Y-BOCS-II 2025

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The document presents the Y-BOCS-II, a revised version of the Yale-Brown Obsessive Compulsive Scale, which is a clinical tool for assessing the severity of obsessive-compulsive disorder (OCD) symptoms. Key updates include changes to item content, expanded scoring scales, and increased emphasis on avoidance behaviors. The Y-BOCS-II aims to enhance sensitivity to changes in symptom severity and improve the assessment of OCD symptoms through a more comprehensive symptom checklist and refined rating criteria.

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Click ‘Get Form’ to open the Y-BOCS-II in the editor.
Begin by reviewing the General Instructions section. Familiarize yourself with key terms such as 'obsessions', 'compulsions', and 'avoidance' to ensure accurate understanding.
Identify and list current obsessions and compulsions using the Target Symptom List. Mark principal symptoms with a 'P' for easy reference.
Proceed to fill out the Severity Items, rating each item based on the patient's experiences over the past week. Use the provided scale from 0 (no symptoms) to 5 (extreme symptoms).
Ensure that you assess both time spent on obsessions and compulsions, as well as their impact on daily functioning. This will help in generating a comprehensive score.
After completing all sections, review your entries for accuracy before saving or exporting the document.

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What is the Y-BOCS diagnosis?

The Y-BOCS, a 10-item, clinician-administered scale, has become the most widely used rating scale for OCD. The Y-BOCS is designed to rate symptom severity, not to establish a diagnosis.

Whats a good Y-BOCS score?

Y-BOCS scores of 013 corresponded with mild symptoms or lower (CGI-Severity = 02), 1425 with moderate symptoms (CGI-Severity = 3), 2634 with moderate-severe symptoms (CGI-Severity = 4) and 3540 with severe symptoms (CGI-Severity = 56).

Is the Y-BOCS a reliable measure?

The psychometric properties of the original Y-BOCS have been well studied, with results suggesting that the total severity score shows good internal consistency, excellent interrater reliability and good test-retest reliability over a 2-week interval (for a review, see Rapp, Bergman, Piacentini, McGuire, 2016).

What is the cut off for Y-BOCS II?

The items measure time occupied, degree of interference, subjective distress, internal resistance, and degree of control. Total scores range from 0 to 40, and a cut-off score of 13 has been found to represent a diagnosis of obsessive-compulsive disorder (OCD; Castro-Rodrigues et al., 2018) .

What is the difference between Y-BOCS and Y-BOCS II?

The Y-BOCS-II was developed to address the ceiling effect of the Y-BOCS, which prevented differentiation between severe and the most debilitating OCD presentations, and to include relevant compulsions and active avoidance items missing from the original checklist.

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What is the hardest type of OCD to treat?

What Is the Hardest Type of OCD To Treat? Tic-related OCD This subtype includes both intrusive thoughts and tic-like behaviors. Hoarding OCD: Characterized by excessive accumulation and difficulty discarding items, this subtype is often resistant to standard treatments like SSRIs and CBT.