If you’re noticing signs of Obsessive-Compulsive Disorder (OCD) in your child or if they’ve recently been diagnosed with OCD, it can be difficult to know what to do.

This mental illness is often misunderstood because of its representation in the media. It’s often described as simply liking a clean room or keeping things a certain way. Clinical OCD is much more intense than this. It often needs professional intervention for the person to be able to live a normal life.

So, what are the signs and symptoms of OCD in children? How can you help after a diagnosis of childhood OCD? It’s all outlined here.

Signs and Symptoms

The hallmark symptom of OCD is ritualistic behaviors. These ritualistic behaviors are done repeatedly and excessively. Some ritualistic behaviors include washing hands, rechecking items like ovens or door locks, putting things in a particular order, counting the same set of objects, repeating certain words or phrases, or separating food on a dinner plate.

OCD behaviors are different for every individual. This list of behaviors is not exhaustive. Any behavior that is done over and over excessively may be a sign of OCD.

Other emotional symptoms of OCD include:

Intense worry or fear about having things in a particular order
Extreme fear of germs, dirt, or bodily waste
Constant doubts about something being done, like the door being locked or the oven being turned off
Strong need to have tasks done perfectly
Compulsion to touch or count objects
Destructive thoughts
Lack of self-esteem or self-confidence
Difficulty concentrating at school or home
A sense of panic if they aren’t able to perform their rituals exactly as they’d like to

A sufferer of OCD may also experience physical symptoms from their mental state. These include:

Racing heart
Headaches or stomachaches
Shaking and trembling
Difficulty breathing
Feelings of weakness
Intense fatigue
Sweating
Difficulty sleeping

When these symptoms begin to interfere with a child’s ability to function normally is when they need professional help.

Risk Factors

Many of the risk factors of OCD are very similar to other anxiety disorders. The four risk factors are predisposition, genes, environment, and biological processes.

Predisposition refers to the fact that some children are less capable of handling stress well and are more prone to anxiety. Genes, or a family history of OCD, make a child more likely to develop the disorder.

Certain environments may be a factor in the development of OCD. Some of these situations include parental divorce, a death in the family, the birth of a sibling, moving, attending a new school, or experiencing trauma.

Specific biological processes have been suspected to be linked to OCD. These processes are an imbalance of serotonin or a strep infection.

Ways to Help Your Child

So, what if you’ve already seen the signs and received a diagnosis of OCD for your child? Here are some steps you can take to help them.

Learn More

It’s very difficult to help someone with an issue that you do not understand. So, learning more is the first step.

OCD Awareness Week is fast approaching. In 2022, it will be celebrated from October 9th to the 15th. The International OCD Foundation hosts the event, providing videos to watch and events to participate in.

The theme this year is The Road to Reclaiming Your Life. This theme encompasses the idea that with the right treatment and support from those around a person, full recovery from OCD is possible.

Learning more about OCD is beneficial for everyone–not just those suffering from the disease. Understanding better the experiences of those with OCD gives us compassion and ways to help them succeed.

All events are free, and you can click here to check it out.

Speak to a Mental Health Professional

The first line of treatment for OCD is most often therapy. Cognitive-Behavioral Therapy (CBT) in particular is very effective in treating OCD.

CBT helps a child recognize what their thought patterns are and how those thought patterns may be affecting their behavior. By changing their thoughts, they are able to change their actions.

When treating compulsive behaviors, CBT often employs Exposure Response Prevention. This technique supports children while they face their fear of not giving in to compulsive urges. Children slowly work through more and more difficult and scary scenarios. Eventually, they can resist engaging in all of their previous compulsive behaviors.

This approach, while effective, takes a lot of work. It can help if children can see that the hard work is worth it. My upcoming book, Khloe Kitten Is Afraid of Germs!, does just that.

Khloe Kitten experiences compulsive urges around germs, like many of those who suffer from OCD do. She wants to go down the slide like all her other friends do, but she has too much fear. She employs Graded Exposure to slowly expose herself to germs and overcome her fear and behavior.

As your child works through a stepladder approach in therapy, they will be able to see themselves in Khloe Kitten. They may be working on different compulsive behaviors, but they will recognize her feelings and fear.

A child will know that if Khloe Kitten can do it, they can do it too. They also may better understand what their therapist is asking them to do.

Also, each book comes with an About Anxiety page, a Coping Strategies page, and a Stepladder page for parents. Each page will equip you with more information to help your child.

A therapist may also employ other strategies of CBT to help your child. These could include role-playing exercises, teaching positive self-talk, introducing relaxation techniques, and talking through how their thoughts or fears are irrational. Your therapist will create a unique treatment plan for your child.

Medication

If various types of therapy don’t bring enough relief for your children, medication may be a helpful option. Anti-anxiety medications should only be used under the supervision of a pediatrician and psychologist.

Obsessive-Compulsive Disorder can be frustrating and confusing for children and parents alike. However, with the right treatment and support, it’s possible for most children with OCD to lead a productive life.

To learn more information about various mental health illnesses in childhood, be sure to subscribe to my newsletter or check out my podcast, Genius Little Minds.

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