Dr Punam Krishan: Understanding Obsessive Compulsive Disorder in Children

On a rainy Tuesday afternoon, nine-year-old Mia stood motionless in the hallway of her primary school, her breathing rapid and shallow. The sight of a single scuff on the floor sent her spiraling into panic. “I can’t step on it,” she whispered, her hands trembling as she traced an invisible line to navigate around it. This is the reality for many children battling Obsessive Compulsive Disorder (OCD)—a condition often trivialized but profoundly disorienting for young minds. Dr. Punam Krishan, a leading clinical psychologist at the National Children’s Mental Health Institute, emphasizes that OCD is more than mere fussiness about cleanliness; it can significantly disrupt a child’s life and familial relationships.

What is OCD?

Obsessive Compulsive Disorder manifests through persistent, intrusive thoughts known as “obsessions,” often revolving around fears—for Mia, it was dirt or germs. These obsessions compel children to perform repetitive actions or “compulsions” in an attempt to alleviate their anxiety. It’s a vicious cycle where children feel that they must engage in these behaviors—like excessive hand-washing, checking, or counting—to feel safe.

“OCD is frequently misunderstood as a quirk,” Dr. Krishan explains. “The truth is, these compulsions aren’t just annoying habits; they’re often responses to crippling anxiety.” Left untreated, OCD can lead to deteriorating academic performance, strained friendships, and disruptive family routines. A recent study published by the Journal of Child Psychology found that 1 in 40 children suffers from OCD, underscoring an urgent need for awareness and action.

Common Misconceptions

Many associate OCD with perfectionism or trivial quirks, failing to see the greater pain behind these behaviors. Understanding this distinction is crucial for parents and educators alike. According to Dr. Steven Lam, a child psychiatrist, “The narrative surrounding OCD often misses its real emotional toll. Children are not simply being fussy; they are often locked in a battle with their own minds.” Parents should not dismiss these trends as mere childhood phases but should seek professional guidance.

The Impact of OCD

The ramifications of untreated OCD are profound, affecting children, their families, and their social circles. Obsessions and compulsions can lead children to withdraw from activities, and even limit school attendance. According to a 2022 report from the Child and Adolescent Mental Health Observatory, untreated OCD in childhood is correlated with an increased risk of other mental health disorders, including anxiety and depression, in later adolescence.

Support and Treatment Options

Fortunately, effective interventions are available. If you suspect your child suffers from OCD, consider the following practical strategies:

• Create a Supportive Environment: Encourage open discussions about fears without judgment. This could take place during a family walk or at the dinner table.
• Seek Professional Help: Consult your General Practitioner (GP) about a referral to Child and Adolescent Mental Health Services (CAMHS). Early intervention is essential, as waiting lists can be long.
• Consider Therapy: Cognitive Behavioural Therapy (CBT) has shown promise in helping children develop coping strategies to manage obsessive thoughts without resorting to compulsions.
• Medication as an Option: In some cases, medication that alters brain chemistry can prove beneficial in managing symptoms.
• Focus on Stress Reduction: Implement structured routines and introduce mindfulness techniques such as deep breathing exercises, which may help alleviate anxiety during overwhelming moments.

Children like Mia can flourish with the right interventions. Musician George Ezra, who has openly discussed his own experiences with OCD, notes, “Understanding OCD has transformed how I approach my music and personal life. Therapy has been the key to unlocking my creativity.” His journey illustrates that awareness and proactive measures can yield strength and resilience, allowing children to reclaim their lives from the clutches of OCD.

Opening Pathways

The journey toward managing OCD is seldom linear; it’s filled with small victories and setbacks. By fostering open communication, seeking professional support, and implementing daily strategies, parents can cultivate a nurturing environment for their children. “Your child’s feelings are valid,” Dr. Krishan assures. “Supporting them in facing their fears is paramount.” Remember that while the road may be challenging, it is also filled with the potential for growth and understanding. Ultimately, with informed support and compassionate care, children can learn to navigate their OCD, unlocking their full potential.

Source: www.bbc.co.uk