There is growing evidence that obsessive-compulsive disorder (OCD) is much more common in children and adolescents than originally believed. While some youth with mild to moderate OCD may be able to navigate their school day with minimal interference, for others the disorder can cause significant impairment in the ability to concentrate on school work, complete homework, and make and maintain peer relationships. School social workers and staff can play a pivotal role in shaping learning environments that support students with OCD. This article provides an overview of clinical characteristics of OCD, its assessment and treatment, how children with the disorder may present in the school setting, and ways in which school staff can assist students with OCD.
Clare S. Gaskins, Melissa A. Bitalvo, and Michele R. Cohen
B. Michelle Brazeal and Gordon MacNeil
Obsessive compulsive disorder (OCD) is a debilitating anxiety problem. This article reviews the characteristics, etiology, prevalence, and assessment of OCD and presents information on the efficacy of psychological, pharmacological, and combined treatments for this disorder. Early intervention that includes pharmacological agents (typically SSRIs) as well as behavioral and cognitive-behavioral psychotherapies (particularly exposure and response prevention) is the preferred method of intervening with OCD.