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Obsessive compulsive disorder: Treatment with psychotherapy and medicationsOObsessive compulsive disorder: Treatment with psychotherapy and medicationsObsessive compulsive disorder: Treatment with psychotherapy and medicationsEnglishPsychiatrySchool age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NANANon-drug treatmentCaregivers Adult (19+)NA2016-07-19T04:00:00ZSandra L. Mendlowitz, PhD, C Psych​​000Health (A-Z) - ProcedureHealth A-Z<p>Learn how psychotherapy and medications can help improve the symptoms of OCD.</p><p>OCD is known to be treated successfully with both psychotherapy and medications.</p><h2>Key points</h2> <ul> <li>CBT for OCD should be conducted by a clinician experienced in treating OCD.</li> <li>CBT and ERP should always be tried before medications are prescribed.</li> <li>Medications are generally used with CBT in cases of more severe OCD.</li> </ul><h2>Psychotherapy for OCD</h2> <h3>Cognitive behavioural therapy</h3> <p>Research has shown cognitive behavioural therapy (CBT) to be a very effective treatment for OCD. CBT is a type of therapy in which a person learns to:</p> <ul> <li>recognize how their thoughts, feelings and behaviours are connected</li> <li>challenge their worries or unrealistic thoughts</li> <li>replace their thoughts with more rational or realistic thoughts</li> </ul> <p>With OCD, the person over-estimates the importance of an intrusive thought. This can then make them feel anxious. The rituals they create offer temporary relief from their anxiety, but they provide no real guarantee that the thought will not recur. As a result, the ritual is repeated, usually several times, until the person "feels right" or has repeated the actions a special number of times.</p> <p>CBT helps to address the anxiety a child with OCD might feel, but another treatment, exposure response prevention (ERP), helps them to challenge their thoughts and learn relaxation techniques such as deep breathing and muscle relaxation.</p> <h3>Exposure response prevention (ERP)</h3> <p>As its name suggests, ERP consists of two major parts: exposure and response prevention.</p> <ul> <li>Exposure involves having your child confront the feared situation (for example touching an object they think is contaminated).</li> <li>Response prevention involves keeping the child from acting on their immediate compulsion (for example preventing them from washing their hands immediately).</li> <li>While parents may help stop the child completing the ritual, (for example by turning off the main water valve so there is no running water), the child eventually must be able to stop themselves independently.</li> </ul> <p>ERP is designed to allow the child to tolerate the anxiety without following the ritual. At first, not following the ritual is the most difficult part of treatment for the child, but, over time, their anxiety naturally reduces and the link between the fear and ritual weakens.</p> <p>If your child needs ERP, it is not unusual to have many sessions before they stop the ritual. Even still, this treatment remains the most effective way to treat OCD.</p><h2>Further information</h2><p>For more information about OCD, please see the following pages:</p><p><a href="/Article?contentid=285&language=English">OCD: Overview</a></p><p><a href="/Article?contentid=288&language=English">OCD: Signs and symptoms</a></p><p><a href="/Article?contentid=286&language=English">OCD: How it affects your child's life</a></p><p><a href="/Article?contentid=287&language=English">OCD: How to help your child</a></p><h2>Resources</h2><p>The following books and websites have some useful advice about OCD for parents and teens.</p><h3>Books</h3><p>Chansky, T. (2001). <em>Freeing Your Child from Obsessive-Compulsive Disorder: a Powerful, Practical Program for Parents of Children and Adolescents</em>. Harmony.</p><p>Derisley, J., et al (2008). <em>Breaking Free from OCD: a CBT Guide for Young People and Their Families</em>. London: Jessica Kingsley Publishers. </p><p>Dotson, A. (2014). <em>Being Me with OCD: How I Learned to Obsess Less and Enjoy My Life</em>. Free Spirit Publishing. </p><p>Jassi, A. (2013). <em>Can I Tell You about OCD? A Guide for Friends, Family, and Professionals</em>. London: Jessica Kingsley Publishers.</p><h3>Websites</h3><p>International OCD Foundation (2016). <a href="https://kids.iocdf.org/" target="_blank"><em>OCD in Kids</em></a> </p><p>TeenMentalHealth.org (2016). <em><a href="http://teenmentalhealth.org/learn/mental-disorders/obsessive-compulsive-disorder-ocd/" target="_blank">Obsessive Compulsive Disorder</a></em></p><p>AnxietyBC (2016). <em><a href="https://www.anxietybc.com/parenting/obsessive-compulsive-disorder" target="_blank">Obsessive Compulsive Disorder</a></em></p>
Le trouble obsessionnel-compulsif (TOC): le traitement par la psychothérapie et les médicamentsLLe trouble obsessionnel-compulsif (TOC): le traitement par la psychothérapie et les médicamentsObsessive compulsive disorder: Treatment with psychotherapy and medicationsFrenchPsychiatrySchool age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NANANon-drug treatmentCaregivers Adult (19+)NA2016-07-19T04:00:00ZSandra L. Mendlowitz, PhD, CPsych​​000Health (A-Z) - ProcedureHealth A-Z<p> Découvrez comment la psychothérapie et les médicaments peuvent aider à réduire les symptômes du TOC.</p><p>On sait que le TOC peut être bien traité en utilisant à la fois la psychothérapie et des médicaments.</p><h2>À retenir</h2> <ul><li>Une TCC doit être effectuée par un spécialiste expérimenté dans le traitement des TOC.</li> <li>On doit toujours essayer la TCC et l’EPR avant de prescrire des médicaments.</li> <li>Les médicaments sont généralement utilisés en même temps que la TCC dans les cas plus graves de TOC.</li></ul><h2>La psychothérapie pour traiter les TOC</h2> <h3>La thérapie cognitivo-comportementale</h3> <p>La recherche a démontré que la thérapie cognitivo-comportementale (TCC) est un traitement très efficace pour les TOC. La TCC est un type de thérapie au cours de laquelle une personne apprend:</p> <ul><li>la façon dont les pensées, les sentiments et les comportements sont reliés,</li> <li>à repousser ses inquiétudes ou ses pensées irréalistes,</li> <li>à remplacer ses pensées par d’autres plus rationnelles ou réalistes.</li></ul> <p>Sous l’emprise d’un TOC, une personne surestime l’importance d’une pensée intrusive. Cela peut la rendre anxieuse. Les rituels créés offrent un soulagement temporaire de leur anxiété, mais ils n’apportent aucune garantie réelle que de telles pensées ne vont pas ressurgir. En conséquence, le rituel est répété, généralement plusieurs fois, jusqu’à ce que la personne se sente « mieux » ou qu’elle a répété les mêmes actions un certain nombre de fois.</p> <p>La TCC aide à résoudre l’anxiété qu’un enfant souffrant de TOC pourrait ressentir, mais un autre traitement, l’exposition avec prévention de la réponse (EPR), permet de repousser ses pensées et d’apprendre des techniques de relaxation comme la respiration profonde et la relaxation musculaire.</p> <h3>Exposure response prevention (ERP)</h3> <h2>Exposition avec prévention de la réponse (EPR)</h2> <p>Comme son nom l’indique, l’EPR se compose de deux parties principales : l’exposition et la prévention de la réponse.</p> <ul><li>L’exposition consiste à ce que l’enfant ait à faire face à la situation redoutée (par exemple en touchant un objet dont il pense qu’il est contaminé).</li> <li>La prévention de la réponse consiste à empêcher l’enfant d’agir de manière compulsive immédiatement (par exemple en l’empêchant de se laver les mains immédiatement).</li> <li>Même si les parents peuvent aider à empêcher l’enfant de suivre son rituel, (par exemple en fermant l’arrivée d’eau principale, donc pas d’eau dans la maison), l’enfant doit finalement être en mesure d’arrêter son comportement par lui-même.</li></ul> <p>L’EPR est conçue pour permettre à l’enfant de tolérer l’anxiété sans suivre le rituel. Au début, ne pas suivre le rituel est la partie la plus difficile pour l'enfant, mais, au fil du temps, l’anxiété se réduit naturellement et le lien entre la crainte et le rituel s’affaiblit.</p> <p>Si votre enfant a besoin d’EPR, il fautsouvent de nombreuses séances avant qu’il ne soit mis fin au rituel. Malgré tout, ce traitement reste le moyen le plus efficace de traiter les TOC.</p>​<h2>En savoir plus<br></h2><p>Pour plus d’informations sur le médicaments pour traiter les enfants et les adolescents souffrant de TOC, consulter le pages suivante : <a href="https://kids.iocdf.org/professionals/mh/meds-for-pediatric-ocd/" target="_blank">https://kids.iocdf.org/professionals/mh/meds-for-pediatric-ocd/</a>.</p>

 

 

Obsessive compulsive disorder: Treatment with psychotherapy and medications709.000000000000Obsessive compulsive disorder: Treatment with psychotherapy and medicationsObsessive compulsive disorder: Treatment with psychotherapy and medicationsOEnglishPsychiatrySchool age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NANANon-drug treatmentCaregivers Adult (19+)NA2016-07-19T04:00:00ZSandra L. Mendlowitz, PhD, C Psych​​000Health (A-Z) - ProcedureHealth A-Z<p>Learn how psychotherapy and medications can help improve the symptoms of OCD.</p><p>OCD is known to be treated successfully with both psychotherapy and medications.</p><h2>Key points</h2> <ul> <li>CBT for OCD should be conducted by a clinician experienced in treating OCD.</li> <li>CBT and ERP should always be tried before medications are prescribed.</li> <li>Medications are generally used with CBT in cases of more severe OCD.</li> </ul><h2>Psychotherapy for OCD</h2> <h3>Cognitive behavioural therapy</h3> <p>Research has shown cognitive behavioural therapy (CBT) to be a very effective treatment for OCD. CBT is a type of therapy in which a person learns to:</p> <ul> <li>recognize how their thoughts, feelings and behaviours are connected</li> <li>challenge their worries or unrealistic thoughts</li> <li>replace their thoughts with more rational or realistic thoughts</li> </ul> <p>With OCD, the person over-estimates the importance of an intrusive thought. This can then make them feel anxious. The rituals they create offer temporary relief from their anxiety, but they provide no real guarantee that the thought will not recur. As a result, the ritual is repeated, usually several times, until the person "feels right" or has repeated the actions a special number of times.</p> <p>CBT helps to address the anxiety a child with OCD might feel, but another treatment, exposure response prevention (ERP), helps them to challenge their thoughts and learn relaxation techniques such as deep breathing and muscle relaxation.</p> <h3>Exposure response prevention (ERP)</h3> <p>As its name suggests, ERP consists of two major parts: exposure and response prevention.</p> <ul> <li>Exposure involves having your child confront the feared situation (for example touching an object they think is contaminated).</li> <li>Response prevention involves keeping the child from acting on their immediate compulsion (for example preventing them from washing their hands immediately).</li> <li>While parents may help stop the child completing the ritual, (for example by turning off the main water valve so there is no running water), the child eventually must be able to stop themselves independently.</li> </ul> <p>ERP is designed to allow the child to tolerate the anxiety without following the ritual. At first, not following the ritual is the most difficult part of treatment for the child, but, over time, their anxiety naturally reduces and the link between the fear and ritual weakens.</p> <p>If your child needs ERP, it is not unusual to have many sessions before they stop the ritual. Even still, this treatment remains the most effective way to treat OCD.</p><h2>Medications for OCD</h2> <p>CBT remains the first line of treatment for children with mild to moderate OCD symptoms. For moderate to severe symptoms, both CBT and medications called <a href="/Article?contentid=701&language=English">selective serotonin reuptake inhibitors (SSRIs)</a> can be successful. Medications can also work well when someone's anxiety is too severe to engage in CBT or other treatment on its own.</p> <p>Established medications for treating children and teens with OCD include:</p> <ul> <li>fluvoxamine (Luvox)</li> <li>sertraline (Zoloft)</li> <li><a href="/Article?contentid=142&language=English">fluoxetine</a> (Prozac).</li> </ul> <p>Other SSRIs may also be used.</p><h2>Further information</h2><p>For more information about OCD, please see the following pages:</p><p><a href="/Article?contentid=285&language=English">OCD: Overview</a></p><p><a href="/Article?contentid=288&language=English">OCD: Signs and symptoms</a></p><p><a href="/Article?contentid=286&language=English">OCD: How it affects your child's life</a></p><p><a href="/Article?contentid=287&language=English">OCD: How to help your child</a></p><h2>Resources</h2><p>The following books and websites have some useful advice about OCD for parents and teens.</p><h3>Books</h3><p>Chansky, T. (2001). <em>Freeing Your Child from Obsessive-Compulsive Disorder: a Powerful, Practical Program for Parents of Children and Adolescents</em>. Harmony.</p><p>Derisley, J., et al (2008). <em>Breaking Free from OCD: a CBT Guide for Young People and Their Families</em>. London: Jessica Kingsley Publishers. </p><p>Dotson, A. (2014). <em>Being Me with OCD: How I Learned to Obsess Less and Enjoy My Life</em>. Free Spirit Publishing. </p><p>Jassi, A. (2013). <em>Can I Tell You about OCD? A Guide for Friends, Family, and Professionals</em>. London: Jessica Kingsley Publishers.</p><h3>Websites</h3><p>International OCD Foundation (2016). <a href="https://kids.iocdf.org/" target="_blank"><em>OCD in Kids</em></a> </p><p>TeenMentalHealth.org (2016). <em><a href="http://teenmentalhealth.org/learn/mental-disorders/obsessive-compulsive-disorder-ocd/" target="_blank">Obsessive Compulsive Disorder</a></em></p><p>AnxietyBC (2016). <em><a href="https://www.anxietybc.com/parenting/obsessive-compulsive-disorder" target="_blank">Obsessive Compulsive Disorder</a></em></p> <img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/obsessive_compulsive_disorder_psychotherapy.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/obsessive_compulsive_disorder_psychotherapy.jpgObsessive compulsive disorder: Treatment with psychotherapy and medications

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