Abstract
Obsessive-compulsive disorder (OCD) is characterized by persistent and intrusive thoughts, ideas, impulses, or images (obsessions) resulting in significant anxiety or distress, coupled with compulsions or rituals used to reduce this distress. According to the (DSM-V; American Psychiatric Association, 2013), common obsessions feature fears of contamination, self-doubts, desires to have things in a specific order, aggressive/horrific images of harming loved ones, and religiosity, or disturbing sexual imagery. Compulsions consist of repetitive behaviors and mental acts (i.e., mental compulsions) and commonly involve, but are not limited to, checking, repetition, and washing. They may also include repetitive motor movements that can appear tic-like, such as walking down the steps in a particular way or avoiding stepping on cracks or particular colors on the floor. According to Swedo and colleagues (1989), washing rituals constitute the most common symptom of childhood OCD, affecting more than 85 % of children diagnosed.
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Villegas, C.E.R., André, MC., Arauz, J., Coyne, L.W. (2015). Obsessive-Compulsive Disorder. In: Flanagan, R., Allen, K., Levine, E. (eds) Cognitive and Behavioral Interventions in the Schools. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1972-7_7
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