Is It OCD or ADD/ADHD?

It's not always easy to tell whether it's attention deficit disorder or obsessive-compulsive disorder that's causing your child to be fidgety, inattentive, or distracted.


Filed Under: Comorbid Conditions with ADD, Diagnosing Children with ADHD, ADHD Symptoms, Teens and Tweens with ADHD
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What to Know About OCD

OCD is a neurologically based disorder characterized by recurrent, unwanted thoughts (obsessions) and/or repetitive behaviors (compulsions) that the child realizes are senseless. OCD may start at age five or six, sometimes even earlier. OCD results from a deficiency of a neurotransmitter, serotonin, in specific areas of the brain. (New research suggests that the more severe forms of the condition, in which obsessive thoughts “lock” and cannot be relieved, involve more than a neurotransmitter shortfall.) OCD is treated with an SSRI, which increases serotonin levels in the brain.

Obsessions can take many forms: repetitive words, thoughts, fears, memories, pictures. Compulsive behaviors, such as hand-washing, counting, checking, or cleaning, are performed in hope of preventing obsessive thoughts or making them go away. Obsessions and compulsions are often viewed as being unnecessary, but they can’t be stopped. Although doing these “rituals” provides only temporary relief, not doing them dramatically increases anxiety.

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