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1、PediatricOCDJoeEdwards,Psy.D.StephanieEken,M.D.DavidCausey,Ph.D.PrevalenceofOCDinchildrenOCDisconsiderablymorecommonthanoncethought1in200arethoughttosufferfromOCD3or4ineachelementaryschoolhaveitUpto20adolescentsinanaveraged-sizedhighschoolhaveOCD7½millionintheUSwillsufferOCDduringtheirlifetime
2、(15millionOCDspectrumdisorders)PrevalenceofOCDcont.Unfortunately,only4of18childrenfoundtohaveOCDwereunderprofessionalmentalhealthcare(Flamentetal.,1988),ofthose18hadbeenidentifiedashavingOCDOCDhasbeencalledthe“hiddenepidemic”(Jenike,1989)FactorscontributingtounderdiagnosisofOCDFactorsinOCD:sec
3、retiveness&lackofinsightFearofbeingseenasCrazyFactorswithhealthcareproviders:incorrectdx.’s,lackoffamiliaritywith(orunwillingnesstouse)proventreatments,differentiatingvariantsofOCDsymptomsAccesstogoodtreatmentDSM-IVcriteriaforOCDOCDischaracterizedbyrecurrentobsessionsand/orcompulsionsthatcause
4、markeddistressandinterferencewithsocialorrolefunctioningChildrenmaypresentwitheitherobsessionsorcompulsions(mosthaveboth)Inyouth,thetypesofsymptoms,canchangerapidlyDSM-IVcriteriaforOCDOCDbehaviorscanoccurinachildwithoutmeetingcriteriaforOCDDSM-IVspecifiedOCDsymptomsmustcausedistress,beingtime-
5、consuming(>than1hr/day),ormustsignificantlyinterferewithschool,socialactivities,orimportantrelationshipsDSM-IVcriteriaforOCDObsessionsaremorethansimplyexcessiveworriesaboutreallifeproblemsObsessionsoriginatefromwithinthemindAtsomepointintheillness,thepersonrecognizesthattheO/Careexcessiveandun
6、reasonableDSM-IVcriteriaforOCDSpecificcontentobsessionsarenotrelatedtoanotherAxisIdisorder(obsessionsaboutfoodinaneatingdisorderorguiltythoughtswithruminationsindepression)CommonOCDsymptomsinchildrenObsessionsContaminationthemesHarmtoselforothersAggressivethemesSexualthemesScrupulosity/religio
7、sityForbiddenthoughtsSymmetryurgesNeedtotell,ask,confessCompulsionsWashingorcleaningRepeatingCheckingTouchingCountingOrdering/arrangingHoardingPrayingCommonOCDsymptomsinchildrenOCDsymptomsfrequentlychangeovertimeBytheendoftheiradolescen
