Behavior therapy alone can be effective, but some children are treated with a combination of behavior therapy and medication. Behavior therapy for OCD can involve gradually exposing children to their fears in a safe setting this helps them learn that bad things do not really occur when they don’t do the behavior, which eventually decreases their anxiety. Behavior therapy, specifically cognitive-behavioral therapy, helps the child change negative thoughts into more positive, effective ways of thinking, leading to more effective behavior. Treatments can include behavior therapy and medication. Anxiety or depression and disruptive behaviors may also occur with OCD. The mental health professional should also determine whether someone with OCD has a current or past tic disorder. A comprehensive evaluation by a mental health professional will determine if the anxiety or distress involves memories of a traumatic event that actually happened, or if the fears are based on other thoughts or beliefs. The first step to treatment is to talk with a healthcare provider to arrange an evaluation. Learn about the guidelines for diagnosing and treating OCD Obsessions and compulsions can also change over time. Sometimes, OCD behaviors may involve cleaning, but many times someone with OCD is too focused on one thing that must be done over and over, rather than on being organized. However, the behavior is not typically connected to actual danger of something bad happening, or the behavior is extreme, such as washing hands multiple times per hour.Ī common myth is that OCD means being really neat and orderly. Having to do something over and over according to certain rules that must be followed exactly in order to make an obsession go away.Ĭhildren do these behaviors because they have the feeling that the behaviors will prevent bad things from happening or will make them feel better.Having to do something over and over (for example, handwashing, placing things in a specific order, or checking the same things over and over, like whether a door is locked).Having to think about or say something over and over (for example, counting, or repeating words over and over silently or out loud).Having unwanted thoughts, impulses, or images that occur over and over and which cause anxiety or distress.Having OCD means having obsessions, compulsions, or both.Įxamples of obsessive or compulsive behaviors include: Children may have an obsessive-compulsive disorder (OCD) when unwanted thoughts, and the behaviors they feel they must do because of the thoughts, happen frequently, take up a lot of time (more than an hour a day), interfere with their activities, or make them very upset. For some children, the thoughts and the urges to perform certain actions persist, even if they try to ignore them or make them go away. For example, they might worry about having bad luck if they don’t wear a favorite piece of clothing. Many children occasionally have thoughts that bother them, and they might feel like they have to do something about those thoughts, even if their actions don’t actually make sense.
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