RE: obsession with a parent

[Guest guest]

Welcome !

I probably can't help you a whole lot--my daughter's symptoms aren't quite the

same as yours. She behaved somewhat similarly when she was 5 (after the death

of a friend's mother). She had to know where I was at all times--she became my

shadow for many months. She is almost 10 now, and she does have the worry that

she, or someone else in the family, will not wake up in the morning. She also

slept in the room with me and my husband for several months because of this.

Although, she was also concerned that robbers would break in during the night,

so this contributed to her sleeping with us as well. Her last cousellor made a

verbal contract with her to get her to sleep in her own room, and it worked

pretty well. She only comes in our room occasionally now.

It sounds like your daughter would benefit from ERP (exposure and response

prevention--you've probably already read about it). If you could find a

therapist that does this, it would get her anxiety to subside by getting her

used to separating from you little by little. We are just about to start this

with our daughter--she was just officially diagnosed with OCD a few weeks ago,

so I can't tell you if it has worked for us yet. Just a thought that it might

help you. If there are no therapists that do this in your area, I know there

are some people on this board who have used workbooks they have found on OCD,

etc., and sort of done it on their own. I haven't purchased any of those, so I

don't know how effective they are, but hopefully someone who has used one will

let you know!

Mostly, I just wanted to let you know that you are not alone. This board has

helped me a lot over the last few weeks--there are a lot of caring people here

who know what you are going through. You and your family will be in my

thoughts.

Take care,

kristin mckay <kmck40@...> wrote:

Hello everyone, I am very new to this. I live in Adelaide, Australia

and have a 7 yr old daughter just diagnosed with ocd. There is v little

information about this in Adelaide, almost no support, and although we are

seeing a child psychiatrist there is no-one that specialises in ocd in children.

I have a million question but my most pressing is this, I have read Dr Wagner's

latest book, have started reading everything I can get my hands on etc, but my

daughter's ocd obsesion is with me and I cannot not find anything on this. She

thinks that when I leave her, something bad is going to happen to her and our

family. She calms down when I have gone but the act of my leaving is so

traumatic. When I go out, day or night, she is hysterical. She sleeps with me

because she is frightened something will happen to her or me in the night. I

know it looks like separation anxiety but it is an ocd symptom, in that at the

moment her obession is with me leaving. Has anyone else

experienced

this? What have you done? She also has oher ocd symptoms.

Send instant messages to your online friends http://au.messenger.

[Guest guest]

>

> Hello everyone, I am very new to this. I live in Adelaide,

Australia and have a 7 yr old daughter just diagnosed with ocd. There

is v little information about this in Adelaide, almost no support,

and although we are seeing a child psychiatrist there is no-one that

specialises in ocd in children. I have a million question but my most

pressing is this, I have read Dr Wagner's latest book, have started

reading everything I can get my hands on etc, but my daughter's ocd

obsesion is with me and I cannot not find anything on this. She

thinks that when I leave her, something bad is going to happen to her

and our family. She calms down when I have gone but the act of my

leaving is so traumatic. When I go out, day or night, she is

hysterical. She sleeps with me because she is frightened something

will happen to her or me in the night. I know it looks like

separation anxiety but it is an ocd symptom, in that at the moment

her obession is with me leaving. Has anyone else experienced

> this? What have you done? She also has oher ocd symptoms.

> Send instant messages to your online friends

http://au.messenger.

>

>

[Guest guest]

Hi ,

I see has given you some good suggestions!

One of my sons - and not my OCD son either - went thru similar around

6th grade...guess he was around 12 yrs old. He's 18 now. Anyway, he

had a fear that I was going to leave, as in just go away/move. No

basis for the fear, no logical reasoning at all. He became like my

shadow, had to know where I was all the time. Drove me a bit nuts!

I think if he hadn't had a twin (not identical, and the twin is

actually the son with OCD), I wouldn't have got him to school!

It took several months for him to get through this. It was just a

fear that seemed to pop up overnight. Although I felt that some

incidents in years previous had something to do with it. For

instance, he once got separated from me in a toy store, another time

he lost sight of me at the beach...just times he was " lost " and felt

alone. Sort of seemed the past incidents " caught up " to him and

turned into this fear maybe.

With this this *one* fear, I didn't want to call it OCD and just

refer to it as separation anxiety (though I think OCD fit with the

illogic of it).

There were some hysterical times, but we slowly worked on it. Can't

recall all suggested, but perhaps you can " role play "

or " rehearse " a bit and pretend you are leaving and reinforce how she

should react, what she can do to prepare herself for your actual

leaving.... My son and I talked a LOT about it and the worries he

had and the reality.... Of course reality doesn't come into play

very well with fears, LOL, but we still talked about it " logically. "

He did want to get past his fear also.

Anyway, your daughter's fear is not uncommon. Here are a few places

(websites) that might offer you some tips to try:

http://www.worrywisekids.org/anxiety/sad.html

http://www.baltimorepsych.com/separation_anxiety.htm

http://www.tourettesyndrome.net/anxiety_schoolavoidance.htm

Keep us updated on how things are going!

(North Carolina)

single mom, 3 sons

, 18, with OCD, dysgraphia and Aspergers(mild/autism)

>

> Hello everyone, I am very new to this. I live in Adelaide,

Australia and have a 7 yr old daughter just diagnosed with ocd. There

is v little information about this in Adelaide, almost no support,

and although we are seeing a child psychiatrist there is no-one that

specialises in ocd in children. I have a million question but my most

[Guest guest]

We too have been through this.

What worked for us is to limit the times my son, then 15, could contact

me. He was permitted to call me on my cell phone at 8 pm every night.

No matter where I was (usually at work) I would give him 100% of my

attention for 5 minutes. This was our time. If he 'needed' me any other

time, I made it very brief, didn't answer my phone (hurray for call

display) or let him leave a message.

Tom's fear was that something would happen to me: traffic accident,

illness, disappear, ... after a length of time, he was able to shorten

our calls then skip days until he didn't need it any longer.

I am very firm with personal boundaries so being consistent helped here

quite a bit. We have a hook lock on our bedroom door to reinforce that

boundary and like their bedrooms, this was my domain. Respect of each

others personal space was very important - everyone needs a safety

zone!

I hope this helps.

I know that there are other Australian parents on the list, perhaps you

could post again with the subject " Australia " or something similar??

Remember to take care of yourself,

wendy, in canada

>

> >

> > Hello everyone, I am very new to this. I live in Adelaide,

> Australia and have a 7 yr old daughter just diagnosed with ocd. There

> is v little information about this in Adelaide, almost no support,

> and although we are seeing a child psychiatrist there is no-one that

> specialises in ocd in children. I have a million question but my most

[Guest guest]

welcome - we are all here for you- you've come to the right

place and I see you've gotten great responses already - I have no

experience with this exact symptom but can say CBT/ERP is the way to

go - they can overcome so much by seeing what OCD tells them will

happen won't

good luck

eileen

Quoting <@...>:

> Hi ,

> I see has given you some good suggestions!

>

> One of my sons - and not my OCD son either - went thru similar around

> 6th grade...guess he was around 12 yrs old. He's 18 now. Anyway, he

> had a fear that I was going to leave, as in just go away/move. No

> basis for the fear, no logical reasoning at all. He became like my

> shadow, had to know where I was all the time. Drove me a bit nuts!

> I think if he hadn't had a twin (not identical, and the twin is

> actually the son with OCD), I wouldn't have got him to school!

>

> It took several months for him to get through this. It was just a

> fear that seemed to pop up overnight. Although I felt that some

> incidents in years previous had something to do with it. For

> instance, he once got separated from me in a toy store, another time

> he lost sight of me at the beach...just times he was " lost " and felt

> alone. Sort of seemed the past incidents " caught up " to him and

> turned into this fear maybe.

>

> With this this *one* fear, I didn't want to call it OCD and just

> refer to it as separation anxiety (though I think OCD fit with the

> illogic of it).

>

> There were some hysterical times, but we slowly worked on it. Can't

> recall all suggested, but perhaps you can " role play "

> or " rehearse " a bit and pretend you are leaving and reinforce how she

> should react, what she can do to prepare herself for your actual

> leaving.... My son and I talked a LOT about it and the worries he

> had and the reality.... Of course reality doesn't come into play

> very well with fears, LOL, but we still talked about it " logically. "

> He did want to get past his fear also.

>

> Anyway, your daughter's fear is not uncommon. Here are a few places

> (websites) that might offer you some tips to try:

>

> http://www.worrywisekids.org/anxiety/sad.html

>

> http://www.baltimorepsych.com/separation_anxiety.htm

>

> http://www.tourettesyndrome.net/anxiety_schoolavoidance.htm

>

> Keep us updated on how things are going!

>

>

> (North Carolina)

> single mom, 3 sons

> , 18, with OCD, dysgraphia and Aspergers(mild/autism)

>

>

>

>

>>

>> Hello everyone, I am very new to this. I live in Adelaide,

> Australia and have a 7 yr old daughter just diagnosed with ocd. There

> is v little information about this in Adelaide, almost no support,

> and although we are seeing a child psychiatrist there is no-one that

> specialises in ocd in children. I have a million question but my most

>

>

>

[Guest guest]

there's a support group for kids and my dd said she's like to email

your dd if that helps

eileen

Quoting kristin mckay <kmck40@...>:

> Hello everyone, I am very new to this. I live in Adelaide, Australia

> and have a 7 yr old daughter just diagnosed with ocd. There is v

> little information about this in Adelaide, almost no support, and

> although we are seeing a child psychiatrist there is no-one that

> specialises in ocd in children. I have a million question but my

> most pressing is this, I have read Dr Wagner's latest book, have

> started reading everything I can get my hands on etc, but my

> daughter's ocd obsesion is with me and I cannot not find anything on

> this. She thinks that when I leave her, something bad is going to

> happen to her and our family. She calms down when I have gone but

> the act of my leaving is so traumatic. When I go out, day or night,

> she is hysterical. She sleeps with me because she is frightened

> something will happen to her or me in the night. I know it looks

> like separation anxiety but it is an ocd symptom, in that at the

> moment her obession is with me leaving. Has anyone else experienced

> this? What have you done? She also has oher ocd symptoms.

> Send instant messages to your online friends http://au.messenger.

>

>

[Guest guest]

Hi ,

Firstly, welcome to you. Secondly, I also live in Oz (Gold Coast. My

daughter has recently turned 8 & was diagnosed with OCD last Nov.

Although my daughter is improving (with meds & psychotherapy) she

still suffers from a bit of what I would call separation anxiety & is

also somewhat obsessed with me per se. I think OCD is very

frightening for a young child and it is quite common for these

children to develop separation anxiety. This is just my personal

oponion & I'm sure you'll get lots of other responses from this board

which will help you. As far as I know you & I are the only 2 people

from Oz who are in this group. If you would like to make contact my

email is Breda99@...,

Good luck Breda

>

> Hello everyone, I am very new to this. I live in Adelaide,

Australia and have a 7 yr old daughter just diagnosed with ocd. There

is v little information about this in Adelaide, almost no support,

and although we are seeing a child psychiatrist there is no-one that

specialises in ocd in children. I have a million question but my most

pressing is this, I have read Dr Wagner's latest book, have started

reading everything I can get my hands on etc, but my daughter's ocd

obsesion is with me and I cannot not find anything on this. She

thinks that when I leave her, something bad is going to happen to her

and our family. She calms down when I have gone but the act of my

leaving is so traumatic. When I go out, day or night, she is

hysterical. She sleeps with me because she is frightened something

will happen to her or me in the night. I know it looks like

separation anxiety but it is an ocd symptom, in that at the moment

her obession is with me leaving. Has anyone else experienced

> this? What have you done? She also has oher ocd symptoms.

> Send instant messages to your online friends

http://au.messenger.

>

>

[Guest guest]

I probably don't have much advice, but my 12yo daughter can't spend the night

without me, except at her dad's. It took her years to get used to that. She

still protests, but she feels more at ease there. However, she went on a trip

with her dad and his family last year and was miserable the whole time.. She

has only spent the night at one friend's house, and that is the girl next door.

she hates camping too....for some reason, though she has no problems climbing

trees or playing in dirt or even with most bugs. Last summer, she and her

friend, and her friend's younger brother wanted to spend the night in a tent in

their back yard. I couldn't believe she made it. I am probably the only mom

who's ever said, " Sure, you can spend the night outside in a tent....with a

boy! "

Laurie

kristin mckay <kmck40@...> wrote:

Hello everyone, I am very new to this. I live in Adelaide, Australia and have

a 7 yr old daughter just diagnosed with ocd. There is v little information about

this in Adelaide, almost no support, and although we are seeing a child

psychiatrist there is no-one that specialises in ocd in children. I have a

million question but my most pressing is this, I have read Dr Wagner's latest

book, have started reading everything I can get my hands on etc, but my

daughter's ocd obsesion is with me and I cannot not find anything on this. She

thinks that when I leave her, something bad is going to happen to her and our

family. She calms down when I have gone but the act of my leaving is so

traumatic. When I go out, day or night, she is hysterical. She sleeps with me

because she is frightened something will happen to her or me in the night. I

know it looks like separation anxiety but it is an ocd symptom, in that at the

moment her obession is with me leaving. Has anyone else experienced

this? What have you done? She also has oher ocd symptoms.

Send instant messages to your online friends http://au.messenger.

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[Guest guest]

Hi, . Just another belated reply.

My daughter is now 12. She was never diagnosed with OCD like her brother, but

has generalized anxiety and used to have separation anxiety, starting at age 3

or 4. She used to not be able to sleep in her room either. At one point we tried

a monitor from our room to hers in case she needed to call us. One therapist

slapped our hand on that one. Then she took to sleeping on the couch downstairs

(we have a main floor bedroom and the kids are upstairs, which added to her

fears). She started Prozac, which we were able to discontinue several months ago

with success. She has also had therapy, and although she still has anxiety, she

is aware that it's " Mr. Worry " talking and she can talk back at it. These

nights, she's sleeping in her own room, taking risks and venturing out on her

own, even though she's often unsure of herself. The short of it is, she's doing

great now. Just wanted to extend a ray of hope. Best of luck to you,

F.

kristin mckay <kmck40@...> wrote:

Hello everyone, I am very new to this. I live in Adelaide, Australia and have a

7 yr old daughter just diagnosed with ocd. There is v little information about

this in Adelaide, almost no support, and although we are seeing a child

psychiatrist there is no-one that specialises in ocd in children. I have a

million question but my most pressing is this, I have read Dr Wagner's latest

book, have started reading everything I can get my hands on etc, but my

daughter's ocd obsesion is with me and I cannot not find anything on this. She

thinks that when I leave her, something bad is going to happen to her and our

family. She calms down when I have gone but the act of my leaving is so

traumatic. When I go out, day or night, she is hysterical. She sleeps with me

because she is frightened something will happen to her or me in the night. I

know it looks like separation anxiety but it is an ocd symptom, in that

at the moment her obession is with me leaving. Has anyone else experienced

this? What have you done? She also has oher ocd symptoms.

Send instant messages to your online friends http://au.messenger.

[Guest guest]

Thanks for the reply. I am learning that I am not the only one with a child that

sleeps with me every night...all my friends seem to have kids that love sleep

and are easy to put to bed at night. Your reply was sooooo welcome, hope is

exactly what I am looking for and I am really encouraged by you and your

daughter...thankl you. K

lisa fishman <noahfsmom@...> wrote: Hi, . Just another

belated reply.

My daughter is now 12. She was never diagnosed with OCD like her brother, but

has generalized anxiety and used to have separation anxiety, starting at age 3

or 4. She used to not be able to sleep in her room either. At one point we tried

a monitor from our room to hers in case she needed to call us. One therapist

slapped our hand on that one. Then she took to sleeping on the couch downstairs

(we have a main floor bedroom and the kids are upstairs, which added to her

fears). She started Prozac, which we were able to discontinue several months ago

with success. She has also had therapy, and although she still has anxiety, she

is aware that it's " Mr. Worry " talking and she can talk back at it. These

nights, she's sleeping in her own room, taking risks and venturing out on her

own, even though she's often unsure of herself. The short of it is, she's doing

great now. Just wanted to extend a ray of hope. Best of luck to you,

F.

kristin mckay <kmck40@...> wrote: Hello everyone, I am very new to

this. I live in Adelaide, Australia and have a 7 yr old daughter just diagnosed

with ocd. There is v little information about this in Adelaide, almost no

support, and although we are seeing a child psychiatrist there is no-one that

specialises in ocd in children. I have a million question but my most pressing

is this, I have read Dr Wagner's latest book, have started reading everything I

can get my hands on etc, but my daughter's ocd obsesion is with me and I cannot

not find anything on this. She thinks that when I leave her, something bad is

going to happen to her and our family. She calms down when I have gone but the

act of my leaving is so traumatic. When I go out, day or night, she is

hysterical. She sleeps with me because she is frightened something will happen

to her or me in the night. I know it looks like separation anxiety but it is an

ocd symptom, in that

at the moment her obession is with me leaving. Has anyone else experienced

this? What have you done? She also has oher ocd symptoms.

Send instant messages to your online friends http://au.messenger.

[Guest guest]

Laurie

Your daughter sounds a bit like my 13 year old son. He has social

anxiety along with the OCD. He feels very uncomfortable being away from

me. He hates new places and can't take being in them for too long - he

starts withdrawing and actually getting nasty when he is put in a new

and unfamiliar environment. Things that you think would and should be

fun and exciting for a child are not at all fun for him. It is like

pulling Teeth to get him to be excited about going somewhere on

vacation. He just wants to be at home in what he calls his " safe

place " .. I bit the bullet and am forcing him to go with me to

Disneyworld in May.

Sounds strange doesn't it " forcing a child to go to Disneyworld? " . all

I've heard as his response to the news of our Disneyworld trip is I

don't want to go and the only reason I'm going is because you are making

me go!................................. I have to stop myself from

taking it personally.. I'm sure once he gets there there will be some

small period of happiness. but I don't think that the uncomforaable fish

our of water feeling will dissapear for him. it is so sad. It is

tough. He hates going to friends houses -most weekends I have his

friends here - " on his turf " where he is happier. The past two years

when he went to his best friends birthday party I had to bring him home

early (he was in tears) because his friends were asking him to do things

that he didn't want to do because of his OCD and or social anxiety.

I am so glad your daughter had fun spending the night in the tent in her

friends backyard. that definitely was an accomplishment for her. That

is good. I would have said YES too! Good for her!

Re: obsession with a parent

I probably don't have much advice, but my 12yo daughter can't spend the

night without me, except at her dad's. It took her years to get used to

that. She still protests, but she feels more at ease there. However, she

went on a trip with her dad and his family last year and was miserable

the whole time.. She has only spent the night at one friend's house, and

that is the girl next door. she hates camping too....for some reason,

though she has no problems climbing trees or playing in dirt or even

with most bugs. Last summer, she and her friend, and her friend's

younger brother wanted to spend the night in a tent in their back yard.

I couldn't believe she made it. I am probably the only mom who's ever

said, " Sure, you can spend the night outside in a tent....with a boy! "

Laurie

kristin mckay <kmck40 (DOT) <mailto:kmck40%40.au> com.au>

wrote:

Hello everyone, I am very new to this. I live in Adelaide, Australia and

have a 7 yr old daughter just diagnosed with ocd. There is v little

information about this in Adelaide, almost no support, and although we

are seeing a child psychiatrist there is no-one that specialises in ocd

in children. I have a million question but my most pressing is this, I

have read Dr Wagner's latest book, have started reading everything I can

get my hands on etc, but my daughter's ocd obsesion is with me and I

cannot not find anything on this. She thinks that when I leave her,

something bad is going to happen to her and our family. She calms down

when I have gone but the act of my leaving is so traumatic. When I go

out, day or night, she is hysterical. She sleeps with me because she is

frightened something will happen to her or me in the night. I know it

looks like separation anxiety but it is an ocd symptom, in that at the

moment her obession is with me leaving. Has anyone else experienced

this? What have you done? She also has oher ocd symptoms.

Send instant messages to your online friends http://au.messenger

<http://au.messenger.> .

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[Guest guest]

,

My daughter was diagnosed with OCD when she was 7,

also (she just turned 13). Your daughter's obsession

sounds like what is often called " bad thoughts OCD " ,

which is what my daughter has. She has thoughts that

terrible things will happen if she doesn't follow

through with a particular compulsion. In fact, when

her symptoms were " off the charts " and before she was

first diagnosed her compulsion was to ask me for

reassurance. She would ask me reassurance questions

30 times in one hour and it was tremendously difficult

for me to leave her. It was a terrifying experience

for all of us.

Her symptoms were brought on by a bad strep infection

(she's got PANDAS) and over the years they would wax

and wane. It seemed to me that the OCD

thoughts/behaviors were getting " hard wired " so last

fall (probably later than we should have) we found a

therapist who was qualified to do ERP. With ERP and

medication (Zoloft) she's doing much, much better.

I think it was Laurie's son who doesn't want to go to

Disney World - well, we've been there, too. My

daughter didn't want to go to Disney World or St.

! That, too, has gotten much better with

therapy and medication.

Best of luck to you! Feel free to e-mail me if you'd

like.

Marilee

________________________________________________________________________________\

____

TV dinner still cooling?

Check out " Tonight's Picks " on TV.

http://tv./

[Guest guest]

That's interesting about the Disney thing. My daughter had problems with our

Disney trip to Florida too. Things that should have been fun for her were

terrifying...and she was 11. She was freaked out that she and I shared a room

with my husband's sister. (dh didn't go) That would be normal except for my

SIL LIVED with us at the time, and had been for 4 years!!! But she had never

slept in the same ROOM with her <sigh>. Some of the attractions scared

her....the 3D Bugs bothered her because you feel like rats or bugs or something

are running over your feet. So she refused to go on rides for a while. She

pouted during the fireworks display at the end of the day at Magic Kingdom.

We had been to Disneyland in CA twice before. Once when she was three, and

she tantrummed the WHOLE day...which at that time was not normal at all for her.

We went again when she was 7 and she had a great time.

I've learned to really go over what things are going to be like with her

before I spend money on things.

Laurie

Allarie <rnherbal@...> wrote:

Laurie

Your daughter sounds a bit like my 13 year old son. He has social

anxiety along with the OCD. He feels very uncomfortable being away from

me. He hates new places and can't take being in them for too long - he

starts withdrawing and actually getting nasty when he is put in a new

and unfamiliar environment. Things that you think would and should be

fun and exciting for a child are not at all fun for him. It is like

pulling Teeth to get him to be excited about going somewhere on

vacation. He just wants to be at home in what he calls his " safe

place " .. I bit the bullet and am forcing him to go with me to

Disneyworld in May.

Sounds strange doesn't it " forcing a child to go to Disneyworld? " . all

I've heard as his response to the news of our Disneyworld trip is I

don't want to go and the only reason I'm going is because you are making

me go!................................. I have to stop myself from

taking it personally.. I'm sure once he gets there there will be some

small period of happiness. but I don't think that the uncomforaable fish

our of water feeling will dissapear for him. it is so sad. It is

tough. He hates going to friends houses -most weekends I have his

friends here - " on his turf " where he is happier. The past two years

when he went to his best friends birthday party I had to bring him home

early (he was in tears) because his friends were asking him to do things

that he didn't want to do because of his OCD and or social anxiety.

I am so glad your daughter had fun spending the night in the tent in her

friends backyard. that definitely was an accomplishment for her. That

is good. I would have said YES too! Good for her!

Re: obsession with a parent

I probably don't have much advice, but my 12yo daughter can't spend the

night without me, except at her dad's. It took her years to get used to

that. She still protests, but she feels more at ease there. However, she

went on a trip with her dad and his family last year and was miserable

the whole time.. She has only spent the night at one friend's house, and

that is the girl next door. she hates camping too....for some reason,

though she has no problems climbing trees or playing in dirt or even

with most bugs. Last summer, she and her friend, and her friend's

younger brother wanted to spend the night in a tent in their back yard.

I couldn't believe she made it. I am probably the only mom who's ever

said, " Sure, you can spend the night outside in a tent....with a boy! "

Laurie

kristin mckay com.au>

wrote:

Hello everyone, I am very new to this. I live in Adelaide, Australia and

have a 7 yr old daughter just diagnosed with ocd. There is v little

information about this in Adelaide, almost no support, and although we

are seeing a child psychiatrist there is no-one that specialises in ocd

in children. I have a million question but my most pressing is this, I

have read Dr Wagner's latest book, have started reading everything I can

get my hands on etc, but my daughter's ocd obsesion is with me and I

cannot not find anything on this. She thinks that when I leave her,

something bad is going to happen to her and our family. She calms down

when I have gone but the act of my leaving is so traumatic. When I go

out, day or night, she is hysterical. She sleeps with me because she is

frightened something will happen to her or me in the night. I know it

looks like separation anxiety but it is an ocd symptom, in that at the

moment her obession is with me leaving. Has anyone else experienced

this? What have you done? She also has oher ocd symptoms.

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