Obsessive Compulsive Disorder In Children Essay, Research Paper
Obsessive-Compulsive disorder is a very common disorder among adults. There
are many people in this society who do not realize that children can also get this certain
disorder. This disorder affects about two or three people out of every hundred. The two
main symptoms are obsessions and compulsions.
Obsessions are upsetting thoughts, pictures that keep coming into your
mind even though you do not want them to. Compulsions are repetitive
behaviors (e.g. hand washing, ordering, checking) or mental acts (e.g.
praying, counting, repeating words silently) that the person feels driven to
perform in response to an obsession, or according to rules that must be
applied fanatical. (Levenkron, 1991)
For the remainder of the paper, I will be exploring the causes and the treatment of
obsessive-compulsive disorder in children and adolescents, and giving examples of
children who have the disorder.
Children and adults with OCD have similar obsessions and compulsions.
Approximately eighty percent of adults with this disorder have their onset during their
childhood or teenage years. The sad thing that I feel is that there are not enough studies
done on children and teenagers to learn more about the disorder that many of these
juveniles acquire. I believe that if there were more studies done on children who are
either depressed or obsessive over something then some of these problems could get
solved.
Some of the symptoms of obsessive-compulsive disorder in children and teens are;
adolescents are that they are afraid of getting dirty or catching germs and they may spend
a lot of time worrying about lucky and unlucky numbers. These children also spend an
abundance of time trying to make everything around them perfect. Just about everyone
thinks about things like this but, children with OCD worry so much about these that they
are on their mind the whole day everyday. Every second of the say they are thinking
about this and trying to fix things in their mind that sometimes are not fixable. The more
that someone with this disorder does this the more uncomfortable they feel. Children
often ask the question, “Can I catch OCD.” If they hear about the disorder they
repeatedly want to know this.
There are very few causes of this disorder. Basically there is no simple way to
explain the causes of OCD. No one is exactly sure what the accurate causes are, but
through learning more about it and doing more studies there are some things that doctors
would say that are the causes. It is the thought that the causes are a combination of both
mental and physical factors. Physically a chemical in your brain, called serotonin, may
play a role. Serotonin is a neurotransmitter . People with obsessive-compulsive disorder
may not have enough of this in their brain. This is the reason that medicines that increase
the amount of serotonin in the brain can decrease the symptoms of OCD. Compulsive
rituals actually strengthen the disorder because although the rituals are not “pleasing” to
the person, they actually reduce the anxiety caused by the obsessive thoughts (American
Family Physician, 1998). Any ritual that helps the anxiety “go away” is likely to be
repeated. When ever someone performs a compulsive ritual, they avoid having to
actually face the thing or things that they are afraid of. For example, if a child were to
wash their hands aver and over, they do not have to worry about getting dirty or catching
any germs. Another example is that if someone with OCD repeatedly checks to make
sure that their door is locked, they do not have to worry about the door being unlocked.
This helps to sustain obsessive-compulsive disorder because to overcome a fear, one must
face that fear. I believe that many parents do not look for this disorder in their children
because they do not want to “face the music” if their children do have OCD. It is my
feeling that many parent think that this could never happen o their child although it could
really happen to anyone, no matter who they are.
There are some treatments for obsessive-compulsive disorder in children. One
treatment is the serotonin reuptake inhibitor (SSRI) sertraline. This a safe and effective
short-tern treatment for children with OCD. The recommended initial doses are twenty-
five mg once daily for children who are between the ages of six and twelve, and fifty mg a
day for teens between thirteen and seventeen (Bradbury, 1998).
The efficacy of exposure and responsive prevention and the potential
contribution of parental involvement in treatment were investigated for four
children with principal DSM-III-R diagnoses of OCD referred to the Center
for Stress and Anxiety Disorders, Child and Adolescent Fear and Anxiety
Treatment Program. Monitoring consisted of parent and child diaries of
obsessive-compulsive
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