would happen.

04 I got stuck on doubts like "What if I didn't do it right?" or "What if I missed something?"

05 I had trouble letting go of uncertainty, even after I tried to reassure myself.

06 I had thoughts about accidentally causing harm (even when I didn't want to).

07 I had intrusive thoughts about taboo topics (sex, violence, religion) that felt distressing or shameful.

08 The more I tried not to think a thought, the more it came back.

Repetitive behaviors or mental rituals

Checking, washing, repeating, counting, reviewing, neutralizing.

09 I checked things repeatedly (locks, stove, messages, work) to feel sure.

10 I washed or cleaned more than I felt I "should," to feel safe or clean.

11 I repeated actions until they felt "just right" (redoing, rereading, rewriting).

12 I arranged or ordered things to reduce discomfort or prevent a bad feeling.

13 I counted, tapped, or followed rules in my mind to feel relief.

14 I mentally reviewed past events to be certain I didn't do something wrong.

15 I said phrases, prayed, or "canceled out" thoughts to neutralize them.

16 I felt driven to do these behaviors, even when I knew they didn't fully make sense.

Reassurance and certainty seeking

Asking, searching, confessing, repeating the question.

17 I asked others to confirm things were okay or safe (more than once).

18 I searched online or looked things up repeatedly to feel certain.

19 I confessed or explained my thoughts to get relief.

20 I kept asking the same question in different ways to feel sure.

21 Relief from reassurance didn't last long.

Avoidance and safety behaviors

Steering around triggers, extra steps, shrinking the map.

22 I avoided people, places, or objects that triggered intrusive thoughts.

23 I avoided certain tasks because I feared making a mistake or causing harm.

24 I used "safe" behaviors (gloves, extra steps, special routines) to prevent anxiety.

25 I delayed decisions because I didn't feel 100% sure.

26 My world felt smaller because of what I avoided.

Time cost and interference

Hours, lateness, work, relationships, distress about the cost.

27 Rituals or mental reviewing took up a lot of time.

28 My symptoms made me late or slowed me down.

29 These symptoms made it harder to finish work, school, or chores.

30 These symptoms affected my relationships (conflict, reassurance, or withdrawal).

31 I felt distressed about how much these symptoms affected my life.

Insight and belief strength

How real the fear feels in the moment. Higher scores mean the fear felt more necessary or more literal.

32 In the moment, my fears felt realistic, even if part of me doubted them later.

33 I felt I had to do rituals to prevent harm or reduce danger.

34 It was hard to accept "maybe" and move on.

35 Even when others said it was excessive, it still felt necessary.

Rule-out and overlap flags

These yes/no items are not added to the severity score. They help you notice other possible explanations.

36 My symptoms began or worsened after changes in caffeine, stimulants, cannabis, alcohol, or medications.

37 I have a medical condition that could affect anxiety or impulses (for example thyroid or neurological).

38 My main problem is excessive worry about real-life issues across many topics (more like constant everyday worry).

39 My main concern is my appearance or perceived flaws (with repetitive checking or fixing).

40 I struggle to discard possessions because of strong urges to save items (clutter).

41 I have repetitive movements or vocal sounds that feel tic-like.

42 I re-experience trauma (flashbacks or nightmares) and avoid trauma reminders.

43 My repetitive behaviors are mainly about weight, food, or body shape.

Four things to read first

  • Educational use only. This tool is for self-reflection and learning. It does not diagnose and it does not replace professional care.
  • Privacy. Your answers stay in this browser (localStorage). Nothing is sent to a server. Share only with people you trust or with a clinician.
  • Clinical follow-up. If your symptoms are distressing, persistent, or getting in the way of life, a licensed mental health professional can help clarify what is going on and what might help.
  • Crisis. If you may harm yourself or you do not feel safe, call or text 988 in the US, or use your local emergency number. Do not use this page as a safety plan.