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Obsessive-Compulsive Disorder in children. A case report

Published online by Cambridge University Press:  01 September 2022

R. Galerón ,
M. Huete Naval ,
E. Exposito Duran ,
F. Mayor Sanabria ,
C. Regueiro Martín-Albo  and
F. García-Escribano Martín
R. Galerón*
Affiliation:
Hospital Clínico San Carlos, Institute Of Psychiatry And Mental Health, Madrid, Spain
M. Huete Naval
Affiliation:
Hospital Clínico San Carlos, Institute Of Psychiatry And Mental Health, Madrid, Spain
E. Exposito Duran
Affiliation:
Hospital Clínico San Carlos, Institute Of Psychiatry And Mental Health, Madrid, Spain
F. Mayor Sanabria
Affiliation:
Hospital Clínico San Carlos, Instituto De Psiquiatría Y Salud Mental, Madrid, Spain
C. Regueiro Martín-Albo
Affiliation:
Hospital Clínico San Carlos, Instituto De Psiquiatría Y Salud Mental, Madrid, Spain
F. García-Escribano Martín
Affiliation:
Hospital Clínico San Carlos, Institute Of Psychiatry And Mental Health, Madrid, Spain
*
*Corresponding author.

Abstract

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Introduction

We present a 9-year-old girl with celiac disease who attends a Health Center referred by her pediatrician for rituals. Her mother describes rituals from early childhood that have been intensified by the death of her grandmother from pancreatic cancer. Since then, thoughts of gluten contamination and behaviors aimed at avoiding such contamination have increased. For example, not using the common household towel and not eating until all the guests have washed their hands. If the patient does not carry out these actions, she presents significant discomfort, crying and screaming until it is done. In addition, such behaviors take up a significant amount of time.

Objectives

To review the literature of Obsessive-Compulsive Disorder (OCD) in children.

Methods

Literature review of scientific articles searching in Pubmed. We considered articles in English and Spanish.

Results

Cognitive Behavioral Therapy and Sertraline up to 50mg were started. After several weeks the frequency of behaviors aimed at avoiding gluten contamination begins to decrease; as well as the anguish if these are not carried out.

Conclusions

OCD in childhood can present characteristics that differentiate it from OCD in adulthood, such as difficulty detecting obsessions and that children do not usually consider thoughts as unreal or excessive. Therefore, it is a real challenge, having to carry out an adequate differential diagnosis with other entities such as specific phobias, for adequate subsequent management.

Disclosure

No significant relationships.

Keywords

ChildrenSpecific phobiaAutism Spectrum Disorderobsessive-compulsive disorder
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S438
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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