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)
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.
Introduction | 17 | |
Part I | The Essential Facts | |
1. | The Prison Of The Mind | 25 |
What is OCD? | 27 | |
The Many Faces of OCD in Children | 31 | |
Shifting Sands: The Course of OCD | 39 | |
The Emotional Cages of OCD | 40 | |
Frequently-Asked Questions | 43 | |
2. | Setting the Record Straight: What's OCD, What's Not? | 47 |
Normal Rituals | 48 | |
Normal Fears | 50 | |
Normal vs. OCD: What's the Difference? | 51 | |
Telltale Signs of OCD | 55 | |
Disorders Associated with OCD | 59 | |
Frequently-Asked Questions | 74 | |
3. | Evaluation and Diagnosis | 79 |
Hurdles in the Evaluation Process | 80 | |
Finding Clinicians to Evaluate Your Child | 83 | |
A Biopsychosocial Framework | 85 | |
What to Expect During the Evaluation | 86 | |
How You Can Prepare for an Evaluation | 91 | |
Frequently-Asked Questions | 94 | |
4. | How Does OCD Develop? | 99 |
Misfiring Circuits in the Brain | 100 | |
Serotonin: the Chemical Link | 102 | |
Pandas (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) | 103 | |
Of Genetics and Family Trees | 105 | |
Stress | 106 | |
Parenting Does Not Cause OCD | 108 | |
Can OCD Be Learned by Imitation? | 110 | |
The Vicious Cycle of Avoidance | 111 | |
Thinking Styles | 113 | |
Frequently-Asked Questions | 114 | |
5. | Treatment of OCD: Up and Down the Worry Hill | 117 |
Cognitive-Behavioral Therapy (CBT): the Treatment of Choice | 118 | |
BT, CT, CBT & ERP: What Do all the Initials Mean? | 119 | |
The Premise of CBT | 120 | |
Exposure & Ritual Prevention | 121 | |
Cognitive Therapy Strategies for OCD | 129 | |
CBT Steps for Children: Ride Up and Down the Worry Hill | 131 | |
Typical Steps in CBT for Children: What to Expect | 134 | |
Plusses and Minuses of CBT | 139 | |
Success in CBT: Who has the Best Chances? | 141 | |
Other Therapy Approaches | 144 | |
Frequently-Asked Questions | 148 | |
6. | Medications for Childhood OCD | 153 |
Medication Choices for OCD | 153 | |
Reasons for Considering Medication | 155 | |
What to Expect from OCD Medications | 157 | |
Finding the Right Medication and Dosage | 160 | |
Side Effects of Medications | 164 | |
Behavioral Side Effects of OCD Medications | 172 | |
When Medication Doesn't Seem to be Working | 174 | |
Frequently-Asked Questions | 176 | |
Part II | What to do | |
7. | The Battle Plan Against OCD | 183 |
Accept the Reality of OCD | 184 | |
Lead the Charge | 185 | |
Be Informed | 186 | |
Find the Right Treatment and Clinician | 188 | |
Simplify Your Lives | 194 | |
Brace Yourself for the Ups and Downs | 195 | |
Unlock the Emotional Cages of OCD | 200 | |
Frequently-Asked Questions | 203 | |
8. | Taking Care of Yourself | 207 |
Why You Need to Focus on You | 208 | |
The Web of OCD | 209 | |
9. | Readiness for Treatment | 231 |
Why is Readiness Important? | 232 | |
The Keys to Readiness | 232 | |
Effective Communication with Your Child | 235 | |
Tips for Successful Communication | 237 | |
Child-Friendly Explanations for OCD and CBT | 239 | |
Persuading the Reluctant Child | 247 | |
Strategies That Impede Readiness | 260 | |
Frequently-Asked Questions | 262 | |
10. | GUIDE, RIDE and RALLY: Critical Roles in CBT | 263 |
Guide, Ride and Rally | 264 | |
Handing Over the Charge | 264 | |
How to Rally for Your Child | 266 | |
What to Avoid: Strategies That Don't Help | 274 | |
Frequently-Asked Questions | 279 | |
11. | CBT With Your Child: The RIDE And RALLY In Action | 281 |
Contamination and Cleansing | 281 | |
"BAD Thoughts" and Mental Rituals | 284 | |
Moral Dilemmas and Checking | 289 | |
Confessing and Apologizing | 292 | |
"Just Right" and Repeating | 295 | |
Just So or Not at All: Perfectionism | 297 | |
Fears of Harm and Reassurance Seeking | 301 | |
Magical Thoughts | 305 | |
Hoarding | 308 | |
Frequently-Asked Questions | 311 | |
12. | Parenting Challenges | 313 |
The Perfect Parent | 314 | |
Daily Dilemmas: Did I Do the Right Thing? | 315 | |
The Nuts and Bolts of Parenting | 316 | |
All about Reward and Punishment | 325 | |
Parenting Through the Tough Times | 333 | |
Dealing with Frustration, Anger and Panic | 338 | |
Strategies for Everyday Challenges | 352 | |
Frequently-Asked Questions | 357 | |
13. | OCD Goes to School | 361 |
The Fall Out of OCD at School | 362 | |
To Tell or Not to Tell School Personnel? | 363 | |
What Schools can Do to Help | 368 | |
Barriers in the Home-School Partnership | 382 | |
Special Services or Not? | 385 | |
Advocating for Your Child | 388 | |
Strategies and Solutions at School | 391 | |
Frequently Asked Questions | 400 | |
14. | "Where do we go from here?" | 401 |
Recovery is a Journey, Not an Event | 402 | |
From Adversity to Opportunity | 403 | |
Slips and Slip Recovery | 405 | |
A New Vision | 407 | |
Giving Back | 408 | |
The Wings to Fly | 409 | |
Resources | 415 | |
Support Organizations | 417 | |
Web-based Resources | 418 | |
Index | 419 |