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Obsessive Compulsive Disorder, New Treatment Options for Symptoms

Obsessive Compulsive Disorder Treatment, Mandeville, Slidell, Covington, Hammond, New Orleans and Covington

Obessive Compulsive Disorder, OCD. Treated by psychiatrists, psychologists, and therapists

Obsessive Compulsive Disorder

Obsessive Compulsive Disorder (OCD) is a diagnosis characterized by time consuming thoughts and routines that significantly interfere with a person’s ability to enjoy their lives.  Fortunately, treatment, though many difficult, can be found locally in: Mandeville, Slidell, Hammond, New Orleans, and Covington; there are many psychiatrists, therapists, and psychologists that can help. For children, it’s difficult many times to verbalize the obsessive thoughts as they struggle with seeing them themselves in the abstract, and with their vocabulary so parents may not recognize that these thoughts are occurring.  However, it’s much easier for parents to observe the compulsive behaviors:  excessive cleaning, hand washing, hoarding, keeping things in order, and rewriting and erasing a word repeatedly are all examples of possible compulsions. Mental acts like asking repeatedly if something bad is going to happen when the child has been reassured it will not can also be a compulsion.  Obsessions and compulsions can interfere with the child’s normal routine, academic functioning and social life.  For instance a child may fear his shoe is going to come undone so they tie it over and over again making himself and possibly others repeatedly delayed for school or other activities. Sometimes, obsessions can be about routines being a certain way, and the compulsion is to ask about the routines, and to be upset if the routines don’t go as planned.

Between 1 and 3% of children will develop and onset can be as young as 5 or 6 may develop this disorder

Obsessive Compulsive Disorder and PANDAS

Sometimes Obsessive Compulsive Disorder occurs as the result of a bacterial infection and this is called Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections (PANDAS). This is a disorder of pre-pubertal children with a sudden and significant onset of Obsessive Compulsive Disorder (OCD) following an infection with group A beta-hemolytic Streptococcus bacteria (which can cause strep throat rheumatic fever, scarlet fever, sinusitis, etc…). The body fights the infection and the antibodies the body creates are thought to damage cells in the basal ganglia in our brain.  The basal ganglia is a part of our brain that helps us with voluntary motor control and helps us develop habits (good or bad) by providing us with our “reward system”.  The basal ganglia interacts with the cortex pursuing or avoiding actions depending on previous learned emotions. Treatment can be found at Tulane Medical Center, department of immunology.

Obsessive Compulsive Disorder can also be caused by genetics and the environment, and is many times linked to attention deficit hyperactivity disorder (ADHD/ADD).

Obsessive Compulsive Disorder Treatment

Child Psychiatrists, and Psychologists try to find the best treatment for Obsessive Compulsive Disorder (OCD) by starting with making the correct diagnosis, and then consulting with the child’s family to discuss therapy and possibly medicine. Though pediatricians and family medicine physicians can treat OCD, it is commonly treated by a child psychiatrist in children or a psychiatrist for adults.  Therapists and counselors are valuable allies when treating OCD.  Psychologists are experts in providing psychological testing and also therapy services. If one is unsure about the diagnosis, then with treatment, psychological testing may be helpful.

Trichotillomania (TTM) is closely related to OCD and the vanguard of treatment in both conditions is looking into the role of glutamate (as being a deficient neurotransmitter) and using n-acetylcysteine to augment. Nutritional supplements are potentially an ally in treatment of OCD and TTM but the short and long term safety and efficacy of nutritional supplements is still being understood and dosing is still being established.  Nevertheless, the science continues and in some OCD and TTM cases it may be an option to discuss nutritional supplementation with your physician or mental health professional.

To learn more, the AACAP has an article and more information about OCD.

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(We very much hope that you have enjoyed the above information only article. Please remember that nothing in this article is meant to be given as any type of medical or psychiatric advice and is for informational purposes only.  Nor is this article intended to substitute in any way for professional medical or psychiatric advice, diagnosis, or treatment.  Always seek the advice of your physician, psychiatrist or other qualified health provider with any questions you may have regarding any medical or psychiatric condition. We strongly advise that you never disregard professional medical or psychiatric advice or delay in seeking advise because of anything you have read on the Acadian Care website.  Thank you. )

 

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