<prompt> All of the following are signs of poor prognosis in obsessive-compulsive disorder OCD except?Good social adjustmentCoexisting major depressionChildhood onsetBizarre compulsions  <response>: Ans. A. Good social adjustmentA good prognosis for people with obsessive-compulsive disorder OCD is indicated by good social and occupational adjustment, the presence of a precipitating event, and an episodic nature of symptoms. About one-third of patients with OCD have major depressive disorder, and suicide is a risk for all patients with OCD. A poor prognosis is indicated by yielding to rather than resisting compulsions, childhood onset, bizarre compulsions, the need for hospitalization, a coexisting major depressive disorder, delusional beliefs, the presence of overvalued ideas i.e., some acceptance of obsessions and compulsions, and the presence of a personality disorder especially schizotypal personality disorder. The obsessional content does not seem to be related to the prognosis. 