Obsessive–compulsive disorder in children and adolescents
Abstract
Despite obsessive–compulsive disorder (OCD) being one of the more common serious mental illnesses, it continues to be shrouded in shame and secrecy. The shame surrounding the condition, in combination with a lack of recognition of its defining symptoms, can lead to delays of several years before it is diagnosed. Children with OCD frequently present to non-psychiatrists for treatment. It is important that paediatricians familiarize themselves with the characteristic symptoms. This review summarizes current research regarding the epidemiology and aetiology of OCD, the assessment of childhood-onset OCD, as well as its psychological and pharmacological management.
Reenee Barton BSc MBChB (Hons) MRCPCH MRCPsych is a Consultant Child and Adolescent Psychiatrist in Learning Disability, SCAN, CAMHS, St Ann's Hospital, Barnet Enfield Haringey Mental Health Trust, London, UK
Isobel Heyman MBBS PhD FRCPsych is a Consultant Child and Adolescent Psychiatrist, National and Specialist OCD Service for Young People, Maudsley Hospital, South London and Maudsley NHS Trust, London; an Honorary Senior Lecturer, Institute of Psychiatry, London, National and Specialist Service for Tourette Syndrome, Great Ormond Street Hospital NHS Trust, London, UK
ABSTRACT