Obsessive-Compulsive Symptoms in Sexual Minorities
Sexual minorities experience unique stress in the form of external discrimination, microaggressions, internalized stigma and homophobia, social rejection, and identity discomfort and concealment. The accumulation of these identity-based stressors is believed to explain the increased incidence of OCD in this population and have an effect on the content of their obsessive thoughts and types of compulsions.
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A student, Alex, keeps the pens, books, and laptop on their desk in perfect alignment, straightening them multiple times a day. Which of the following additional details would be most critical in determining whether this behavior is a symptom of obsessive-compulsive disorder (OCD) rather than simply a personality trait?