Obsessive Compulsive Disorder (OCD)

Obsessive Compulsive Disorder (OCD) is characterized by involuntary recurring thoughts (obsessions) and repetitive behaviors (compulsions) performed to reduce the anxiety caused by these thoughts. It occurs in approximately 1-3% of children and adolescents.

Common OCD Themes in Children

• Contamination obsessions and washing compulsions
• Checking compulsions (doors, stove, bags)
• Symmetry and order obsessions
• Fear of harm (to self or others)
• Counting and repeating rituals
• Hoarding behaviors

Treatment

Exposure and Response Prevention (ERP) therapy is the most effective psychotherapy method for childhood OCD. The child is gradually confronted with anxiety-provoking situations and experiences the natural reduction of anxiety without performing compulsive behaviors.

• Exposure and Response Prevention (ERP) therapy
• Cognitive behavioral therapy
• Family-focused intervention and psychoeducation
• Medication when necessary (SSRIs)

Family members' understanding of OCD and avoiding participation in rituals increases treatment success.