pediatrics
Obsessive Compulsive Disorder (OCD) and Related Disorders in Children and Adolescents
Key Points
Children typically experience obsessions as worries or fears of harm (eg, contracting a deadly disease, sinning and going to hell, injuring themselves). Compulsions (eg, excessive washing, counting, arranging) are done deliberately, usually to neutralize or offset obsessional fears. Not being able to carry out their compulsions makes children excessively anxious and concerned. Establish a comfortable relationship with the child and maintain a nonjudgmental attitude so that the child feels able to disclose obsessions and related compulsions. Try cognitive-behavioral therapy if children are motivated and can carry out the tasks, but medications (usually SSRIs) may be needed. 