Most clinicians won’t see many children with OCD, which leads us to believe that many young people must be suffering in silence. Treatment is effective and can make the world of difference to a young person’s quality of life. If you have concerns, my advice is seek some help.
Dr Sabina Dosani - MBBS, MSc, MRCPsych
Obsessive Compulsive Disorder is a serious anxiety related condition where individuals experience frequent obsessional and intrusive thoughts (or obsessions), often followed by uncontrollable urges and compulsions.
Perhaps the most frustrating thing for children with OCD is that they often know that their fears are irrational, but simply can’t control them.
The World Health Organisation have classified OCD in the top 10 of disabling illnesses because the condition can be so powerful that normal daily life can be impossible.
Obsessions are persistent thoughts or worries that can be disturbing in nature and interfere with a child’ ability to perform daily tasks. The obsessions can be so powerful that are impossible to ignore and children with OCD can feel compelled to act out the compulsions (see below).
A key part of obsessions is that they are accompanied by extreme anxiety, making the child experience:
Compulsions are the second component of OCD and are repetitive physical actions or behaviours, which once carried out alleviate the extremely anxious feelings that the obsessions create.
Common compulsions in children and adolescents include:
One of the reasons OCD can be so hard to tackle without professional help is that compulsive behaviours provide only temporary relief from the obsessional thoughts and may end up reinforcing the anxiety cycle.
This is because they reinforce the idea that if the compulsion is carried out, the obsessional fear won’t happen. This cycle is very hard to break without support, which is why we would always urge parents who have concerns about their children to seek help.
A complete change in our son, he is enjoying things a lot more and seems much more settled in himself. I can’t begin to describe the relief we feel.
Parents and children often feel relieved to have a diagnosis of OCD, as they have often suffered for a long time. The good news is that effective treatment for OCD in children is available.
CBT, talking therapies and medication can all be used to help children and teenagers with OCD. CBT is a highly effective at treating OCD. Specially trained therapists will work with your child to gently increase their tolerance, through various exposure techniques, in a process called habituation. Whilst this might sound scary, in practice the exposure starts very slowly and builds as your child gains more confidence.
We offer parenting support and family therapy to help support the whole family through the treatment process. Research has shown that this can significantly improve the recovery rate for the child or teenager.