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Obsessive-Compulsive Disorder

The Child Advocate is devoted to children and the parents and professionals that work with them and advocate for them. Obsessive-Compulsive Disorder (OCD) is a unique problem for children and their families. Part of this information is presented with the permission of Amy Bridgeman, Cherie’ Inglis and Lisa Bonavita from their work at The Penn State College of Medicine. The information presented at this site is for general use only and is not intended to provide personal advice or substitute for the advice of a qualified professional. If you have questions about the information presented here, please consult a physician, the resources listed or other professional in your area.

 

Helpful Information

Treatment Update of OCD

Current trends in the treatment of Obsessive-Compulsive Disorder Lisa Bonavita   The Pennsylvania State University – College of Medicine November 2004   DSM-IV Diagnosis of Obsessive-Compulsive Disorder Either Obsessions or Compulsions: Obsessions defined as all of the following: Recurrent and persistent thoughts, impulses, or images that are experienced, at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress The thoughts, impulses, or images are not simply excessive worries about real-life problems The person attempts to ignore or suppress such thoughts, impulses, or images or to neutralize them with some other thought or action The person recognizes that the obsessional thoughts, impulses, or images are a product of his or her own mind (not imposed from without as in thought insertion) Compulsions defined as all of the following: Repetitive behaviors (ex. hand washing, checking) or mental acts (ex. praying, counting) that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly The behaviors or mental acts are aimed at preventing or reducing distress of preventing some dreaded event or situation; however, these behaviors or mental acts either are not connected in a realistic way with what they are designed to neutralize or prevent or are clearly excessive At some point during the course of the disorder, the person has recognized that the obsessions are excessive or unreasonable (this does not apply in children) The obsessions or compulsions cause marked distress, are time consuming (take more than 1 hour/day), or significantly interfere with the person’s normal routine, occupational (or academic) functioning, or usual social...

Pharmacologic Treatment of Obsessive-Compulsive Disorder

Pharmacologic Treatment of Obsessive-Compulsive Disorder  in Children and Adolescents  Amy Bridgeman  The Pennsylvania State University – College of Medicine October 2003   Diagnosis DSM IV criteria for Obsessive-Compulsive Disorder (OCD) (8): Either obsessions or compulsions: Obsessions as defined by: Recurrent and persistent thoughts, impulses, or images that are experienced, at some time during the disturbance, as intrusive and inappropriate and that cause anxiety or distress. The thoughts, impulses, or images are not simply excessive worries about real-life problems. The person attempts to ignore or suppress such thoughts, impulses, or images, or to neutralize them with some other thought or action. The person recognizes that the obsessional thoughts, impulses, or images are a product of his or her own mind. Compulsions as defined by Repetitive behaviors or mental acts that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly. The behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation; however, these behaviors or mental acts either are not connected in a realistic way with what they are designed to neutralize or prevent or are clearly excessive. At some point the person has recognized the compulsions are excessive or unreasonable. (Does not apply to children) The obsessions or compulsions cause marked distress, are time consuming, or significantly interfere with the person’s normal routine, occupational (or academic) functioning, or usual social activities or relationships. If another Axis I disorder is present, the content of the obsessions or compulsions is not restricted to it. The disturbance is not due to the direct physiological...

OCD – A Treatment Review

Obsessive Compulsive Disorder (OCD) is a chronic, waxing and waning, DSM-IV Axis I disorder in which patients have recurrent intrusive thoughts (obsessions) that increase their anxiety level. They usually relieve this anxiety with recurrent standardized behaviors (compulsions). These symptoms are ego-dystonic and cause significant distress in the patients’ lives.

Children and Psychiatric Medication – a multimodal presentation

Children’s Medications – a multimodal presentation A Presentation from  Penn State College of Medicine Supported in part by an advocacy grant from The American Academy of Child and Adolescent Psychiatry 2005 – 2008 Chrome browser users may need the IE-On-Chrome extension added to their browsers to view this presentation. On your browser go to “More tools”, then “Extensions”, then Get more extensions to find it. Highlights of the presentation on psychiatric medication for the child include: Medication in ADHD, Anxiety and Depression Multimodal Treatment Study of Children with ADHD (MTA) Pediatric OCD, Treatment of OCD, and Cognitive Behavioral Therapy Treatment of Adolescent Depression Study...