Y-BOCS-II Self Report Version

Full Name

Date

Many people sometimes experience distressing or unwanted thoughts, ideas, or urges, and can feel the need to perform certain physical or mental actions in order to get rid of or lessen the distress associated with these thoughts. While it is common to experience these thoughts, for some people these thoughts and actions can be upsetting or disruptive.

The questions below are designed to help health professionals evaluate some of these symptoms. Please answer as accurately as you can — there are no right or wrong answers.

Part A

Obsessive Thoughts, Images & Urges

The following questions refer to repeated types of thoughts, images, sensations, or urges you may experience. Please indicate whether you have experienced each of the following thoughts, images, or urges during the last 30 days by clicking "Y" (yes) or "N" (no).

Examples are provided for clarification, but please note these are only representative — your own experiences may be similar, but distinct from the examples given.

Item

Part B

Impact of Obsessive Thoughts (scored 0–25)

Please answer the following questions regarding the unwanted thoughts, images, or urges that you indicated experiencing in Part A. Select the option that is most consistent with your experience during the past 30 days. You may refer back to Part A if needed.

Part C

Compulsions & Avoidance Behaviors

The following questions refer to behaviors, strategies, or actions people may use to minimize, avoid, or neutralize some of the intrusive or unwanted thoughts portrayed in Part A.

If any of the thoughts described in Part A have caused you to engage in any of the behaviors listed below during the last 30 days, please indicate so by clicking "Y" (yes) or "N" (no). You may refer back to Part A if needed.

Item

Part D

Impact of Compulsions & Avoidance (scored 0–25)

Please answer the following questions pertaining to the minimizing, neutralizing, or avoiding behaviors that you indicated experiencing in Part C. Select the option that is most consistent with your experience during the past 30 days. You may refer back to Part C if needed.

Please answer all required questions before submitting. Scroll up to find any unanswered items — they will be highlighted.

Score Summary

Y-BOCS-II Self Report Version

Part B

—

Obsessions / 25

Part D

—

Compulsions / 25

Total Score

—

out of 50

Subclinical Mild Moderate Severe Extreme

Severity: —

This score is intended as a clinical aid and should be interpreted by a qualified mental health professional. Scores reflect the past 30 days only.

Severity ranges: Subclinical (0–7) · Mild (8–15) · Moderate (16–23) · Severe (24–31) · Extreme (32–50)