D. The disturbance is not better explained by the symptoms of another mental disorder
(e.g., excessive worries, as in generalized anxiety disorder; preoccupation with ap-
pearance, as in body dysmorphic disorder; difficulty discarding or parting with posses-
sions, as in hoarding disorder; hair pulling, as in trichotillomania [hair-pulling disorder];
skin picking, as in excoriation [skin-picking] disorder; stereotypies, as in stereotypic
movement disorder; ritualized eating behavior, as in eating disorders; preoccupation
with substances or gambling, as in substance-related and addictive disorders; preoc-
cupation with having an illness, as in illness anxiety disorder; sexual urges or fantasies,
as in paraphilic disorders; impulses, as in disruptive, impulse-control, and conduct dis-
orders; guilty ruminations, as in major depressive disorder; thought insertion or delu-
sional preoccupations, as in schizophrenia spectrum and other psychotic disorders; or
repetitive patterns of behavior, as in autism spectrum disorder). 
Specify if: 
With good or fair insight:  The individual recognizes that obsessive-compulsive dis-
order beliefs are definitely or probably not true or that they may or may not be true.
With poor insight:  The individual thinks obsessive-compulsive disorder beliefs are
probably true.
With absent insight/delusional beliefs:  The individual is completely convinced that
obsessive-compulsive disorder beliefs are true.
Specify if: 
Tic-related:  The individual has a current or past history of a tic disorder.