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100 questions & answers about your child's OCD by Josiane Cobert

By Josiane Cobert

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There are various conditions that have obsessive-compulsive qualities that are quite similar to OCD. These disorders are frequently described as obsessive-compulsive spectrum disorders (Table 4). They may even respond to some of the same treatments. There is no clear consensus as to whether the relationship of these problems to OCD is deeper than just clinical similarities or whether they are comorbid with OCD. Comorbid When two disorders exist at the same time in the same individual. , someone else’s cough, sneeze, or turning of the head is due to the alleged odor) Anorexia nervosa or boulimia Eating Disorders Autodysomophobia Previously called habit disorders Stereotypic Movement Disorders Worrying constantly about one’s appearance Olfactory Reference Syndrome (ORS) Imagined ugliness; bodily shame; dysmorphophobia; body dysmorphia Body Dysmorphic disorder Playing compulsively with and pulling hair Repetitive picking at one’s own skin, to the extent that it causes damage Compulsive hair pulling Trichotillomania Characteristics Compulsive skin picking Other Terms for the Disorder Psychiatric disorder Table 4â•…Obsessive Compulsive Spectrum Disorders May be a subtype of OCD.

You will, of course, need to do the usual things required in any medical treatment, such as getting your child to his or her appointments, ensuring the medication is taken (if prescribed), and being supportive and patient. Your monitoring of the symptoms is very valuable. Since you are usually with your child more than anyone else, you are one of the key individuals to help your child control and hopefully recover from his or her illness. The Treatment—General Concepts Both stages clearly require teamwork involving the child, the family, and the treatment team.

OCD research is indicating a way of clustering symptom patterns by the patient’s course, genetic risk, neuropathology, 25 100 Q&A About Your child’s ocd and treatment. At this point four models, or patterns, are described but there may be more. Note that a patient may show more than one pattern. Hence the percentages below may total more than 100%. • The most common pattern is the obsession of contamination (45% in adults, 30% in children), accompanied by compulsive avoidance of the feared contaminator or by washing (50% in adults, 60% in children).

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