What is obsessive-compulsive disorder (OCD)? Obsessive-compulsive disorder (OCD) is an anxiety disorder characterized by uncontrollable, unwanted thoughts and repetitive, ritualized behaviors you feel compelled to perform.
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Obsessive-compulsive disorder (OCD) is an anxiety disorder characterized by uncontrollable, unwanted thoughts and repetitive, ritualized behaviors you feel compelled to perform.
If you have OCD, you probably recognize that your obsessive thoughts and compulsive behaviors are irrational – but even so, you feel unable to resist them and break free.
Like a needle getting stuck on an old record, obsessive-compulsive disorder (OCD) causes the brain to get stuck on a particular thought or urge. For example, you may check the stove twenty times to make sure it’s really turned off, wash your hands until they’re scrubbed raw, or drive around for hours to make sure that the bump you heard while driving wasn’t a person you ran over.
Obsessive Compulsive Disorder (OCD) Criteria
Either obsessions or compulsions:
B. At some point during the course of the disorder, the person has recognized that the obsessions or compulsions are excessive or unreasonable. Note: This does not apply to children.
C. The obsessions or compulsions cause marked distress, are time consuming (take more than 1 hour a day), or significantly interfere with the person’s normal routine, occupational (or academic) functioning, or usual social activities or relationships.
D. I another Axis I disorder is present, the content of the obsessions or compulsions is not restricted to it (e.g., preoccupation with food in the presence of an Eating Disorder; hair pulling in the presence of Trichotillomania; concern with appearance in the presence of Body Dysmorphic Disorder; preoccupation with drugs in the presence of a Substance Use Disorder; preoccupation with having a serious illness in the presence of Hypochondriasis; preoccupation with sexual urges or fantasies in the presence of a Paraphilia; or guilty ruminations in the presence of Major Depressive Disorder).
E. The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.
recurrent and persistent thoughts, impulses, or images that are experienced at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress
(2) the thoughts, impulses, or images are not simply excessive worries about real-life problems
(3) the person attempts to ignore or suppress such thoughts, impulses, or images, or to neutralize them with some other thought or action
(4) the person recognizes that the obsessional thoughts, impulses, or images are a product of his or her own mind (not imposed from without as in thought insertion)
repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly
(2) the behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation; however, these behaviors or mental acts either are not connected in a realistic way with what they are designed to neutralize or prevent or are clearly excessive
OCD is anxiety on steroids.
It begins with an obsession (which is a thought, image, or impulse)
They are usually unwanted, strange and repulsive.
These strange, repulsive, unwanted thoughts bring on the anxiety.
This makes the obsession seem very important.
The anxiety also brings unpleasant emotions and sensations.
Now comes the compulsion.
The compulsion is an attempt to negate the anxiety.
Compulsions can be overt, mental, or avoidance techniques.
The compulsions make the person feel better. It brings relief.
Therefore it becomes a negative reinforce; which makes the cycle of OCD so powerful.
YOU CAN’T JUST TURN IT OFF!
Unwanted, strange, and repulsive
thoughts, images, or impulse.
“I have germs on me!”
Images of germs
Impulse to wash hands.
Importance of obsession.
Unpleasant emotions and sensations.
“This is really bad and I’ll get sick!”
Crawling sensations on skin
An attempt to get rid of anxiety.
This can be overt, mental, or avoidance.
Tell self “sterile”
OCD can have a negative effect on many aspects of school functioning.
OCD can cause a student to have extreme anxiety.
This interferes with a student’s normal capabilities.
Some of the areas affected are learning, memory, problem solving, and focus.
This impacts the capacity to concentrate, understand what is read, comprehend problems,
make deductions, and devise strategies.
In short- students with OCD can experience serious difficulties with the learning process.
Strategies/ accommodations for Educators
Learn about OCD
Bring awareness to the classroom
Focus on self-esteem issues
Create a “safe” environment
Allow breaks to defuse anxiety
Watch for side effects of medication
Recognize tough spots for the child and respond appropriately
Be positive and reward successes
Create ways to reduce stress
A “buddy” system
Create different expectations
Students with OCD are often unhappy -- if not depressed -- and feel isolated.
When OCD is untreated, it can cause extreme anxiety or distress in young people.
Anxiety and stress related to OCD complicates the process of building social skills.
OCD behaviors are often observed by others and can be viewed as strange.
This can lead to the child feeling isolated.
Be vigilant for the presence of peer teasing and bullying
Strategies/ accommodations for a Social Worker
Teach tolerance and diversity appreciation
including individual differences associated with a variety of disabilities.
Use support strategies to defuse or negate social stigma.
Establish anti-bullying programs (zero tolerance, teach tolerance, empathy, respect
and conflict resolution strategies)
Strengths Perspective (celebrate skills and talent)
Communication is key: Talk and listen to you child
Inform and involve all family members about OCD
Remind yourself that OCD is based on emotion not on logic
Don’t feed the reassurance monster
Substitute honey for vinegar
Never participate in your child’s rituals
Recognize the many forms that OCD takes
for Parents with Children who have OCD
Sameness of surroundings
Sensory sensitive environment
SSRI’s and cognitive behavioral therapy
Open the doors of communication between child, parents, teachers, and staff.
Externalize anxiety and develop plan in dealing with OCD
Set up learning and behavioral accommodations.
Aid parents in outside resources, such as therapy.
Long-term goals for social workers
Document data for assessment of learning and behavioral accommodations.
Revise as needed
Continue to communicate with parents, teachers, and therapist about ongoing strategies.
Charles Darwin - 1809-1882 Naturalist, author; OCD and stutter. Darwin's many lifelong and serious illnesses
have been the subject of much speculation and study for over a century. Darwin stated that his health problems
began as early as 1825 when he was only sixteen years old, and became incapacitating around age 28.
The exact nature of Darwin's illness or illnesses remain mysterious at this time. Unless sophisticated molecular
probing of his biological remains is allowed, no definitive diagnosis can be reached. It has been speculated that one
of Darwin's conditions may have been Obsessive Compulsive Disorder.
Howard Hughes - Howard Robard Hughes, Jr. (24 December 1905 - 5 April 1976), was an American aviator,
engineer, industrialist, film producer and director, and one of the wealthiest people in the world. By the late 1950s
Hughes had developed debilitating symptoms of social avoidance behavior and obsessive-compulsive disorder (OCD).
The Aviator (2004), directed by Martin Scorsese and starring Leonardo DiCaprio as Hughes focuses primarily on
Hughes' achievements in aviation, in the movies, and on the increasing handicaps imposed on him by his
Billy Bob Thornton - (born August 4, 1955) is an Academy Award-winning American screenwriter, actor, as well as
occasional director, playwright and singer. He came to fame in the mid 1990s, after writing, directing, and starring in
the film Sling Blade. Billy Bob Thornton explains his particular penchant for repetitive compulsive actions. 'I have a
little bit of OCD,' he says. 'The simple ones I can explain to you. The more complex ones, I don't even know how to
tell anybody.' He and rock singer Warren Zevon became close friends after sharing their common experiences
with the disorder.
Donald Trump - Donald John Trump (born June 14, 1946 in Queens, New York, New York) is an American business
executive, entrepreneur, television and radio personality and author. He is also known for his catchphrase "You're Fired“
and his distinctive hair style. Donald Trump, host of the TV show "The Apprentice," has a germ phobia that makes him
afraid to shake hands. Property tycoon Donald Trump confesses he has borderline obsessive compulsive disorder and
is terrified of germs. The star refuses to touch the ground floor button of a lift and avoids shaking hands with people
- especially teachers.
Packed with info, videos, fundraisers, activities, and much more.
It even has a shop to buy gifts, books, t-shirts, etc.
I found this handy little website
for kids that contains this great
little book on how to deal with
I decided to copy the whole book!
You can find it on the remaining slides.
The website has it also in PDF form.
Obsessive-compulsive disorder (ocd) . Symptoms and Treatment of Compulsive Behavior and Obsessive Thoughts
Retrieved from http://www.helpguide.org/mental/obsessive_compulsive_disorder_ocd.htm
DSM IV Obsessive Compulsive Disorder (OCD) Criteria..
Retrieved from http://www.biologicalunhappiness.com/DSM-OCD.htm
Specialty behavioral health.
Retrieved from http://www.specialtybehavioralhealth.com/wp-content/Obsession-Compulsion-Cycle.pdf
OCD education station. A resource for school education.
Retrieved from: http://www.ocdeducationstation.org/ocd-facts/
Stuck. A fun and friendly resource for parents and children with ocd. Cinnamon’s 10 strategies for coping ocd.
Retrieved from: http://www.ocdinkids.com/cinnamons-ten-strategies-for-coping-with-ocd/
Parenting kids and teens with ocd. Don’t feed the reassurance monster … and other quick tips
Retrieved from: http://www.steveseay.com/child-ocd-kids-parenting-strategies-tips/
Disabled world towards tomorrow. Famous people with obsessive compulsive disorder.
Retrieved from: http://www.disabled-world.com/artman/publish/famous-ocd.shtml
Ocd-uk. Supporting children and adults affected by obsessive compulsive disorder.
Retrieved from: http://www.ocduk.org/
Ocd kids. Ocd a guide for children with ocd.
Retrieved from: http://www.ocdkids.org/