Loading…
Presentation comparison
Urgent4 of 7 diagnoses compared
| CriteriaComparison detail | OCDUrgent |
|---|
Distinguishes intrusive/obsessional phenomena from psychotic or violent intent.
Clinical reference — not validated decision support. Review before use.
| Perinatal OCDEmergency |
|---|
| PTSD intrusive memoriesUrgent |
|---|
| Psychotic delusionUrgent |
|---|
| Overvalued ideaUrgentNot selected |
|---|
| GAD worryUrgentNot selected |
|---|
| Genuine violentUrgentNot selected |
|---|
| Why it fits | Repetitive intrusive harm/contamination/sexual/religious thoughts with rituals, reassurance, avoidance. Ego-dystonic, resisted | Postpartum/antenatal distressing infant-harm images/urges with checking/avoidance. Ego-dystonic, horrifying, preserved insight | Repetitive images, body memories, reliving, dissociative episodes linked to trauma | Fixed bizarre/persecutory belief with impaired reality testing, conviction-based | Strongly held but understandable idea around weight/appearance/health/morality. Between obsession and delusion | Repeated catastrophic thinking, mental rehearsal, hopeless rumination without compulsions | Desire/plan/willingness to harm, ego-syntonic, grievance-based, with preparation |
|---|---|---|---|---|---|---|---|
| What argues against | Applies to the whole presentationReview locally. | ||||||
| Must-not-miss | Functional collapse, hidden shame, severe depression, suicidality | Failure to feed/care, severe insomnia, concealed risk | Severe dissociation, self-harm, substance use, child-safety impairment | Command phenomena, severe self-neglect, violence | |||
| Bedside question | Applies to the whole presentationDistinguishes intrusive/obsessional phenomena from psychotic or violent intent. | ||||||
| Immediate action | Applies to the whole presentationStabilise and reassess. | ||||||
| Investigations | Applies to the whole presentationGuided by presentation. | ||||||
| Mimics / overlap | Applies to the whole presentationReview overlap locally. | ||||||
Scroll horizontally to review more candidate differentials. Clinical reference — not validated decision support. Review before use.
Review locally.
Distinguishes intrusive/obsessional phenomena from psychotic or violent intent.
Stabilise and reassess.
Guided by presentation.
Review overlap locally.
Repetitive intrusive harm/contamination/sexual/religious thoughts with rituals, reassurance, avoidance. Ego-dystonic, resisted
Functional collapse, hidden shame, severe depression, suicidality
Postpartum/antenatal distressing infant-harm images/urges with checking/avoidance. Ego-dystonic, horrifying, preserved insight
Failure to feed/care, severe insomnia
Repetitive images, body memories, reliving, dissociative episodes linked to trauma
Severe dissociation, self-harm
Fixed bizarre/persecutory belief with impaired reality testing, conviction-based
Command phenomena, severe self-neglect,
Based on current selection
Create a concise comparison summary for documentation or handoff.
Source pending review
v10 | Local content only
Last updated: Pending review
Based on current selection
Create a concise comparison summary for documentation or handoff.
Source pending review
v10 | Local content only
Last updated: Pending review
| Starvation, self-injury, escalating treatment refusal |
| Severe insomnia, suicidality, marked psychomotor slowing, functional collapse |
| Immediate child-safety or public-safety emergency, weapon access, stalking |