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The obsessive compulsive disorder (OCD) classification in the new DSM-5 has been given its own category as OCD Related Disorders, comprised of Body Dysmorphic Disorder (BDD), Hoarding Disorder, Excoriation Disorder, Trichotillomania, and OCD not specified elsewhere. In addition, two specifiers have been added: insight spectrum and presence or absence of tics. The presenters will discuss the conceptual basis of insight, updates on recent research, our conceptualization of insight in OCD over the years, and the role of insight (or lack thereof) in several OCD Related Disorders.