Assessment and medication management of paediatric obsessive-compulsive disorder.

Drugs
S Evelyn StewartAndrea C Stachon

Abstract

Paediatric obsessive-compulsive disorder (OCD) is a common, yet under-recognized, neuropsychiatric illness in both clinical and community settings. Symptoms tend to be hidden or misunderstood by affected youth, and parents may inadvertently accommodate OCD, thus worsening its severity. These symptoms may include compulsive reassurance seeking, confessing and 'just right' rituals, in addition to more classic OCD behaviours. Fortunately, numerous psychometric measures are available to assist in clinical assessment of this disorder and its sequelae. Once properly diagnosed, paediatric OCD is highly treatable with empirically proven approaches including cognitive-behaviour therapy (CBT) and serotonin reuptake inhibitor (SRI) medications. Clinically meaningful symptom improvement is the norm following these strategies, although full remission is not, as symptoms tend to wax and wane over time. Paediatric OCD is highly co-morbid with other anxiety disorders, tic disorders, depression and attention-deficit hyperactivity disorder, which also require specific attention. For moderate to severe OCD, an interdisciplinary approach combining individual and family CBT with SRI trials is recommended. For severe treatment-refractory illness, ea...Continue Reading

References

Nov 1, 1992·Journal of the American Academy of Child and Adolescent Psychiatry·M A RiddleD J Cohen
Jan 1, 1992·Journal of the American Academy of Child and Adolescent Psychiatry·J DeVeaugh-GeissP Landau
Nov 1, 1988·Journal of the American Academy of Child and Adolescent Psychiatry·C Z BergJ L Rapoport
Nov 1, 1988·Journal of the American Academy of Child and Adolescent Psychiatry·M F FlamentD Shaffer
Oct 1, 1985·Archives of General Psychiatry·M F FlamentM Linnoila
Jan 1, 1986·Journal of the American Academy of Child Psychiatry·C J BergM Flament
Jul 1, 1994·Journal of the American Academy of Child and Adolescent Psychiatry·H L LeonardS E Swedo
Jun 1, 1997·Journal of the American Academy of Child and Adolescent Psychiatry·L ScahillJ F Leckman
Mar 11, 1998·Harvard Review of Psychiatry·D A GellerK S Park
Apr 29, 1998·Journal of the American Academy of Child and Adolescent Psychiatry·D GellerB Coffey
Dec 8, 1998·JAMA : the Journal of the American Medical Association·J S MarchH Steiner
Aug 26, 1999·Journal of Child and Adolescent Psychopharmacology·K D FitzgeraldD R Rosenberg
Feb 24, 2001·Journal of the American Academy of Child and Adolescent Psychiatry·M A RiddleJ T Walkup
Apr 6, 2001·Journal of the American Academy of Child and Adolescent Psychiatry·G F BusattoE C Miguel
Jul 5, 2001·Journal of the American Academy of Child and Adolescent Psychiatry·D A GellerUNKNOWN Fluoxetine Pediatric OCD Study Team
Aug 16, 2001·The Journal of Nervous and Mental Disease·D A GellerB J Coffey
Nov 3, 2001·The American Journal of Psychiatry·M C Rosario-CamposE C Miguel
Jan 5, 2002·The American Journal of Psychiatry·Lorrin M KoranDelbert Robinson
Nov 26, 2002·Journal of the American Academy of Child and Adolescent Psychiatry·Michael R LiebowitzH Blair Simpson
Feb 13, 2003·The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry·Eric HollanderStephen M Stahl
Jul 5, 2003·Journal of Psychiatric Research·Leonardo F FontenelleMarcio Versiani
Nov 5, 2003·The American Journal of Psychiatry·Daniel A GellerStephen V Faraone
Nov 25, 2003·The Journal of Clinical Psychiatry·Eric HollanderUNKNOWN Paroxetine OCD Study Group
Jan 16, 2004·The New England Journal of Medicine·Michael A Jenike
Feb 6, 2004·Biological Psychology·Anne Katrin KuelzUlrich Voderholzer
Aug 4, 2004·Archives of Pediatrics & Adolescent Medicine·Andrés MartinDouglas Leslie
Aug 19, 2004·JAMA : the Journal of the American Medical Association·John MarchUNKNOWN Treatment for Adolescents With Depression Study (TADS) Team
Sep 21, 2004·The Journal of Neuropsychiatry and Clinical Neurosciences·Do-Hyung KangJun Soo Kwon
Oct 27, 2004·Journal of the American Academy of Child and Adolescent Psychiatry·Daniel A GellerChristel Gardiner
Jan 29, 2005·The American Journal of Psychiatry·David Mataix-ColsJames F Leckman
Feb 11, 2005·Annals of Clinical Psychiatry : Official Journal of the American Academy of Clinical Psychiatrists·Per Hove Thomsen
May 14, 2005·American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics : the Official Publication of the International Society of Psychiatric Genetics·Maria Conceição do Rosario-CamposDavid L Pauls
Jun 9, 2005·Archives of General Psychiatry·Ronald C KesslerEllen E Walters
Jun 22, 2005·Journal of the American Academy of Child and Adolescent Psychiatry·Gabriele MasiFrancesca Arcangeli
Jul 22, 2005·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Nadia ChabaneDavid Pauls
Sep 15, 2005·Journal of Psychiatric Research·S Evelyn StewartMichael A Jenike
Oct 11, 2005·Twin Research and Human Genetics : the Official Journal of the International Society for Twin Studies·Daniël S van GrootheestDorret I Boomsma
Oct 19, 2005·Journal of Psychiatric Research·S Evelyn StewartMichael A Jenike

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Citations

Jan 1, 2014·Child Psychiatry and Human Development·Elien De Caluwé, Barbara De Clercq
Oct 10, 2014·Journal of Affective Disorders·Hilary Weingarden, Keith D Renshaw

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