All five diagnostic criteria must be met:
1)  Presence of obsessive-compulsive disorder (OCD) or a tic disorder
2)  Prepubertal symptom onset
3)  Acute symptom onset and episodic (relapsing-remitting) course
4)  Temporal association between Group A streptococcal infection and symptom onset/exacerbations
5)  Associated with neurological abnormalities, (particularly motoric hyperactivity and choreiform movements