很少有孩子没有某些担忧或恐惧，以及他对儿童的正常发展仪式，如睡前。但是对于估计有1-2％的患有强迫症的儿童（OCD），这些思想和行为变得如此强烈，他们可以大大痛苦和破坏儿童功能的能力。UCLAS Semel Institute和UCLA的Stewart和Lynda Resnick神经精神医院开设了这些儿童的国家少数基于医院的近期门诊治疗方案之一。UCLA儿科强度强化门诊计划为8-17岁及8-17岁儿童提供三小时的日常个人和组治疗，以及家庭治疗，家长教育和支持以及药物管理。该计划每周提供四天，至少两周，取决于儿童障碍的严重程度。议员主任博士议员博士说，德琳·贝格曼（Ph.D.）博士表示，博士议员博士表示，议会议员的症状大幅度差异很大。虽然OCD经常被描绘为对污染的恐惧或需要有序的需要，但症状有很多。伯格曼博士解释说，大多数有OCD的人都有痴迷和强迫。痴迷是焦虑的，难以控制的侵扰性思想和恐惧，而强制性是通常开发的行为或仪式，以减少与强迫思想相关的焦虑。强迫可能与侵入性思想无关。 For example, sometimes a behavior such as counting or touching is done repetitively until it feels right rather than because an intrusive thought triggered the behavior. In other cases, the ritual or behavior can be directly related or in response to the obsessive thought. For instance, fear of contamination can lead the child to want to avoid physical contact or public spaces. A childs concern about having the numbers and letters on schoolwork look just right can lead to constant erasing until there are holes in the paper and the work is never completed. Religious or moral obsessions, termed obsessive scrupulosity, may result in compulsive confessions or praying for forgiveness, even over the smallest incident or behavior that others would not judge as objectionable. Research has provided evidence for two effective OCD treatments, Dr. Bergman says. One is medication, most commonly in the form of prescribed selective serotonin re-uptake inhibitors. The other — often used in combination with the medication — is a particular form of cognitive behavioral therapy called exposure and response prevention. The child is exposed to the feared thought while resisting engaging in the compulsive behavior, in a graduated fashion — practicing at first with something thats just a little bit scary, Dr. Bergman explains. A reward system is used to reinforce the childs attempts at engaging in exposure activities regardless of their success in resisting compulsions. Over time, and with follow-up at home, compulsive behaviors are extinguished as the exposures demonstrate that negative consequences do not result when the compulsive behavior or ritual is resisted. www.uclahealth.org