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Obsessive compulsive disorder (OCD)OObsessive compulsive disorder (OCD)Obsessive compulsive disorder (OCD)EnglishPsychiatry;AdolescentTeen (13-18 years)NANAConditions and diseasesTeen (13-18 years)NA2019-07-25T04:00:00ZFlat ContentHealth A-Z<h2>What is obsessive compulsive disorder (OCD)?</h2><p>Most people with obsessive compulsive disorder usually experience a combination of:</p><ul><li>obsessive thoughts</li><li>compulsive behaviours</li></ul><p>Obsessive thoughts are thoughts that are unwanted, persistent (they stick around in the mind) and recurring (they come back again and again). Compulsive behaviours, or compulsions, are repeated actions that someone might take to help get rid of their obsessive thoughts. </p><p>Most people with OCD recognize that the thoughts they experience are not true. However, they still believe them and feel compelled, or forced, to perform certain behaviours (or rituals) to make the thoughts less troubling. The link between thoughts and behaviour is what creates obsessive compulsive disorder. Someone with OCD is more likely to experience obsessions and compulsions together than to experience an obsession or a compulsion on its own.</p><p>Many youths with OCD engage in the compulsive behaviour out of fear that something terrible will happen if they do not follow certain patterns. Completing the behaviour helps them feel "just right", if only for a short time. </p><h2>Resources</h2><p>The following resources offer useful advice and information about obsessive compulsive disorder.</p><p> <a href="https://anxietycanada.com/">Anxiety Canada</a> – Provides free, online resources on anxiety and anxiety disorders, as well as an app for youth and young adults to help them manage anxiety.</p><p>Heubner, D. (2007). <em>What to Do When Your Brain Gets Stuck: A Kid's Guide to Overcoming OCD</em>. Magination Press.</p><p>March, J. (2006). <em>Talking Back to OCD: The Program that Helps Kids and Teens Say "No Way" – and Parents Say "Way to Go"</em>. The Guilford Press.</p>

 

 

 

 

Obsessive compulsive disorder (OCD)3808.00000000000Obsessive compulsive disorder (OCD)Obsessive compulsive disorder (OCD)OEnglishPsychiatry;AdolescentTeen (13-18 years)NANAConditions and diseasesTeen (13-18 years)NA2019-07-25T04:00:00ZFlat ContentHealth A-Z<h2>What is obsessive compulsive disorder (OCD)?</h2><p>Most people with obsessive compulsive disorder usually experience a combination of:</p><ul><li>obsessive thoughts</li><li>compulsive behaviours</li></ul><p>Obsessive thoughts are thoughts that are unwanted, persistent (they stick around in the mind) and recurring (they come back again and again). Compulsive behaviours, or compulsions, are repeated actions that someone might take to help get rid of their obsessive thoughts. </p><p>Most people with OCD recognize that the thoughts they experience are not true. However, they still believe them and feel compelled, or forced, to perform certain behaviours (or rituals) to make the thoughts less troubling. The link between thoughts and behaviour is what creates obsessive compulsive disorder. Someone with OCD is more likely to experience obsessions and compulsions together than to experience an obsession or a compulsion on its own.</p><p>Many youths with OCD engage in the compulsive behaviour out of fear that something terrible will happen if they do not follow certain patterns. Completing the behaviour helps them feel "just right", if only for a short time. </p><h2>What are the signs and symptoms of OCD?</h2><p>OCD has a range of signs and symptoms that can be broken down into obsessive symptoms and compulstive symptoms.</p><div class="symptoms-container" id="symp-ocd"> <a href="#" class="symp-fullscreen"><img src="https://assets.aboutkidshealth.ca/AKHAssets/Signs%20and%20Symptoms/OCD/OCD_Landing_screen_mobile.png" alt="Click anywhere to learn more!" /></a><a href="#" class="symp-close-full material-icons pull-right">close</a> <div class="instruction-container"><div class="thumbnail-col"> <span class="symp-title">OBSESSION</span></div><div class="thumbnail-col"> <span class="symp-title">COMPULSION</span></div><div class="anim-instructions"> <img src="https://assets.aboutkidshealth.ca/AKHAssets/Signs%20and%20Symptoms/OCD/SpeechBubbles_OCD.png" alt="Click on the icon signs to learn more and use back button to return" /> </div></div><div class="symptoms-info"> <span class="symp-title">OBSESSION SIGNS</span><button type="button" class="symp-close"><i class="material-icons">home</i> </button> <div class="info-card"><div class="desc"> <span class="card-title">Fears of germs or illness</span> <p>A person with OCD may have repeated thoughts that objects around them, inside or outside the home, are dirty or contaminated with germs. </p></div> <img src="https://assets.aboutkidshealth.ca/AKHAssets/Signs%20and%20Symptoms/OCD/OCD01_fearGerms.png?RenditionID=10" alt="" /> </div><div class="info-card"> <span class="card-title">Intrusive thoughts or fears</span> <p>A person with OCD may have a thought or image of something bad happening to someone or to themselves. They then worry that because they had the thought, it will in fact become true.</p> <img src="https://assets.aboutkidshealth.ca/AKHAssets/Signs%20and%20Symptoms/OCD/OCD02_fearHarmSelf.png?RenditionID=10" alt="person having intrusive thoughts or fears" /> </div><div class="info-card"> <span class="card-title">A need for order</span> <p>A person with OCD may need things to be placed in a certain way, such as organized by colour or size, in order to feel at ease, or need things to be excessively neat and tidy.</p> <img src="https://assets.aboutkidshealth.ca/AKHAssets/Signs%20and%20Symptoms/OCD/OCD06_needOrder.png?RenditionID=10" alt="need for order" /> </div><div class="info-card"> <span class="card-title">Excessive doubt</span> <p>A person may repeatedly doubt, for example, that things have been done. They may doubt that the door is locked, the oven is turned off, or the alarm clock is set.</p> <img src="https://assets.aboutkidshealth.ca/AKHAssets/Signs%20and%20Symptoms/OCD/OCD05_doubt.png?RenditionID=10" alt="person worried that they did not lock the door" /> </div><div class="btn-container"> <button type="button" class="symp-prev"> <i class="material-icons">chevron_left</i></button><button type="button" class="symp-next"><i class="material-icons">chevron_right</i></button></div></div><div class="symptoms-info"> <span class="symp-title">COMPULSION SIGNS</span><button type="button" class="symp-close"><i class="material-icons">home</i></button> <div class="info-card"><div class="desc"> <span class="card-title">Prolonged, repeated washing</span> <p>A person with germ or other contamination obsessions may feel a need to wash themselves repeatedly, wash laundry more often than needed, or insist on cleaning the bathroom or kitchen a certain way.</p></div> <img src="https://assets.aboutkidshealth.ca/AKHAssets/Signs%20and%20Symptoms/OCD/OCD03_muchWashing.png?RenditionID=10" alt="Person washing hands multiple times" /> </div><div class="info-card"> <span class="card-title">Repeated checking or counting</span> <p>A person with excessive doubt may try to manage their obsession by repeatedly checking, for example, if a door is locked or oven is off. They may need to do things a certain or "special" number of times in order for it to feel right.</p> <img src="https://assets.aboutkidshealth.ca/AKHAssets/Signs%20and%20Symptoms/OCD/OCD08_checkcount.png?RenditionID=10" alt="Person repeatedly checking if door is locked" /> </div><div class="info-card"> <span class="card-title">Needing routines or rituals</span> <p>A person with OCD may need rituals such as performing actions in a rigid order, repeating phrases or numbers in their head or arranging items in certain ways in order to calm their anxiety.</p> <img src="https://assets.aboutkidshealth.ca/AKHAssets/Signs%20and%20Symptoms/OCD/OCD04_needRoutine.png?RenditionID=10" alt="Routine checklist" /> </div><div class="info-card"> <span class="card-title">Doing more than what’s expected</span> <p>Someone with OCD may clean things more thoroughly or more often than needed, spend too much time getting dressed or eating a meal, or asking repeated questions that may not seem to make sense</p> <img src="https://assets.aboutkidshealth.ca/AKHAssets/Signs%20and%20Symptoms/OCD/OCD07_beyond.png?RenditionID=10" alt="Person throuroughly cleaning" /> </div><div class="btn-container"> <button type="button" class="symp-prev"> <i class="material-icons">chevron_left</i></button><button type="button" class="symp-next"><i class="material-icons">chevron_right</i></button></div></div><h3 class="main-title">OCD <span class="symp-subtitle">Common Signs</span></h3></div> <br> <h3>Common obsessive symptoms in teens</h3><p>The most common obsessive thoughts are:</p><ul><li>fears of contamination or illness</li><li>intrusive thoughts or fears of harming others or yourself</li><li>a need for symmetry and order</li><li>excessive doubt</li><li>sometimes, thoughts of a religious or sexual nature that cause a lot of distress (for example, worry about doing something that you are ashamed of or for which you will be punished)</li></ul><h3>Common compulsive symptoms in teens</h3><p>The most common compulsive symptoms include:</p><ul><li>prolonged and repeated washing of hands or body parts</li><li>refusing to touch things</li><li>repeated checking or counting</li><li>needing to do things in a specific order or specific way (such as following a specific routine or ritual)</li><li>needing to do things a certain number of times (such as following a specific pattern)</li><li>an excessive interest or need to do other things well beyond what would be expected (such as praying, washing or cleaning)</li></ul><h2>How common is OCD?</h2><p>Between 1 and 4 percent of teens may have OCD. As many as 8 percent of teens may have a mild form of OCD. This means that while they may have some OCD symptoms, they do not interfere too much with their everyday routine.</p><h3>What to do if you have concerns about excessive thoughts or compulsive behaviours</h3><p>If you have concerns that you have excessive and unwanted thoughts, a first step is to speak to your parents, or a close family member or other trusted adult, or speak to your doctor. The next step often involves getting an assessment with a psychiatrist or psychologist. </p><h2>How is OCD diagnosed?</h2><p>A psychiatrist or psychologist will want to speak to you and your family to get a sense of what difficulties you are having. Sometimes, they will ask you and your parents to fill in different questionnaires. </p><p>At the end of the assessment, the psychiatrist or psychologist help you understand whether you have a diagnosis of OCD or have some signs and symptoms but do not have a diagnosis of OCD. </p><h2>How is OCD treated?</h2><p>OCD is known to be treated successfully with both psychotherapy and medications.</p><div class="call-out"><div class="asset-video vid-small"> <iframe src="https://www.youtube.com/embed/EL_fvAepwv8?rel=0" frameborder="0"></iframe><span class="vid-title">Equal breathing</span><span class="vid-type">audio</span></div><p> <strong>How to use:</strong> Use this meditation when you’d like to refocus or bring yourself back to the present moment. Follow along with the meditation to match your in-breath to your out-breath and slowly increase the length of each. If you feel out of breath or dizzy during this meditation, pause and breathe comfortably until you feel better.</p></div><h2>Psychotherapy for OCD </h2><h3>Cognitive behavioural therapy</h3><p>Cognitive behavioural therapy (CBT) to be a very effective treatment for OCD, as it can help someone learn to:</p><ul><li>recognize how their thoughts, feelings and behaviours are connected</li><li>challenge their worries or unrealistic thoughts</li><li>replace their thoughts with more rational or realistic thoughts</li></ul><p>When someone has OCD, they place a great deal of importance on their intrusive thoughts, which can lead to anxiety. As a result, they may repeat a ritual (compulsive behaviour), usually several times or "a special number of times", until they "feel right". CBT can help with this pattern, but often a specific type of treatment, exposure response prevention, needs to be part of the treatment plan. </p><div class="call-out"><div class="asset-video"> <iframe src="https://www.youtube.com/embed/0QXmmP4psbA?rel=0" frameborder="0"></iframe><span class="vid-title"><strong>You are not your thoughts</strong></span></div><p> <strong>How to use:</strong> This video explains some of the things you can try when you feel overwhelmed by your thoughts. After the video, take a few moments to observe your thoughts with curiosity, paying attention to how each one makes you feel. Paying attention to your thoughts and sorting through them takes practice and patience.</p></div><h3>Exposure response prevention (ERP)</h3><p>As its name suggests, ERP consists of two major parts: exposure and response prevention.</p><ul><li>Exposure involves having you confront the feared situation (for example touching an object you think is dirty).</li><li>Response prevention involves keeping you from acting on your immediate compulsion (for example washing your hands immediately).</li></ul><p>ERP is designed to allow you to tolerate anxiety without following a ritual. At first, not following the ritual is the most difficult part of treatment, but, over time, your anxiety naturally reduces and the link between the fear and ritual weakens.</p><h2>Medications for OCD</h2><p>CBT remains the first approach to treatment for mild to moderate OCD symptoms. </p><p>For moderate to severe symptoms, both CBT and medications called selective serotonin reuptake inhibitors (SSRIs) can be successful. Your doctor or psychiatrist may consider medications first if your anxiety is too severe to allow you to engage in CBT or other treatment on its own.</p><div class="call-out"><div class="asset-video vid-small"> <iframe src="https://www.youtube.com/embed/gqMu6kFfQcE?rel=0" frameborder="0"></iframe><span class="vid-title">Dropping the anchor</span><span class="vid-type">audio</span></div><p> <strong>How to use:</strong> Use this meditation to steady yourself when you are feeling overwhelmed or have any unwanted thoughts, feelings or sensations. Follow along with the meditation, paying attention to the rhythm of your in-breath and out-breath. </p></div><h2>Resources</h2><p>The following resources offer useful advice and information about obsessive compulsive disorder.</p><p> <a href="https://anxietycanada.com/">Anxiety Canada</a> – Provides free, online resources on anxiety and anxiety disorders, as well as an app for youth and young adults to help them manage anxiety.</p><p>Heubner, D. (2007). <em>What to Do When Your Brain Gets Stuck: A Kid's Guide to Overcoming OCD</em>. Magination Press.</p><p>March, J. (2006). <em>Talking Back to OCD: The Program that Helps Kids and Teens Say "No Way" – and Parents Say "Way to Go"</em>. The Guilford Press.</p>