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OCD NIMH
U.S. Department of Health and Human Services. (2019, October). Obsessive-Compulsive Disorder. National Institute of Mental Health. https://www.nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocd/.
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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?