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Re: Combining CBT/ERP and OT?

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Dear nna, I also have a 7 yr. old with OCD and clothing sensory issues

and I am a pediatric OT. I would suggest going ahead with the evaluation

because any added knowledge is helpful regarding ideas to help the sensory

issues.

The OT would use sensory integration techniques and try and desensitize your

daughter, increase her tolerance to whatever she has problems with in a fun

way. But both SI and exposure are probably needed because the Dr. asked my

daughter last week to try and roll her sleeve up and she refused. So he asked me

to

roll it up and she immediately pushed it down and got upset. He asked her

what she was scared of , and she said, " If it gets too tight it might cut the

circulation off and my arms might fall off " I never knew she thought that! OT

would not be as helpful with her compulsive fear but working together with both

techniques should help. The clothing issues are so frustrating and I should be

more tolerant with my background but it is different when you live with it

than treating it at work! Hope this helps. Sue

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Just my thoughts on this.

Since you can get the OT free through the school system and if you

don't feel the OT time at school would be " taking away " from anything

(instructional time or something), then I would go ahead and see

about the OT.

These things might well be addressed through the ERP alone but OT can

also help in the sensory areas. The OT will work on the " whole body "

area.

My son had private OT and it was very beneficial for the sensory

things, even through the OT was prescribed to help his writing skill

(motor skill).

Just my opinion!

>

> Hi all,

>

> My daughter is 7, has OCD and never diagnosed with SID, but she has

> always had problems with certain clothes, shoes, socks, etc. When

> her OCD got bad last month, she could only wear flip flops to

> school. At the time her school suggested being evaluated by their

OT

> person. But after I gave them more details on how bad the OCD was

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Sue,

Thank you! This did help alot, I will contact the school about

starting with OT. As far as I know there is no compulsive fear

associated with her sensitivity issues, but like you said it can be a

big surprise when they finally open up.

Thanks again,

nna.

> Dear nna, I also have a 7 yr. old with OCD and clothing

sensory issues

> and I am a pediatric OT. I would suggest going ahead with the

evaluation

> because any added knowledge is helpful regarding ideas to help the

sensory issues.

> The OT would use sensory integration techniques and try and

desensitize your

> daughter, increase her tolerance to whatever she has problems with

in a fun

> way. But both SI and exposure are probably needed because the Dr.

asked my

> daughter last week to try and roll her sleeve up and she refused.

So he asked me to

> roll it up and she immediately pushed it down and got upset. He

asked her

> what she was scared of , and she said, " If it gets too tight it

might cut the

> circulation off and my arms might fall off " I never knew she

thought that! OT

> would not be as helpful with her compulsive fear but working

together with both

> techniques should help. The clothing issues are so frustrating and

I should be

> more tolerant with my background but it is different when you live

with it

> than treating it at work! Hope this helps. Sue

>

>

>

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Thanks for the input, I will get the OT process started!

nna.

NY

> >

> > Hi all,

> >

> > My daughter is 7, has OCD and never diagnosed with SID, but she

has

> > always had problems with certain clothes, shoes, socks, etc.

When

> > her OCD got bad last month, she could only wear flip flops to

> > school. At the time her school suggested being evaluated by

their

> OT

> > person. But after I gave them more details on how bad the OCD was

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