November 28, 2023- As we previously discussed, Obsessive-Compulsive DISORDER (OCD) can be a torturous psychological condition for even the brightest and most talented of persons. The cycle of obsessive thoughts seemingly only reduced by compulsive behaviors in a never ending cycle ,if not controlled, can greatly disrupt the life of the person with the condition. It can be particularly devastating psychologically for children and adolescents who do not understand what it is and believe it is normal that they can overcome obsessive thoughts by believing the compulsive behaviors will satisfy or eliminate them. OCD can alter the personality of the person with anger and high anxiety when someone tells them to stop these compulsive behaviors they believe must be done. Common obsessive thoughts and resulting compulsions include dirt which leads to constant washing of hands, constant reinforcement that what they are doing is right, extreme orderliness with clothes or whatever, belief they must pray over and over again to be forgiven for some wrong from the past,present or future, believing the compulsive behavior can save a life or disaster, and the belief their obsessive thoughts and resulting behaviors are normal and necessary to avert whatever is the fear they are eliminating . An additional concern is that anxiety, depression, insomnia,eating disorders and even suicide ideation can be side effects resulting from OCD. The following are suggestions on how to help your child or teenager suffering from OCD: 1. Do not believe it is a mental health condition your child will just grow out of. 2. Seek out an experienced therapist in treating OCD. Cognitive Behavioral Therapy (CBT) in the form of Exposure and Response Prevention (ERP) is considered the gold standard for mental health treatment. 3. Talk to your family physician or pediatrician to discuss possible medication. There are medications such as the SSRIs that have been helpful in the treatment of children and adolescents with OCD. They are usually used with moderate to severe OCD. 4. Family counseling can often be helpful so everyone is working together. 5. In a sensitive manner, parents need to help their children realize OCD is a mental health condition that needs to be eliminated as much as possible. Children cannot be allowed to believe the behavior is normal.