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Hi , I remember blasting into Kel's pdoc's office and saying " I thought

people with OCD didn't *do* the things they were obsessing about!!!?? " and

he replied that kids generally don't have the urge control that teens and

adults have.

Many of my child's early compulsions involved risk or harm. The overarching

compulsion was to do something, anything that would risk her getting hurt or

my getting so angry that I would kill her (the obsession.) OCD told her it

would get much worse if she didn't take these " dares " , so for a long while

she was compelled to do just about anything she had ever been asked not to

do, or warned not to do due to it being dangerous. She did things like dash

into the street without pausing to look both ways (after years of being

reliable in doing this), riding her bike with her eyes closed, touching or

attempting to touch hot things such as a casserole dish right out of the

oven, touch the sharp edge of a knife, unhook her seat belt while riding in

the car, etc. etc. etc. Once I walked across the kitchen to get something

from a cabinet that she had asked for, I turned around and just that quick

she was right under my feet on the floor, she " had to " take the risk that I

would step on her head and kill her.

Getting the meds right helped immeasurably, and she also took a small dose

of Risperdal to reduce the tics and urges, which it did very well.

The ERP for this type of thing was to (using your example) have her sit at

the table with the bottle of pills from the medicine cabinet, and resist

taking them for increasing periods of time. Once that becomes easy (prompts

little/no anxiety), then maybe the container with the pills is open, then

maybe he pours them all in his hand. It goes without saying that all this

is under close supervision (don't use pills that could really hurt

him--perhaps skittles or similar in an empty prescription bottle would be

close enough to trigger the anxiety he needs to acclimate to, without

actually taking any risk that he could gulp medicine that could harm him.)

If you think your son is having similar obsession as my child's (risk

hurting yourself or angering your Mother or teacher, or else) you can also

address the obsession itself by the type of exposures I've mentioned in

other posts--writing out a detailed story where he does take the pills, gets

very sick, is rushed to the hospital but it's too late, or drawing a

picture, etc. etc. until the obsession fades.

I think these types of obsessions and compulsions are fairly common in young

kids, they strike at the heart of their main worries, that they are not safe

after all, dangerous things are everywhere and maybe even Mom or Dad (big,

invincible protectors) could hurt or kill, because we are so much bigger.

Nonetheless (((hugs))) I remember also wishing my child would do something

non-life-and-limb-threatening such as ordering or arranging for compulsions,

rather than scaring the life out of me and risking actual harm.

Please be certain his doctor knows he is doing compulsions that are

dangerous, and/or unable to resist urges that could be harmful. A med

adjustment may be in order, or perhaps the doctor will want to add a

medication to tone down urge behaviors.

Take care,

Kathy R. in Indiana

----- Original Message -----

> Kathy:

> I printed out the last few posts in reference to this subject. Thanks for

your time in relaying your knowledge on it. There seems to be a litttle

different development in his compulsions or, probably better stated, a

" discovery " of his compulsions. He apparently actually responds and follows

through with the obsessive thoughts-not the really bad ones. For desire not

to actually state what it is, I'll give an example similar to what he's

thinking. For example, if he had a thought that he really needed to take

pills out of the medicine cabinet and take all of them, he will do it.

Again, that's only an example. The reason I'm using this example is because

some of the thoughts about an action he HAS TO DO are actually

harmful/unacceptable, and he's DOING THEM! Ok, so now what. It's

impossible to " blow off " things like that or deflate them, because following

through with them are totally unacceptable. The last few days, it's not

been life-threatening, but always things he ABSOLUTELY should not do. So

what to do then? I used to think the obsessions were about his being afraid

of doing something, but since he's acting on them now, there's got to have

been a bridge made along the way. This disturbs me. Has your daughter or

anyone on this list's children ever acted on the bad thought-I supposed it

is similar to the hand-washing. " I have to wash my hands or else I'll get

germs " , which of course other than reddened, chapped hands and eating time,

can't really harm the child or anyone else. Boy, do I wish this was the

type he had. Anyway, ideas?

> in So IL

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God bless you during this terribly difficult stretch! You're in my

prayers.

God bless you Kathy b/c you are so kind to encourage all of us in this

battle! And you know soooooo much and are so willing to take the time to

share your wisdom with humor and eloquence!

cristey

On Sun, 20 Jun 2004 20:36:16 -0500 " Kathy "

writes:

> Hi , I remember blasting into Kel's pdoc's office and saying " I

> thought people with OCD didn't *do* the things they were obsessing

> about!!!?? " and he replied that kids generally don't have the urge

control that

> teens and adults have.

________________________________________________________________

The best thing to hit the Internet in years - Juno SpeedBand!

Surf the Web up to FIVE TIMES FASTER!

Only $14.95/ month - visit www.juno.com to sign up today!

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Kathy,

Thank you. I think a medication change is in order, too. I am printing out

this e-mail to go along with all your recent replies that I've printed, so I

have something to refer to when it gets confusing. You don't know how much I

appreciate it. We're in the mode again where it's wearing me out. It's also

weighing heavily on my heart and mind as that nagging thing that we wish we

didn't have to deal with all the time, so direction right now is so appreciated.

in Southern Illinois

Re: To Kathy R.

Hi , I remember blasting into Kel's pdoc's office and saying " I thought

people with OCD didn't *do* the things they were obsessing about!!!?? " and

he replied that kids generally don't have the urge control that teens and

adults have.

Many of my child's early compulsions involved risk or harm. The overarching

compulsion was to do something, anything that would risk her getting hurt or

my getting so angry that I would kill her (the obsession.) OCD told her it

would get much worse if she didn't take these " dares " , so for a long while

she was compelled to do just about anything she had ever been asked not to

do, or warned not to do due to it being dangerous. She did things like dash

into the street without pausing to look both ways (after years of being

reliable in doing this), riding her bike with her eyes closed, touching or

attempting to touch hot things such as a casserole dish right out of the

oven, touch the sharp edge of a knife, unhook her seat belt while riding in

the car, etc. etc. etc. Once I walked across the kitchen to get something

from a cabinet that she had asked for, I turned around and just that quick

she was right under my feet on the floor, she " had to " take the risk that I

would step on her head and kill her.

Getting the meds right helped immeasurably, and she also took a small dose

of Risperdal to reduce the tics and urges, which it did very well.

The ERP for this type of thing was to (using your example) have her sit at

the table with the bottle of pills from the medicine cabinet, and resist

taking them for increasing periods of time. Once that becomes easy (prompts

little/no anxiety), then maybe the container with the pills is open, then

maybe he pours them all in his hand. It goes without saying that all this

is under close supervision (don't use pills that could really hurt

him--perhaps skittles or similar in an empty prescription bottle would be

close enough to trigger the anxiety he needs to acclimate to, without

actually taking any risk that he could gulp medicine that could harm him.)

If you think your son is having similar obsession as my child's (risk

hurting yourself or angering your Mother or teacher, or else) you can also

address the obsession itself by the type of exposures I've mentioned in

other posts--writing out a detailed story where he does take the pills, gets

very sick, is rushed to the hospital but it's too late, or drawing a

picture, etc. etc. until the obsession fades.

I think these types of obsessions and compulsions are fairly common in young

kids, they strike at the heart of their main worries, that they are not safe

after all, dangerous things are everywhere and maybe even Mom or Dad (big,

invincible protectors) could hurt or kill, because we are so much bigger.

Nonetheless (((hugs))) I remember also wishing my child would do something

non-life-and-limb-threatening such as ordering or arranging for compulsions,

rather than scaring the life out of me and risking actual harm.

Please be certain his doctor knows he is doing compulsions that are

dangerous, and/or unable to resist urges that could be harmful. A med

adjustment may be in order, or perhaps the doctor will want to add a

medication to tone down urge behaviors.

Take care,

Kathy R. in Indiana

----- Original Message -----

> Kathy:

> I printed out the last few posts in reference to this subject. Thanks for

your time in relaying your knowledge on it. There seems to be a litttle

different development in his compulsions or, probably better stated, a

" discovery " of his compulsions. He apparently actually responds and follows

through with the obsessive thoughts-not the really bad ones. For desire not

to actually state what it is, I'll give an example similar to what he's

thinking. For example, if he had a thought that he really needed to take

pills out of the medicine cabinet and take all of them, he will do it.

Again, that's only an example. The reason I'm using this example is because

some of the thoughts about an action he HAS TO DO are actually

harmful/unacceptable, and he's DOING THEM! Ok, so now what. It's

impossible to " blow off " things like that or deflate them, because following

through with them are totally unacceptable. The last few days, it's not

been life-threatening, but always things he ABSOLUTELY should not do. So

what to do then? I used to think the obsessions were about his being afraid

of doing something, but since he's acting on them now, there's got to have

been a bridge made along the way. This disturbs me. Has your daughter or

anyone on this list's children ever acted on the bad thought-I supposed it

is similar to the hand-washing. " I have to wash my hands or else I'll get

germs " , which of course other than reddened, chapped hands and eating time,

can't really harm the child or anyone else. Boy, do I wish this was the

type he had. Anyway, ideas?

> in So IL

Our list archives, bookmarks, files, and chat feature may be accessed at:

http://health.groups.yahoo.com/group// .

Our list advisors are Gail B. , Ed.D., Tamar Chansky, Ph.D., Aureen Pinto

Wagner, Ph.D., and Dan Geller, M.D. Our list moderators are Birkhan,

Castle, Fowler, Kathy Hammes, Joye, Kathy Mac, Gail

Pesses, Kathy , Vivian Stembridge, and Jackie Stout. Subscription

issues or suggestions may be addressed to Louis Harkins, list owner, at

louisharkins@... , louisharkins@... , louisharkins@... .

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Cristey,

Thank you-for the prayers, that is. Needing them badly right now as, I suppose,

we all do.......

Re: To Kathy R.

God bless you during this terribly difficult stretch! You're in my

prayers.

God bless you Kathy b/c you are so kind to encourage all of us in this

battle! And you know soooooo much and are so willing to take the time to

share your wisdom with humor and eloquence!

cristey

On Sun, 20 Jun 2004 20:36:16 -0500 " Kathy "

writes:

> Hi , I remember blasting into Kel's pdoc's office and saying " I

> thought people with OCD didn't *do* the things they were obsessing

> about!!!?? " and he replied that kids generally don't have the urge

control that

> teens and adults have.

________________________________________________________________

The best thing to hit the Internet in years - Juno SpeedBand!

Surf the Web up to FIVE TIMES FASTER!

Only $14.95/ month - visit www.juno.com to sign up today!

Our list archives, bookmarks, files, and chat feature may be accessed at:

http://health.groups.yahoo.com/group// .

Our list advisors are Gail B. , Ed.D., Tamar Chansky, Ph.D., Aureen Pinto

Wagner, Ph.D., and Dan Geller, M.D. Our list moderators are Birkhan,

Castle, Fowler, Kathy Hammes, Joye, Kathy Mac, Gail

Pesses, Kathy , Vivian Stembridge, and Jackie Stout. Subscription

issues or suggestions may be addressed to Louis Harkins, list owner, at

louisharkins@... , louisharkins@... , louisharkins@... .

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----- Original Message -----

> God bless you Kathy b/c you are so kind to encourage all of us in this

> battle! And you know soooooo much and are so willing to take the time to

> share your wisdom with humor and eloquence!

*****Thank you Cristey, I'm glad to know you find the posts helpful. I

spent a loooong while desperately hanging on the support of this group,

generous folks who explained and suggested and generally held my hand. I

credit those parents with dramatically shortening my child's path from onset

to relief; because of their input I did not waste valuable time with the

wrong doctors, therapies, or medications for her.

So now it is my privilege to pass on what I've learned. If I seem to know

so much about parenting a child with OCD, remember that a lot of it is

knowledge freely given to me by more experienced parents back when this list

was new.

Take care,

Kathy R. in Indiana

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