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What to Do When Your Child Has Obsessive-Compulsive Disorder: Strategies and Solutions »

Book cover image of What to Do When Your Child Has Obsessive-Compulsive Disorder: Strategies and Solutions by Aureen Pinto Wagner

Authors: Aureen Pinto Wagner Ph.D.
ISBN-13: 9780967734712, ISBN-10: 0967734711
Format: Paperback
Publisher: Lighthouse Press, Incorporated NY
Date Published: September 2002
Edition: (Non-applicable)

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Author Biography: Aureen Pinto Wagner

Book Synopsis

There are over one million children in the US who suffer from Obsessive-Compulsive Disorder. These children often have uncontrollable worries and engage in seemingly senseless rituals. Parents and school professionals often feel helpless and frustrated as they struggle to understand and help the child stop the bizarre doubts and habits that take over the child's mind and life. Now, there is hope and help.

Dr. Aureen Wagner brings you the latest scientific advances in the treatment of this beguiling disorder along with her many years of experience in treating children and teenagers. Using the metaphor of the Worry Hill, for which she has received international recognition, Dr. Wagner presents a powerful step-by-step approach that countless children have used successfully to triumph over OCD. Her skill, compassion and expert guidance will provide new hope, energy and resolve to help children and their caregivers conquer OCD.

Designed to be used alone or with the children's integrated companion book: Up and Down the Worry Hill.

Table of Contents

Introduction17
Part IThe Essential Facts
1.The Prison Of The Mind25
What is OCD?27
The Many Faces of OCD in Children31
Shifting Sands: The Course of OCD39
The Emotional Cages of OCD40
Frequently-Asked Questions43
2.Setting the Record Straight: What's OCD, What's Not?47
Normal Rituals48
Normal Fears50
Normal vs. OCD: What's the Difference?51
Telltale Signs of OCD55
Disorders Associated with OCD59
Frequently-Asked Questions74
3.Evaluation and Diagnosis79
Hurdles in the Evaluation Process80
Finding Clinicians to Evaluate Your Child83
A Biopsychosocial Framework85
What to Expect During the Evaluation86
How You Can Prepare for an Evaluation91
Frequently-Asked Questions94
4.How Does OCD Develop?99
Misfiring Circuits in the Brain100
Serotonin: the Chemical Link102
Pandas (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections)103
Of Genetics and Family Trees105
Stress106
Parenting Does Not Cause OCD108
Can OCD Be Learned by Imitation?110
The Vicious Cycle of Avoidance111
Thinking Styles113
Frequently-Asked Questions114
5.Treatment of OCD: Up and Down the Worry Hill117
Cognitive-Behavioral Therapy (CBT): the Treatment of Choice118
BT, CT, CBT & ERP: What Do all the Initials Mean?119
The Premise of CBT120
Exposure & Ritual Prevention121
Cognitive Therapy Strategies for OCD129
CBT Steps for Children: Ride Up and Down the Worry Hill131
Typical Steps in CBT for Children: What to Expect134
Plusses and Minuses of CBT139
Success in CBT: Who has the Best Chances?141
Other Therapy Approaches144
Frequently-Asked Questions148
6.Medications for Childhood OCD153
Medication Choices for OCD153
Reasons for Considering Medication155
What to Expect from OCD Medications157
Finding the Right Medication and Dosage160
Side Effects of Medications164
Behavioral Side Effects of OCD Medications172
When Medication Doesn't Seem to be Working174
Frequently-Asked Questions176
Part IIWhat to do
7.The Battle Plan Against OCD183
Accept the Reality of OCD184
Lead the Charge185
Be Informed186
Find the Right Treatment and Clinician188
Simplify Your Lives194
Brace Yourself for the Ups and Downs195
Unlock the Emotional Cages of OCD200
Frequently-Asked Questions203
8.Taking Care of Yourself207
Why You Need to Focus on You208
The Web of OCD209
9.Readiness for Treatment231
Why is Readiness Important?232
The Keys to Readiness232
Effective Communication with Your Child235
Tips for Successful Communication237
Child-Friendly Explanations for OCD and CBT239
Persuading the Reluctant Child247
Strategies That Impede Readiness260
Frequently-Asked Questions262
10.GUIDE, RIDE and RALLY: Critical Roles in CBT263
Guide, Ride and Rally264
Handing Over the Charge264
How to Rally for Your Child266
What to Avoid: Strategies That Don't Help274
Frequently-Asked Questions279
11.CBT With Your Child: The RIDE And RALLY In Action281
Contamination and Cleansing281
"BAD Thoughts" and Mental Rituals284
Moral Dilemmas and Checking289
Confessing and Apologizing292
"Just Right" and Repeating295
Just So or Not at All: Perfectionism297
Fears of Harm and Reassurance Seeking301
Magical Thoughts305
Hoarding308
Frequently-Asked Questions311
12.Parenting Challenges313
The Perfect Parent314
Daily Dilemmas: Did I Do the Right Thing?315
The Nuts and Bolts of Parenting316
All about Reward and Punishment325
Parenting Through the Tough Times333
Dealing with Frustration, Anger and Panic338
Strategies for Everyday Challenges352
Frequently-Asked Questions357
13.OCD Goes to School361
The Fall Out of OCD at School362
To Tell or Not to Tell School Personnel?363
What Schools can Do to Help368
Barriers in the Home-School Partnership382
Special Services or Not?385
Advocating for Your Child388
Strategies and Solutions at School391
Frequently Asked Questions400
14."Where do we go from here?"401
Recovery is a Journey, Not an Event402
From Adversity to Opportunity403
Slips and Slip Recovery405
A New Vision407
Giving Back408
The Wings to Fly409
Resources415
Support Organizations417
Web-based Resources418
Index419

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