pediatrics
Obsessive Compulsive Disorder (OCD) and Related Disorders in Children and Adolescents
Diagnosis
Psychiatric assessment Diagnostic and Statistical Manual of Mental Disorders(DSM-5-TR) criteria Diagnosis of OCD is by history. Once a comfortable relationship with a nonjudgmental therapist is established, the child with OCD usually discloses many obsessions and related compulsions. However, usually several appointments are needed to first establish trust. A diagnosis of OCD requires that the obsessions and compulsions cause great distress and interfere with academic or social functioning. Children with OCD often have symptoms of other anxiety disorders, including Panic Disorder in Children and Adolescents , Early-onset psychosis: Unlike adults, children do not always distinguish the unreal nature of the OCD symptoms. Autism Spectrum Disorders : Intense interests and compulsions can occur in autism. Unlike in OCD, where these may be found intrusive and problematic, children with autism prefer these activities. Tic Disorders and Tourette Syndrome in Children and Adolescents : Complex tics can be difficult to distinguish from compulsions. Diagnostic criteria for PANDAS and PANS have been developed ( Diagnosis references ). 1.Chang K, Frankovich J, Cooperstock M, et al: Clinical evaluation of youth with pediatric acute-onset neuropsychiatric syndrome (PANS): Recommendations from the 2013 PANS Consensus Conference.J Child Adolesc Psychopharmacol25(1):3-13, 2015. doi: 10.1089/cap.2014.0084 2.Swedo SE, Leckman JF, Rose NR: From research subgroup to clinical syndrome: Modifying the PANDAS criteria to describe PANS (pediatric acute-onset neuropsychiatric syndrome).Pediatr Therapeutics2:1-8, 2012. doi: 10.4172/2161-0665.1000113 