This category applies to presentations in which symptoms characteristic of an obsessive-
compulsive and related disorder that cause clinically significant distress or impairment in
social, occupational, or other important areas of functioning predominate but do not meet
the full criteria for any of the disorders in the obsessive-compulsive and related disorders
diagnostic class. The other specified obsessive -compulsive and related disorder category
is used in situations in which the clinician chooses to communicate the specific reason that
the presentation does not meet the criteria for any specific obsessive-compulsive and re-
lated disorder. This is done by recording “other specified obsessive-compulsive and relat-
ed disorder” followed by the specific reason (e.g., “body-focused repetitive behavior
disorder”).
Examples of presentations that can be specified using the “other specified” designation
include the following:
1.Body dysmorphic–like disorder with actual flaws:  This is similar to body dysmor-
phic disorder except that the defects or flaws in physical appearance are clearly ob-
servable by others (i.e., they are more noticeable than “slight”). In such cases, the
preoccupation with these flaws is clearly excessive and causes significant impairment
or distress.
2.Body dysmorphic–like disorder  without repetitive behaviors: Presentations that
meet body dysmorphic disorder except that the individual has not performed repetitive
behaviors or mental acts in response to the appearance concerns. 
3.Body-focused repetitive behavior disorder:  This is characterized by recurrent body-
focused repetitive behaviors (e.g., nail biting, lip biting, cheek chewing) and repeated
attempts to decrease or stop the behaviors. These symptoms cause clinically significant