儿童的健康

如何识别您的孩子可能会有强迫症

Author

Stephanie Rhodes

February 18, 2020 5:00 AM

Important signs for parents to look for and a new study that evaluates the effectiveness of cognitive behavioral therapy as a treatment option.

您的孩子是否不断地重新编写，重新阅读或重新执行项目或工作？他们不断寻求保证吗？他们经常强调污垢和细菌吗？如果是这样，您的孩子可能与强迫症或OCD，一个影响每一百名美国儿童中一个的病症。

父母可能会考虑OCD的症状，只有他们的孩子正在经历的阶段，但他们实际上可以预测OCD相关的斗争，这些斗争可以随身携带进入成年期，常常，儿科医生不屏幕。

A child with OCD often exhibits repetitive, farfetched and unrealistic thoughts and behaviors. These actions often fall into a four symptom clusters, which Michigan Medicine psychiatristKate Fitzgerald, M.D.says includes:

Harm and safety worries:Does your child worry aboutproperly locking and re-locking doors? Are they often worried about safety and potential thieves in the neighborhood?
Contamination and cleaning worries:Does your child obsess about washing their hands properly? Are they overly focused on dirt and germs?
对称性和订购: Does your child insist on drawing in the lines or not stepping on cracks while walking? Do they insist on clothes looking and feeling “even” or keeping things in perfect order?
Magical thinking or superstitions: Is your child preoccupied with unlucky numbers, colors, certain words, sayings or superstitions and link them to catastrophe or “bad things” that might happen?

“Most children have occasional obsessive thoughts or need for sameness, such as wanting to hear their favorite story read the exact same way, have clothes feel or look ‘just right’, or feeling safest when they get ready for bed in a particular order,” Fitzgerald said. “But if these sorts of worries affect you or your child for more than one hour a day, it might be time to see a specialist.”

Diagnosing OCD

OCD isn’t considered a disorder until it causes one of three things:

每天超过一个小时影响你的孩子。
Really upsets them or makes them sad or anxious.
Interferes with family (e.g., temper tantrums), causes distractions at school or gets in the way of interactions with friends.

As with all anxiety disorders, it’s better to address OCD as early as possible. When OCD goes untreated, it can become more severe and evolve into depression.

"Treating kids early can save them a lifetime of distress. There is also evidence that cognitive behavioral therapy is actually more effective at younger ages."

Kate Fitzgerald, M.D.

Studying cognitive behavioral therapy to treat OCD

Early evaluation and CBT treatment can provide benefits that last a lifetime. CBT is considered the gold standard treatment for the condition and it has no side effects.

Currently, Fitzgerald and her team are conducting a study to determine how effective cognitive behavioral therapy can be for children with OCD.

CBT教病人打破代表之间的联系etitive thoughts and ritualistic behaviors. By resisting the urge to perform a compulsive behavior, people with OCD learn that obsessive thoughts are insignificant, which lessens the anxiety that the thoughts produce. CBT can lead to significant improvement in functioning and quality of life.

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“Treating kids early can save them a lifetime of distress,” Fitzgerald said. “There is also evidence that cognitive behavioral therapy is actually more effective at younger ages,” Fitzgerald explains.

The study group iscurrently enrolling children ages seven to 12, which is free to eligible participants and includes a diagnostic evaluation and one to two MRI scans.