Fri, Mar 04 | LIVE WEBINAR

OCD or Something Else? Navigating Differential Diagnosis and Clinical Assessments Part One

OCD or Something Else? Navigating Differential Diagnosis and Clinical Assessments Part One

Time & Location

Mar 04, 11:00 AM – 12:30 PM EST

About The Event

Course Title: OCD or Something Else? Navigating Differential Diagnosis and Clinical Assessments Part One

Presented by Nicole Gibson, LPC, MS.Ed, NCC 

Date: March 4th 2022

Time: 11.00 AM EST - 12.30 PM EST 

Cost: $10 

Level: Introductory 

Credit Hours: 1.5 Clinical CEs 

***Please click “READ MORE” below for important information***

IN ORDER TO PARTICIPATE IN THIS WEBINAR YOU MUST READ THE FOLLOWING INFORMATION CAREGULLY AND FOLLOW ALL INSTRUCTIONS. You will be asked to sign off that you read this information on the registration page.

Description: As clinicians, one of the most important roles we have is appropriate assessment and diagnosis to guide treatment. This can be a challenging task for even the most seasoned clinician. Inaccurate diagnoses can have major implications on the success of treatment (Foa, 2012). Obsessive Compulsive Disorder (OCD) can be one of the more difficult diagnoses to conceptualize as clinicians. However, when diagnosed appropriately, research has suggested that exposure and response prevention is the best-known form of treatment for OCD (Foa, 2012), making appropriate diagnosis crucial for successful outcomes for this population. This is the first of a two-part training where participants will be provided information to better assist them in the difficult task of assessing client symptomology and differentiating OCD from other clinical profiles. Recent literature and best practices in the field of OCD will be integrated throughout.



11a – 11:15a - Introduction & Course Overview (Conflicts of interest, learning objectives, limitations)

11:15a – 11:25a - DSM criteria for OCD

11:25 a-11:35a - Differential Diagnosis for OCD

11:35A-11:42a - Case Study

11:42a- 12:00P - Differential Diagnosis for OCD

12:00P-12:15P - Risk Assessment

12:15p-12:30P - Recap/Questions and Answers

Learning Objectives:

  • Participants will be able to identify the key differences between OCD and differential diagnosis.
  • Participants will be able to determine a client’s risk level by differentiating between actual risk and intrusive obsessive content.

Part 2 also available for registration at Participants are able to attend each part individually or all parts. Participation in all parts is not required.

Course bibliography:

►  American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). The American Psychiatric Association.

►  Baylor College of Medicine. (2021). Examining the Differential Diagnosis between OCD and PTSD, Mental Illness Research, Education and Clinical Center. Retrieved from

►  Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology, 110(4), 585–599.

►  Burgy, M. (2007). Obsession in the Strict Sense: A Helpful Psychopathological Phenomenon in the Differential Diagnosis Between Obsessive-Compulsive Disorder and Schizophrenia, Psychopathology,  40, 102-110, DOI: 10.1159/000098490

►  Coles, M., Mennin, D., Heimberg, R. (2011). Distinguishing Obsessive Features and worries: the role of thought-action fusion, Behaviour Research and Therapy,  39(8), 947-959, DOI: 10.1016/S0005-7967(00)00072-3

►  Falk, A., Goldman, R., Mohatt, J. (2020) Is it OCD or an Anxiety Disorder? Considerations for Differential Diagnosis and Treatment, Psychiatric Times, 37 (6).

►  Ferrao, Y., Almeida, V., Bedin, N., Rosa, R. & Busnello, E. (2006). Impulsivity and Compulsivity in patients with trichotillomania or skin picking compared with patients with obsessive-compulsive disorder,Comprehensive Psychiatry,  47, 282-288, DOI:10.1016/j.comppsych.2005.11.005

►  Foa, E. B., Yadin, E., & Lichner, T. K. (2012). Exposure and response (ritual) prevention for obsessive-compulsive disorder: Therapist guide, Oxford University Press.

►  Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P. M. (2002). The Obsessive-Compulsive Inventory: Development and validation of a short version, Psychological Assessment, 14(4), 485–496.

►  Goodman, W. (2020), Distinguishing OCD From Other Conditions. PsychCentral,

►  Grant, J., Odlaug, Won Kim, S. (2010). A clinical comparison of pathological skin picking and obsessive-compulsive disorder, Comprehensive Psychiatry,  51, 347-352, doi:10.1016/j.comppsych.2009.10.006

►  Hollander, E., Benzaquen, S. (1997). The Obsessive-Compulsive Spectrum Disorder, International Review of Psychiatry, 9(1), 99–110. EBSCOhost, DOI:10.1080/09540269775628.

►  Hollander, E., Doernberg, E., Shavitt, R., Waterman, R., Soreni, N., Veltman, D., Sahakian, B., Fineberg, N. (2016). The cost and Impact of compulsivity: A research perspective, European Neuropsychopharmacology, 26(5), 800-809, DOI: 10.1016/j.euroneuro.2016.02.006

►  Hudak, Robert (2008). Schizophrenia and OCD: A Consideration of Schizo-Obsessive Disorder. International OCD Foundation.

►  Kelly, O.,  Gans, S. (2019). Comparing OCD and Body Dysmorphic Disorder Symptoms. VeryWellMind.

►  Kitis, A, Kivircik Akdede, B., Alptekin, K., Akvardar, Y., Arkar, H., Erol, A., Kaya, N. (2007). Cognitive dysfunctions in patients with obsessive-compulsive disorder compares to the patients with schizophrenia patients: relation to overvalued ideations,  Pyschopharmacology and Biological Psychiatry, 31 (1), 254-261, DOI: 10.1016/j.pnpbp.2006.06.022

►  Kitis, A., Akdede, B, Alptekin, K., Akvardar, Y., Arkar, H., Erol, A., and Kaya, N. (2007). Cognitive Dysfunctions in patients with obsessive-compulsive disorder compared to the patients with schizophrenia patients: Relation to overvalued ideas, Prog Neuropsychopharmacol Biol Psychiatry,  31(1), 254-261, DOI: 10.1016/j.pnpbp.2006.06.022

►  Kozak, M. and Foa, E. (1993). Obsessions, Overvalued Ideas, and delusions in obsessive-compulsive disorder, Behaviour Resesarch and Therapy, 32(3), 343-353, DOI: 005-7967(93)E0011-S

►  Mancebo, M., Eisen, J., Grant, J., Rasmussen, S. (2005). Obsessive Compulsive Personality Disorder and Obsessive Compulsive Disorder: Clinical Characteristics, Diagnostic Difficulties and Treatment,  Annals of Clinical Psychiatry,  17, 197-204, DOI: 10.1080/10401230500295305

►  McKay, D., Neziroglu, F., Yaryura-Tobias, J. (1997). Comparison of Clinical Characteristics in Obsessive-Compulsive Disorder and Body Dysmorphic Disorder, Journal of Anxiety Disorders,  11(4), 447-454, DOI: 0887.6185/97

►  National Institute of Mental Health. (2017).  Obsessive-Compulsive Disorder. National Institute of Mental Health.

►  Neziroglu, F., McKay, D,, & Yaryura-Tobias, J. (2000). Overlapping and Distinctive Features of Hypochondriasis and Obsessive-Compulsive Disorder,  Journal of Anxiety Disorders, 14(6), 603-614, DOI: 10.1016/S0887-6185(00)00053-0

►  Neziroglu, F., Sander, J. (2009). The Relationship between Eating Disorders and OCD Part of the Spectrum. International OCD Foundation.

►  OCD Center of Los Angeles. (2012, 2, 21). Harm OCD: Symptoms and Treatment. OCD Center of Los Angeles.

►  OCD Center of Los Angeles. (2019, 7, 10). OCD vs. GAD and How to Tell the Difference. OCD Center of Los Angeles.

►  O’Connor, K. (2001). Clinical and psychological features distinguishing obsessive-compulsive and chronic tic disorders, Clinical Psychology Review,  21(4), 631-660, DOI: 10.1016/S0272-7358(00)00055-6

►  Pallanti, S.,  Grasi, G., Sarrecchia, E., Cantisani, A., and Pellegrini, M. (2011). Obsessive-Compulsive Disorder Comorbidity: Clinical Assessment and Therapeutic Implications,  Frontiers in Psychiatry, DOI: 10.3389/fpsyt.2011.00070

►  Paula-Perez, I. (2012). Differential diagnosis between obsessive compulsive disorder and restrictive and repetitive behavioural patterns, activities and interests in autism spectrum disorders, Revista de Psiquiatría y Salud Mental (English Edition),  6(4), 141-190, 10.1016/j.rpsmen.2012.07.006.

►  Phillips, K., Pinto, A., Menard, W., Eisen, J., Mancebo, M., Rasmussen, S. (2007). Obsessive-Compulsive Disorder versus body dysmorphic disorder: a comparison study of two possibly related disorders,Depression and Anxiety, 24 (6), 399-409, DOI: 10.1002/da.20232

►  Pinto, A., Steinglass, J., Greene, A. Weber, E., Simpson, H. (2014). Capacity to Delay Reward Differentiates Obsessive-Compulsive Disorder and Obsessive-Compulsive Personality Disorder, Biological Psychiatry,  75(8), 653-659, DOI: 10.1016/j.biopsych.2013.09.007

►  Ruscio, A., Stein, D., Chiu, W. et al (2010). The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication, Mol Psychiatry, 15, 53–63,

►  Storch, E.A., Kay, B., Wu M.S., Nadeau, J.M., Riemann, B. (2017). Suicidal and death ideation among adults with obsessive-compulsive disorder presenting for intensive intervention, Annals of Clinical Psychiatry : Official Journal of the American Academy of Clinical Psychiatrists,  29(1), 46-53.

►  Torres, A., Prince, M., Bebbington, P., Bhugra, D., Brugha, T., Fareell, M., et al (2006). Obsessive-Compulsive Disorder: Prevalence,  Comorbidity, Impact, Help Seeking in the British National Psychiatric Morbidity Survey of 2000, The American Journal of Psychiatry, 163(11), 1978-1985.

►  Tukel, R., Keser, V., Karali, N., Olgun, T., Calokusu, C. (2001). Comparison of clinical characteristics in trichotillomania and obsessive-compulsive disorder, Journal of Anxiety Disorders, 15(5), 433-441. DOI: 10/1016/S0887-6185(01)00074-3.

Veale, D., Freeston, M., Krebs, G., Heyman, I. and Salkovskis, P. (2009). Risk assessment and management in obsessive-compulsive disorder, Advances in Psychiatric Treatment,  15, 332-343, DOI: 10.1192/apt.bp.107.004705.

Approvals: Cognitive Behavior Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. Cognitive Behavior Institute maintains responsibility for this program and its content. Cognitive Behavior Institute, #1771, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Cognitive Behavior Institute maintains responsibility for this course. ACE provider approval period: 06/30/2021 – 06/30/2022. Social workers completing this course receive 1.5 continuing education credits. Cognitive Behavior Institute has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7117. Programs that do not qualify for NBCC credit are clearly identified. Cognitive Behavior Institute is solely responsible for all aspects of the programs. Cognitive Behavior Institute, LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0646. Cognitive Behavior Institute, LLC is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0216.Cognitive Behavior Institute, LLC is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0098.

Accommodation Information: Our webinars are available to anyone who is able to access the internet. For those who are vision impaired graphs and videos are described verbally. We also read all of the questions and comments that are asked of our speakers. All questions and comments are made via the chat function. For those that require it, please contact us at for more information on and/or to request closed-captioning.

What is the process for getting continuing education?

While anyone is welcome to sign up for and attend our training, we recognize that many attendees plan to get continuing education for their attendance. The steps below outline what to expect regarding continuing education.

Step 1: Register. To register for an event, scroll to the bottom of the event page on our website Click the “+” sign next to Quantity to say “1” and then click “Checkout.” Once you click through those steps, you will get an email requesting that you complete your registration from Complete your registration at the link, making sure to double check the spelling of your email address. After you followed the steps in that email, a webinar link will be emailed to you from If you did not receive either of these emails, please check your spam folders. It is a good idea to copy and paste the webinar link into a place you can easily find it later, such as into an event on your calendar.

Step 2: Attend the Training. On the day of the training, go to your email in the 5-10 minutes before the training and open the link that was sent to you from This link is unique to you which is part of how we track attendance. If you cannot find this link, please check your spam folders. Please keep in mind that participants are eligible for continuing education if they attend the whole training. Partial credit will not be given. We can and do track your attendance for this purpose. Currently, trainings are held over Zoom.

Step 3: Complete the Training Evaluation. After the training, you will receive an email from with a link to complete the course evaluation through Survey Monkey. The survey will be sent out within 3 business days after the training. This survey will be open for two weeks after it was sent. If you do not receive a link to the survey within a few days of the training, please check your spam folder. The course evaluation is required for anyone getting continuing education.

Step 4: Receive Continuing Education Certificate. If you attended the training and completed the evaluation, you are eligible to receive a Continuing Education Certificate. Because completion of the evaluation is required for the certificate, Cognitive Behavior Institute staff wait to see who completed the survey prior to issuing certificates. This means you will NOT receive a certificate until at least two weeks after the event. CBI staff create and issue certificates within a week after the course evaluation closes. Certificates are emailed to eligible attendees within 30 days of the event from If you do not receive your certificate within 30 days, please check your spam folder.

Additional important communication about the event (such as copies of handouts or answers to your questions) will come from Please ensure that this email is added to your contacts so that you receive these important communications.

Cognitive Behavior Institute is always working hard to make our processing more streamlined and easier to use, so the process described above may change over time.

If you have specific questions about any of these processes (or other questions) please read the Frequently Asked Questions below.

Frequently Asked Questions

The mission of CBI Center for Education is to enhance the quality of mental health services and support the long-term development of mental health professionals through free and low-cost trainings. One way that we are able to keep trainings low-cost is by relying on technology to streamline all parts of the continuing education process and by maintaining a very small staff. Because we only have a few staff available to answer questions, it would help us out a lot if you would read through the Frequently Asked Questions prior to reaching out to us with questions about trainings.

Questions about Registration for this and other Trainings

The limit of participants for each webinar is 1000 individuals. What happens if I am placed on a waitlist? As registrants cancel, we will go in order of reaching out to those on the waitlist. You will be notified via email from if you are moved to the attendance list. Please do not email us asking for a status on your position on the waitlist as we are not staffed to fulfill those requests.

How can I be informed about your future trainings? Check out our website and follow us on Facebook under "CBI Center for Education" so that you don't miss our announcements of future trainings! Additionally, we have a Cognitive Behavior Institute YouTube Channel with several free videos that anyone can access. We look forward to your attendance!

Questions about Zoom and Webinars

What platform will be used for the webinar? CBI Center for Education has invested in Zoom for Webinars. You do not need a Zoom account to join the webinar and you can join from your computer or mobile device. As an attendee, the presenter will not be able to see your video or hear you unless they give you special permission during the webinar.

What time will the webinar begin and in what time zone? Please see the event page on for information about the webinar, such as the start time. In addition, when registrants receive the link for the webinar in their email, the date and time of the event is included in this email.

When will I receive the link and password to attend the webinar? After you’ve signed up for the event through our website, you will receive an email from asking you to complete your registration with Zoom. Once you click on this link and fill in your name and email, you will receive another email with the link and password to join the webinar. Please make sure to double check the spelling of your email addresswhile registering so the link and password can successfully be sent to you in the registration confirmation email.

What information will I have to enter when I click on the webinar link? When you register for the event, you will be prompted to type in your name and email address to get the link to join and password to join the webinar. You will not need to enter any other information to join the webinar once you have that link. Once you have joined the webinar, you might see a message that states that the webinar has not yet started. The webinar will start once the presenter has joined and clicks “start the meeting.” We hope this happens on time, but it may be several minutes late. Please be patient while you are waiting for the webinar to start.

What internet connection should I have for the webinar? We recommend having hard lined internet or being physically located close to your router. Technical support will not be provided by CBI for any connection issues on the day of the training. CBI will not issue refunds due to technical issues experienced by participants. Our presenters are connected to hard lined business grade internet when presenting.

What happens if my internet briefly freezes? If you become disconnected during the event, log back on immediately. A brief interruption of connectivity will not impact your eligibility for a CE certificate.

Will there be a recording? No, there will not be a recording or replay.

Will you know that I am logged in and active in the webinar? Yes, Zoom’s platform monitors the attendance and activity of the attendees. Additionally, there will be a chat feature and various forms of participation monitored throughout the training.

Will I have to show my face on camera? Zoom’s webinar platform does not capture participants on video unless specifically requested during the meeting by the host. Instead, participants will view the presenter and the presenter's slides on their screen.

Is there Audio? Yes, the webinar will have sound. Please test that your device’s sound is working prior to the event. A good way to do this is to go to YouTube and play a video.

Questions about the Training

Will I receive the presenter's slides? It is up to each presenter if they wish to share their slides. During the webinar, the presenter will notify participants if they will be making the slides available after the webinar. We are unable to respond to emails asking for the slides ahead of the presentation.

Questions about the Evaluation and Survey Monkey

When will I receive my course evaluation survey? Following the completion of the training, you will be receiving a survey via Survey Monkey. This survey will be sent out within 3 business days. You must complete the survey within 14 calendar days if you would like to receive a CE certificate. Here is a video on how to fill out the course completion survey:

We are unable to respond to emails from participants asking for confirmation that their course completion survey was received. If you clicked the SUBMIT button your survey was received.

Do I need to fill out the course evaluation survey if I don’t want a CE certificate? If you do not wish to receive a CE certificate, you do not need to complete this survey. The CE certificate is the only type of certificate that will be issued.

I filled out the wrong email address or misspelled my name on my course evaluation survey. How do I get a new certificate? In the course evaluation survey, it asks for the participant to fill out their name EXACTLY as they wish it to appear on their CE certificate. It also asks the participant to enter their email address where they wish the certificate to be sent. These two fields automatically populate within our certificate software. PLEASE NOTE:  Any requested changes to the email entered after registration or after the survey is complete will require a $5 processing fee. Additional changes to the produced CE certificate based off of information provided by the attendee will also require a $5 processing fee. CBI Center of Education is extremely lean administratively and utilizes technology to streamline our events in order to keep our trainings free to low cost. When we receive manual requests post registration, additional staff is needed to assist with these manual requests, thus the reason for the change fees.

Questions about Continuing Education & Certificates

What is the criteria for receiving CE? If you attend the whole webinar and complete the emailed course evaluation survey within 2 weeks after the training, we will issue you the CE that you are eligible for.

How many suicide and ethics CE's will be issued? Please see the event page on for information about the training, including home much continuing education is offered and what type.

Will these CE's count toward my individual state licensure or another credential that I currently hold? It is the responsibility of licensee to determine if trainings are acceptable as continuing education to their state’s licensure board or other credentialing body. Some of our trainings are individually approved for continuing education, such as through the Association of Social Work Boards individual course ACE Program. In addition, CBI is an approved provider of continuing education through the American Psychological Association CESA program and is an approved provider of continuing education to counselors, social workers, and psychologists in the state of New York. Many boards accept trainings that are individual approved or are offered by approved providers for continuing education. Please see the event page for the training you are interested in on our website for approvals that apply for each specific training.

Will you issue partial CE credits? No, we do not issue partial CE credits and therefore if you do not attend the training in its entirety, you will not be receiving a CE certificate. This is an APA and ASWB ACE requirement and is non-negotiable. Please refrain from emailing us explaining why you were unable to login to the event on time (this includes mixing up time zones, technical difficulties, or not finding the link in your INBOX due to 'info@cbicenterforeducation' not being added as a contact in your email).

When will I receive my CE certificate? Upon completion of the course, CBI will be issuing CE certificates within 30 days. We are unable to respond to requests about the status of your certificate if it has been less than 30 calendar days since the course or if you did not complete the course evaluation within 2 weeks after the training.

How will I receive my CE certificate? Your CE certificate will be emailed to you from Please add this contact to your email so that the email does not go to your SPAM folder. Here is a video on how to download the certificate: You must download and save it immediately, or print it for your records for storage in a safe place.

Questions about Accommodation

How can I access accommodations for my disability? Our webinars are available to anyone who is able to access the internet. For those who are vision impaired graphs and videos are described verbally. We also read all of the questions and comments that are asked of our speakers. All questions and comments are made via the chat function. For those that require it, please contact us at for more information on and/or to request closed-captioning.

Additional Questions

I have a question that isn’t in the Q&A. If you have any additional questions or concerns, please email us at

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