Obsessive Compulsive Disorder in Adolescence

Obsessive compulsive disorder (OCD); It is a type of anxiety disorder that occurs in the form of physical and mental actions taken in order to reduce the anxiety caused by obsessions, together with constantly recurring thoughts. In OCD, only one or both of the recurring obsessions and compulsions that cause anxiety may be seen. The age of onset is either between 10-11 years of age during childhood or between 19-23 years of age at the end of adolescence. The most common obsessions in children and adolescents are the fear of harming other people due to lack of impulse control, fears of contamination with germs or pollution, suspicion of harm to oneself or loved ones, hoarding, obsession with symmetry, and obsessive behavior on religious issues. On the other hand, cleaning, counting, checking and arranging, and repetitive conversations or behaviors are the most common compulsions. Early-onset OCD begins insidiously and patients generally try to hide the symptoms (Özcan et al., 2013).

OCD is a severe disorder that negatively affects academic success, family communication and social relations in children and adolescents. Unlike adults, children and adolescents do not accept that their compulsions are excessive and meaningless. They describe the emotion they feel as discomfort, disgust, or something missing rather than anxiety. This is because their insight is not as developed as in adults. According to models that cognitively explain the etiology of OCD, controlling and caring about thoughts, perfectionism, intolerance of uncertainty, exaggerated responsibility and threat perception are the basic false beliefs in OCD (Pişgin and Özen, 2010). If we look at the family structures of individuals who have: It has been observed that the fathers of individuals with OCD are especially interventionist and protective. It was observed that the perceived protective attitude characteristics were higher in those with OCD than in the control group. Patients with the hoarding, symmetry and order subtypes of OCD stated that their families were not close to them but displayed a controlling attitude. The overprotective attitude of the mother causes these individuals to develop a sense of extreme responsibility. Accordingly, the constant question The individual makes misinterpretations out of fear of happiness and harm. For example, he constantly feels responsible because of the fear of harming others. Accordingly, parents who constantly control and criticize their children cause the child to think that the outside world is controllable even though it is dangerous, causing the child to see himself as inadequate against these dangers (Ersin, 2017).

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