Children Who Become Compulsive

Experts indicate that a compulsive disorder appears in 1%-2% of children and teens. There is a genetic component suggesting that children of adults with OCD (Obsessive Compulsive Disorder) may develop an obsession or compulsion. Children with a brain injury or encephalitis may also develop this disorder. Both are accompanied with an anxiety that cannot be controlled when it asserts itself. They either do not have the language to express their anxieties and worries or feel like they cannot talk about it because they are scared and alone.

Diagnosis normally occurs between the ages of 7 to 12 years. Compulsions are repeated actions. Often, compulsive children will try to hide their actions due to embarrassment. The anxiety over germs, open or closed windows or doors can be disruptive to family activities and schedules. Often, these actions are unrealistic. Children want their compulsions to go away and cannot stop their actions. A child may wash and rewash their hands, erase and re-erase their assignments, check and re-check door locks, etc. The behavior may be repeated over and over for an hour or more.

Diagnosis of a compulsive disorder must be made by a doctor who can differentiate from depression, simple anxiety, or autism. Parents must be supportive and educated in order to help with treatment of this disorder. OCD is normally treated by cognitive and behavioral therapies. Medication in the form of serotonin reuptake inhibitors (SSRIs) may used as part of the treatment plan . If the disorder is a result of a strep infection, antibiotics may be administered.