OCD
An estimated four million Americans have Obsessive-compulsive disorder, which includes 1,000,000 children and adolescents. These people with OCD are slaves to their rituals, and their rituals begin to take over their lives. Stephanie, an eighteen year old, had trouble with math because of her OC D. " 'If I got to number seventeen on the math test, I would have to tap my pencil seventeen times.' " (Weiskopf, Catherine. Understanding Obsessive-compulsive disorders.) Stephanie's situation shows that obsessive-compulsive disorder influences the development of children. Children and adolescents with OCD end up with emotional and social developmental problems. Obsessive-compulsive disorder is an unrelenting pattern of obsessions and compulsions. Obsessions are unwanted ideas or thoughts that repeatedly are on the individual's mind. Typical obsessions are fear of dirt or contamination; concern with order; constantly thinking about certain images, sounds, words, or numbers; and fear of harming a family member or a loved one. Compulsions are preformed intentionally to reduce the anxiety or discomfort brought on by obsessions. Common compulsions are excessive hand washing, checking to make sure of something repeatedly, arrangi
"Large studies have shown that more than three/quarters of patients are helped by these medications at least a little. Obsessive-compulsive disorder is an unrelenting pattern of obsessions and compulsions. ) Exposure and response prevention is an effective behavior therapy for OCD. "In this approach, the patient deliberately and voluntarily confronts the feared object or idea, either directly or by imagination. Drugs that affect the neurotransmitter serotonin can significantly decrease the symptoms of OCD. Stephanie is emotionally torn between making the anxiety dissipate or fighting her OCD. Other research has indicated that the volume of certain structures within the brain may be greater in individuals with OCD than in those without the disorder. Parents try to help and understand, but in reality the OCD is foreign to them. ) Cognitive-behavioral therapy may also be effective for OCD. At the same time the patient is strongly encouraged to refrain from ritualizing, with support and structure provided by the therapist, and possibly by others whom the patient recruits for assistant. " 'If I got to number 17 on the math test, I would have to tap my pencil 17 times. The first drug approved for the treatment of OCD was the tricyclic antidepressant clomipramine (Anafranil). People with an OCD are torn between making their anxiety dissipate or fighting their OCD. " (Department of Psychiatry and Behavioral Neurosciences at Wayne State University School of Medicine.
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