OCD

While obsessive-compulsive disorder (OCD) is often misunderstood as a mere obsession with neatness, this disorder is far more serious than wanting things to be orderly and tidy. OCD is a mental health condition that is characterized by intense and recurring thoughts, excessive and repetitive behaviors, or both. 

Symptoms can develop at any point in a person’s life, but they usually begin some time between late childhood and young adulthood. These symptoms vary in intensity from person to person. While some may experience mild symptoms, others may suffer from time-consuming and repetitive behaviors that severely disrupt their everyday life.

Our team at Just 4 Kids is passionate about helping children with OCD regain control of their lives. We offer therapy to treat this disorder and teach children strategies for managing their symptoms.

OCD in Children

Children with OCD struggle with intrusive thoughts and worries that can lead to strong feelings of anxiety. This often drives them to act in ways that will ease their stress, performing rituals that help settle these unwanted fears in their minds.

OCD can turn into a cycle of experiencing unwanted thoughts, performing rituals in an attempt to combat them, then repeating the cycle as the thoughts return. During times of stress, symptoms can become even worse.

This disorder can lead to guilt and shame, as it can be difficult for children to understand that OCD thoughts are not their fault. It is important to teach children about their OCD symptoms and to help them see that they are not responsible for these unwanted thoughts.

Obsessions and Compulsions

The recurring thoughts of OCD are known as obsessions, and the recurring behaviors are referred to as compulsions.

Obsessions

Obsessions can be persistent and intrusive thoughts, urges, or images. They often appear when a person is attempting to think or do something else, and they can become very disruptive. 

Common types of obsessions include:

  • Aggressive obsessions: Some children suffer from the idea of bad things they could do, such as hurting themself or another person. While they do not actually want to do these things, thoughts of these actions can be extremely distressing and guilt-inducing.
  • Contamination: Contamination is the most common obsession that children have. This might lead a child to fear sickness, expiration dates, contact with dirty surfaces, or being near those who are sneezing or coughing. 
  • Magical thinking: Children who suffer from these obsessions feel that their thoughts can negatively impact the way things turn out. For example, a child might fear that if they do not think the right things, something terrible will happen to their parents. 
  • Scruposity: This refers to worries of being blasphemous or angering God. Children may misinterpret religious teachings as a result of their OCD thoughts.
  • The “just right” feelings: Some children feel compelled to keep doing something until things feel “right”, even if they are unsure why something feels better. For example, they might need things on a shelf to be arranged in a very specific way for no reason other than the fact that it feels “right” to them.

Compulsions

On the other hand, compulsions can include things that children do and things that they avoid. For example, a child who has a contamination obsession might have a compulsion to excessively wash their hands and a compulsion to avoid any surfaces that they deem unsanitary. 

Some examples of common compulsions are as follows:

  • Arranging compulsions: Children may feel the need to order things in a very specific way, such as making sure things are symmetrical or in a certain pattern.
  • Checking compulsions: These can involve behaviors such as checking locks, ensuring hot surfaces are turned off, or verifying that a mistake has not been made. 
  • Cleaning compulsions: Cleaning compulsions often include ritualized or excessive cleaning and washing.
  • Counting compulsions: Counting numbers, words, and certain objects are common.
  • Repeating rituals: These can take the form of repeating actions, rereading things, and rewriting words.
  • Rituals that involve others: These might involve asking someone the same question repeatedly or requesting a ritual from parents, such as a mealtime ritual.
  • Saving compulsions: Hoarding or struggling to throw things away can indicate these.
  • Superstitious behaviors: Children may feel the need to touch or avoid specific things in order to stop something bad that they believe will happen if they do not.


Signs to Watch Out For

While it can be harder to notice obsessions, becoming aware of compulsions can help parents recognize OCD signs in children.

Signs you should be on the lookout for:

  • A continuous need for reassurance concerning the future 
  • A repetitive tendency to confess “bad thoughts,” such as thoughts that are unkind, sexual, or violent
  • An inability to tolerate some sounds or words
  • Extreme or exaggerated fears of contamination, harm to family members, or the potential to cause harm to others
  • Repetitive behavior such as locking doors, washing hands, or touching things in a specific order
  • The use of magic thinking
 

OCD Treatment Options

OCD symptoms can be very distressing to children, especially when they feel guilty or responsible. Various treatment options are available to help children understand that OCD is not their fault and learn how to combat their symptoms.

Cognitive Behavioral Therapy  

Through cognitive restructuring, exposure therapy, and mindfulness exercises, children can challenge thought patterns and learn coping strategies.

Medication 

Some children need medication in order to help combat their symptoms. Speaking with a professional can help you determine what is best for your child.

Local OCD Help for Children

At Just 4 Kids, we believe that physical and mental health are interconnected. Our approach to mental health combines physical and mental healing in order to optimize the health of your child.

Our team is here to support your family every step of the way as we treat your child’s symptoms of OCD.

We provide support for OCD through:

Behavioral evaluations

Coping skills training

Individual therapy

Support for family members

Learn more about Just 4 Kids and how we can help treat children’s mental health challenges

Schedule an Appointment with Us

OCD can be extremely challenging for both children and parents, and we are here to offer support, guidance, and advice. For expert support and kid-friendly professional mental health services in Eastern Idaho, call (208) 534-7881 and schedule an appointment for your child now. We have same-day availability and are eager to help your child feel better.

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