![]() Two of the authors independently reviewed search results for irrelevant and duplicate studies and extracted data and assessed methodological quality of the studies. We searched Medline, Scopus, and Cochrane library without applying any language filter. ![]() We designed this systematic review and meta-analysis to evaluate clinical efficacy of glutamatergic medications in patients with OCD, according to the guidelines of Cochrane collaboration. Recently, dysregulation of glutamatergic system has been proposed to be involved in the etiology of OCD. Serotonergic medications, particularly Selective Serotonin Reuptake Inhibitors (SSRIs), are the first-line treatments for patients with OCD. Families and schools can help children manage stress by being part of the therapy process and learning how to respond supportively without accidentally making obsessions or compulsions more likely to happen again.Obsessive-compulsive disorder (OCD) is among the most disabling neuropsychiatric conditions characterized by the presence of repetitive intrusive thoughts, impulses, or images (obsessions) and/or ritualized mental or physical acts (compulsions). Behavior therapy alone can be effective, but some children are treated with a combination of behavior therapy and medication. Behavior therapy for OCD can involve gradually exposing children to their fears in a safe setting this helps them learn that bad things do not really occur when they don’t do the behavior, which eventually decreases their anxiety. Behavior therapy, specifically cognitive-behavioral therapy, helps the child change negative thoughts into more positive, effective ways of thinking, leading to more effective behavior. Treatments can include behavior therapy and medication. Anxiety or depression and disruptive behaviors may also occur with OCD. The mental health professional should also determine whether someone with OCD has a current or past tic disorder. A comprehensive evaluation by a mental health professional will determine if the anxiety or distress involves memories of a traumatic event that actually happened, or if the fears are based on other thoughts or beliefs. The first step to treatment is to talk with a healthcare provider to arrange an evaluation. Learn about the guidelines for diagnosing and treating OCD Obsessions and compulsions can also change over time. ![]() Sometimes, OCD behaviors may involve cleaning, but many times someone with OCD is too focused on one thing that must be done over and over, rather than on being organized. However, the behavior is not typically connected to actual danger of something bad happening, or the behavior is extreme, such as washing hands multiple times per hour.Ī common myth is that OCD means being really neat and orderly.
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