f^cfy^     Recurrent and persistent thought, image, or impulse that are ^           experienced as unwanted, intrusive and unacceptable, and that cause marked anxiety or distress.	
	Repetitive behaviors or mental acts that an individual feels *^0/> driven to perform in response to an obsession or according to	A
	rules that must be applied rigidly	
	^™      TheOCDCycle                                             ^^-^^^^^^^^ ^^^^^^^^^^^^^	
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Specifiers
Individuals with OCD vary in the degree of insight
Obsessional thoughts
Images or impulses that enter the patient's mind repeatedly, in a stereotyped form.
OCD in Children Obsessions and Compulsions
Harm Avoidance Checking
Cleanliness Washing Symmetry Ordering
Adults VS Children
19 years
2
No gender differences
ft
10 years
Boys I
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Symptoms dimensions ofOCD^
\
Cleaning
Contamination obsessions and cleaning compulsions
Forbidden or taboo thoughts
e.g., aggressive, sexual, or religious
obsessions and related compulsions
Symmetry
Symmetry obsessions and repeating, ordering, and counting compulsions
• [■ * Harm
The fear of harming 1 to oneself or others and by the checking compulsions
Content of obsessions
There are three common themes, in descending order of frequency:
unwanted thoughts aggression/harm unwanted sexual thoughts blasphemous thoughts
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Treatments Psychological Interventions/
Behavioral Theraphy
Exposure and Response Prevention (ERP)
Consists of graded and prolongued exposure to fear-eliciting stimuli or situations, combined with instructions for strict abstinence from the rituals that cause him relieve.
		
	->	
Psychological Interventions
Cognitive Therapy
Teach patients to identify and correct dysfunctional beliefs about feared situations
The therapeutic reduction of false appraisals often lead to great relief and improvement for the patient
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Cognitive Behavioral Therapy
Treatment of choice
It's important to consider the developmental differences and some other aspects It's not possible to prevent OCD from starting -Treatment it's the best solution Involving parents in the treatment of their children -good outcomes
When the regular SSIRs Treatment doesn't work, evidence supports the use of adjunctive antipsychotic medication with the SSRIs or the use of a high-dose SSRIs.
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WEEKS
Regarding children, research has shown that childf with early onset illness respond well to treatment, compared to adults if treatment is offered without delay (Fineberg, N. et al, 2015).