How to Manage OCD in Children and Adults

John Neyman Jr
Dr. John is a counselor and therapist to ADHD children and their parents

One of the rare early days condition is the childhood obsessive compulsive disorder (OCD). It is the fourth common psychiatric order rather than panic disorder and schizophrenia. It is believed to be controlled by biological, psychological, and social interactions with regard to the beginning until the course of the disease. Knowing the factors that cause the beginning of symptoms is very important to find the treatment and reducing the difficulty of the children and adolescents.

Obsessive compulsive disorder or OCD is devastating disorder that is disturbing, recurrent, and repetitive feel driven to do something. Some examples are repeated hand washing to wash off germs or infection, and worry for having a serious illness. These worries become persistent, hinder with the child’s normal activities of daily living, and often require habitual behavior to become comfortable.

Cognitive-behavioral therapy (CBT) is more difficult to put into action in children than in adults. Nevertheless, the availability of a procedure for CBT for childhood OCD has made this a realistic option for many patients.

CBT is more likely to be successful in patients with obvious rituals and when there is cooperation from the family and the child. Other positive predictors of the success of CBT include a degree of insight, a strong desire by the patient to eliminate these rituals, the ability to monitor and report symptoms.

It is vital to gather a therapeutic effect or response to medication to treat the child with OCD. So it is important to educate the family members regarding drug therapy and it should include an extensive discussion of the pharmacotherapeutic options, their potential adverse events and a realistic assessment of possible outcomes. A study advises that after selecting a drug, it is important to have a trail week of using the medicine before thinking that the drug treatment is not effective.

The SSRIs is the first choice in treating OCD in children. If it is not available, the doctor may prescribe clomipramine. But it has side effect such as difficulty in urinating, dry mouth and sleepiness.

Psychotherapy is use to which must provide efficient ways of reducing stress, decreasing anxiety, and resolve inner disagreements. Another is behavioral therapy. In this therapy, the child is exposed to a condition that causes anxiety symptoms, and learns to resist the urge to perform the compulsion.

A study shows that long term follow up of children with OCD shows a tendency to reduce the course of illness in about 50% of patients. The patients will remit or maintain good control with treatment.



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