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Each item is rated from 0 (no symptoms) to 4 (extreme symptoms). A score of 07 is considered nonclinical. Scores ranging between 8 and 15 are considered mild. Scores between 16 and 23 are considered moderate and scores between 2431 and 3240 are considered severe and extreme, respectively.
A hierarchy is a way of deciding which OCD behaviours to work on first. Exposure means exposing your child or teen to the (feared) situation that triggers the OCD. Response prevention means preventing the response (or ritual) that the OCD tries to boss your child into doing.
Note: The CY-BOCS assessment is administered to child participants ages 6-17 years old, and the Y-BOCS assessment is administered to adult participants ages 18-85. References: Goodman, W.K., et al. (1989). The Yale-Brown Obsessive-Compulsive Scale.
Childrens YaleBrown ObsessiveCompulsive Scale (CYBOCS; Scahill et al., 1997): The CYBOCS is a semi-structured clinician-administered interview comprised of the symptom checklist, consisting of common obsessions and compulsions, and a severity scale.
Total scores on the measure range from 0 to 40, with a score of 07 indicating subclinical symptoms, 815 mild symptoms, 1623 moderate symptoms, 2431 severe symptoms and 3240 extreme symptoms. The scale can also provide a subscale score for obsessions and compulsions (range 020) separately.
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Scores: 8 - 15 = Mild OCD, 16 - 23 = Moderate OCD, 24 - 31 = Severe OCD, 32 - 40 = extremely severe OCD.
The total severity score can range from 0 to 40. CY-BOCS total scores in the range of 1424 are considered moderate, 2530 moderate-severe and over 30 severe (based on a normative study of 815 treatment seeking youth [24]).
Wayne Goodman and Dennis Charney, the Clinic fostered the development of the fields standard instrument for rating symptom severity the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), as well as the first clinical trials demonstrating the efficacy of the medications that are now standard treatments for the disorder

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