What is obsessive-compulsive disorder (OCD)?
What causes obsessive-compulsive disorder?
|The cause of OCD is not known. Research indicates that OCD is a neurological brain disorder. Evidence suggests that people with OCD have a deficiency of a chemical in the brain called serotonin. OCD tends to run in families, suggesting a genetic component. However, OCD may also develop without a family history of OCD. Recent studies suggest that streptococcal infections may trigger the onset or increase the severity of OCD, in some cases.|
Who is affected by obsessive-compulsive disorder?
|While symptoms of OCD do occur in children, it is recognized as a relatively common mental health disorder in adolescents, with the average age of onset around 15 years old. Within the general population, approximately 1,000,000 children and adolescents have OCD. Unlike other anxiety disorders, twice as many males have OCD as females. Twenty percent of children and adolescents with OCD also have another family member with OCD.|
What are the symptoms of obsessive-compulsive disorder?
|The following are the most common symptoms of obsessive-compulsive disorder. However, each adolescent may experience symptoms differently. Symptoms may include: |
Compulsive behaviors (the repetitive rituals used to reduce anxiety caused by the obsessions) can become excessive, disruptive, and time-consuming, and may interfere with daily activities and relationships. Examples of compulsive behaviors may include:
The symptoms of OCD may resemble other medical conditions or psychiatric problems, including Tourette's disorder. Always consult your adolescent's physician for a diagnosis.
How is obsessive-compulsive disorder diagnosed?
|A child psychiatrist or other qualified mental health professional usually diagnoses anxiety disorders in children or adolescents following a comprehensive psychiatric evaluation. Parents who note signs of severe anxiety or obsessive or compulsive behaviors in their child or teen can help by seeking an evaluation and treatment early. Early treatment can often prevent future problems. |
In order for a diagnosis of OCD to be made, the obsessions and compulsions must be pervasive, severe, and disruptive enough that the child or adolescent's activities of daily living and function are adversely affected. In most cases, the activities involved with the disorder (i.e., handwashing, checking the locks on the doors) consume more than one hour each day and cause psychological distress and impaired mental functioning. In most cases, adults realize that their behaviors are unusual to some degree. However, often, children and adolescents do not have this critical ability to judge this type of behavior as irrational and abnormal.
Treatment for obsessive-compulsive disorder:
|Specific treatment for OCD will be determined by your adolescent's physician based on: |
OCD can be effectively treated - usually with a combination of individual therapy and medications. Treatment should always be based on a comprehensive evaluation of the adolescent and family. Individual therapy usually includes both cognitive and behavioral techniques. Cognitive therapy focuses on helping the child or adolescent identify and understand their fears and learn new ways to resolve or reduce their fears more effectively. Behavior techniques help the child or adolescent and their family establish contracts or guidelines to limit or change behaviors (such as establishing a maximum number of times a compulsive handwasher may wash his/her hands). Medications used most often to treat OCD are classified as selective serotonin reuptake inhibitors (SSRIs), medications that selectively affect neurotransmitters mechanisms in the central nervous system. If OCD is found to be linked to a streptococcal infection, then a series of antibiotic medications may be prescribed by your adolescent's physician. Treatment recommendations may include family therapy and consultation with the adolescent's school. Parents play a vital supportive role in any treatment process.
Approximately 20 to 40 percent of adolescents with OCD also experience one or more types of eating disorders, which will also require treatment.
Prevention of obsessive-compulsive disorder:
|Preventive measures to reduce the incidence of OCD in adolescents are not known at this time. However, early detection and intervention can reduce the severity of symptoms, enhance the adolescent's normal growth and development, and improve the quality of life experienced by children or adolescents with anxiety disorders. |
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