Children may have an obsessive-compulsive disorder (OCD) when unwanted thoughts, and the behaviors they feel they must do because of the thoughts, happen frequently, take up a lot of time (more than an hour a day), interfere with their activities, or make them very upset.
The exact cause of OCD is unknown. Children with OCD don't have enough of a chemical called serotonin in their brain. Obsessive symptoms include repeated doubts and extreme preoccupation with dirt or germs. Compulsive behaviors include hoarding objects and checking things often.
Age at Onset
OCD usually begins before age 25 years and often in childhood or adolescence. In individuals seeking treatment, the mean age of onset appears to be somewhat earlier in men than women.
In a word, no. Childhood OCD will not go away on its own, although symptoms may improve with treatment and age. Symptoms may even worsen in times of high stress for the child, such as a divorce or when taking exams, but ongoing treatment and learning healthy ways to manage the disorder can reduce this risk.
Ongoing anxiety or stress, or being part of a stressful event like a car accident or starting a new job, could trigger OCD or make it worse. Pregnancy or giving birth can sometimes trigger perinatal OCD.
Around the ages of 10 to 12 years, the first peak of OCD cases occur. This time frequently coincides with increasing school and performance pressures, in addition to biologic changes of brain and body that accompany puberty.
Pediatric OCD is best treated by a licensed mental health professional using a type of cognitive behavior therapy (CBT) called exposure and response prevention (ERP): In ERP, kids learn to face their fears (exposure) without giving in to compulsions (response prevention).
The inheritance pattern of OCD is unclear. Overall, the risk of developing this condition is greater for first-degree relatives of affected individuals (such as siblings or children) as compared to the general public.
The bad advice you give your child doesn't cause OCD. The amount of time you spend time with your children doesn't cause OCD. It doesn't matter if you're a stay-at-home parent, a workaholic, a divorcee, or single parent, OCD is a neurobiological disorder and none of these things influence the development of OCD.
#2) Don't tell your child with OCD to just “stop it!” OCD is not a behavioral disorder it's a brain disorder. Being such, your child cannot help it when their brain is telling them to tap five times or to wash their hands until it feels “just right.”
When this occurs, a diagnosis of Obsessive Compulsive Disorder (OCD) might be appropriate. OCD should be diagnosed by an appropriate mental health professional. At least 1 in 200 children and teens in the United States have OCD.
How do doctors test for OCD? Doctors and mental health professionals test for OCD by talking with you about your symptoms, determining if you have obsessions and compulsive behaviors, and by evaluating if these thoughts and behaviors interfere with your functioning.
Both conditions affect your child's ability to perform and focus on tasks for school or other things. One of ADHD's main symptoms is trouble paying attention. With OCD, obsessive and compulsive behaviors are often time-consuming and take away focus your child may need for schoolwork and other tasks.
The early signs of OCD are repetitive behavior, persistent worrisome thoughts, and rituals. The earlier you notice the symptoms of OCD, the faster you can get professional treatment. While there isn't yet a cure for OCD, it's possible to control the condition with medication and therapy interventions.
The main symptoms of OCD are obsessions and compulsions that interfere with normal activities. For example, symptoms may often prevent you from getting to work on time. Or you may have trouble getting ready for bed in a reasonable amount of time.
The OCD cycle consists of 4 basic parts: obsessions, anxiety, compulsions, and temporary relief. It's considered a “vicious” cycle because once you get pulled into it, it gains momentum and strength, making it even more difficult for you to get out.
Some kids get good treatment and never experience OCD symptoms again; others will have it throughout their lives, with some periods being better than others. It may go away in childhood and come back in adulthood.
If you have OCD, you can undoubtedly live a normal and productive life. Like any chronic illness, managing your OCD requires a focus on day-to-day coping rather than on an ultimate cure.
What happens if OCD is left untreated? Left untreated, the recurring thoughts and urges of OCD can interfere with your thinking and decrease concentration and short-term memory. Intense compulsions can drain your physical and mental energy and consume valuable time.
These obsessions and compulsions can range in severity, but what causes OCD to get worse over time is not properly managing the condition earlier on. Stress, trauma, avoidance, or even something as seemingly innocuous as a change in routine can all contribute to the worsening of OCD.
People with OCD tend to have obsessive thoughts, which they try to prevent by engaging in repetitive rituals, or compulsions. In contrast, a person with ADHD typically presents with excessive hyperactivity and impulsivity and difficulty focusing on one task at a time.
Unfortunately, OCD doesn't just go away. There is no “cure” for the condition. Thoughts are intrusive by nature, and it's not possible to eliminate them entirely. However, people with OCD can learn to acknowledge their obsessions and find relief without acting on their compulsions.