112) ANSWER

1. Anxiety

RATIONALE

1 Because the compulsive ritual is used to control anxiety, any attempt to prevent the

action will increase anxiety.

2 Underlying hostility is considered to be part of the disorder itself, not a reaction to an

interruption of the ritual. 3 This is possible only if the anxiety reached panic levels and

caused the person to express anger overtly. 4 This is not a pattern of behavior

associated with this disorder.