Guest guest Posted September 28, 2006 Report Posted September 28, 2006 Hi. I'm relatively new here. I've been reading up on posts and trying to catch up. We don't have an OCD diagnosis for my 7-year- old daughter, but we have been looking for a proper diagnosis. You'll have to forgive me if this post goes long, but I'm hoping to gain any advice or insight. We have already faced many challenges with my dd. She was born with a heart defect that thankfully has not yet required surgery. At 4- months-old she was diagnosed with Crohn's Disease, an autoimmune disorder of the digestive tract. Then as she got older we were surprised to find that dd is also profoundly gifted. She was reading before she turned 3-years-old, and at 4 we decided to have her tested for admittance to a gifted school and a private support program. She has taken several tests and her IQ has been estimated at over 200. Although her giftedness is certainly a blessing it has come with many challenges. She is, understandably, a " quirky " kid, and we often wonder what is " normal " for a kid like her. Looking back there are many behaviors I excused as gifted quirks but I now wonder if they could have been OCD related. They seemed minor at the time, like saving every scrap for a future project or counting the food on her plate to make sure it was a multiple of her age. Around this time last year things got very bad. Dd began having panic attacks before school every day. This was way beyond the usual separation anxiety that we were used to. She would grip the front door to avoid being taken to school. If she managed to make it to the school she would stand outside the classroom either frozen with fear or screaming at the top of her lungs. It was a small private school with no counselor, and they had no idea how to help us. We soon sought the help of a therapist who diagnosed her with " school phobia " and worked with us to get her back into class. Within a month dd was declared cured and released from therapy. Dd was attending class with incentives, but she was miserable and developed some vocal tics (throat clearing and grunting). We assumed that the problem was an inappropriate academic fit and pulled her out of school to start homeschooling. Spending all day with dd made me realize that she had also developed an odd habit of licking. It started with licking her fingers, but quickly grew to licking just about anything -- toys, the walls, and even me! The pediatrician recognized this as a compulsive behavior and we found a new therapist. The therapist helped us modify the behavior to tapping things, but diagnosed dd with Asperger's. With that diagnosis the goal in therapy changed to socialization issues, and the repetitive behaviors were treated as an expected part of Asperger's. The more I research the more I am convinced that this is a misdiagnosis. Instead, I think dd may have OCD and probably selective mutism (particularly with doctors - which no doubt contributed to her diagnosis.) We haven't returned to the therapist since June. Dd has been happy, and I'm reluctant to " stir the pot. " Still, she has compulsive behaviors. Primarily she has issues of balance and symmetry. For example, if I kiss her on the cheek she'll touch the other cheek for balance. If her arm brushes against something she brushes the other arm against it too. Sometimes she has to repeat this several times until it feels right. She also continues to tap things. Just like her previous licking, the tapping seems tied in with her senses -- i.e. if something smells good, tastes good, looks pretty, feels soft, etc. She also taps when she feels great love so her dad and I get tapped frequently. The tapping is in even numbers and symmetrical (right and left fingers get equal tap time). Some days I don't notice her doing it much, but other days are filled with tapping and rubbing. I guess I'm hoping that someone can relate to what I've shared. My daughter's compulsions don't seem to interfere significantly with her life, and are subtle enough that they go unnoticed by people outside of our family so she's not embarrassed. I'm not even sure that she recognizes that her behavior is odd. I'm wondering if therapy is necessary at this point. Do we go now while things aren't too frenzied or out of control, or do we wait until there's a fire to put out (like we have in the past)? Also, does anyone have a good dr. recommendation for Houston, TX? Thanks for reading, and thanks for your help. Becky Quote
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