Treatment of preschool children with obsessive compulsive disorder

Abstract

The aim was to examine the clinical features of Obsessive-Compulsive Disorder (OCD) in preschool and the effectiveness of aripiprazole with a standardized Cognitive-Behavioral Family Therapy (CBFT) in the treatment of preschoolers with OCD. Twelve preschool children, 36–72 months of age were diagnosed with OCD according to the Diagnostic and Statistical Manual of Mental Disorders, the Fifth Edition criteria by a fellowship-trained child and adolescent psychiatrist. They were evaluated with Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime version and Childhood Yale-Brown Obsessive Compulsive Scale (CY-BOCS) at baseline, at the end of the 12th and 24th weeks of treatment. The baseline mean of total CY-BOCS score decreased from 33.67 to 13.83 at the 12th week and 5.58 at the end of the 24th week of treatment. Also, 66.7% of them had at least one psychiatric comorbidity. Overall, this study revealed the effect of aripiprazole with CBFT in preschool-aged children with OCD. Also, the presence of comorbidity that is seen frequently in preschoolers with OCD may complicate the treatment. Therefore, there is a need to increase awareness of OCD and its comorbidities in preschoolers to supply treatment at an early age.

EMDR Flash Technique in adolescents with depression: A twelve-week follow-up study

“…Also, of the 19 studies included in the review, 15 reported providing six or fewer sessions of EMDR (mean = 2.28 sessions), with five of these studies providing only one EMDR session. Another study that includes adolescents with panic disorder also indicated significant improvement in adolescents with panic disorder at the end of the fourth week of EMDR (Inci Izmir et al, 2023). These previous studies showed that short therapy sessions could be effective.…”

Cognitive Disengagement Syndrome in Mothers of Children With Attention-Deficit/Hyperactivity Disorder

“…Researchers previously used the term CDS as a sub-concept of ADHD to define ADHD cases where inattention is predominant, focusing particularly on whether it can be distinguished from inattentive ADHD symptoms (Leopold et al, 2015; McBurnett et al, 2001). Today, while some researchers claim that CDS often accompanies ADHD, but it is a different condition, others argue that we do not yet have enough evidence to call CDS a disorder (Barkley, 2014; Becker et al, 2023; Kofler et al, 2019; Uzun Cicek et al, 2023; Willcutt et al, 2014). Indeed, several studies suggested that ADHD and CDS are frequently seen together.…”