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Compulsive disorders in children and young people

What is a compulsive disorder?

A compulsive disorder is when a person has repeated unwanted thoughts or the need to repeat a specific behaviour or mental act. It is sometimes confused with anxiety because of the distress caused by the thoughts and need to repeat the behaviour.

To be diagnosed, the repetitive thoughts and behaviours have to be severe enough that it is affecting the person’s ability to function (such as physically, socially, academically, etc.)

  • Obsessive-compulsive Disorder (OCD)

    Unwanted thoughts urges or images that keep coming back and cause you to repeat a behaviour or mental action to feel better.

  • Body Dysmorphic Disorder

    An obsessive belief there is a defect or flaw in their physical appearance and repeating behavours (looking in a mirror) or checking because of these beliefs.

  • Trichotillio-mania

    Cannot stop pulling out your hair to the point it causes hair loss even though you have tried to stop or reduce this behaviour.

  • Excoriation

    Cannot stop picking at skin which causes damage even though you have tried to stop or reduce this behaviour.

What will my GP do now if my child has a compulsive disorder?

Your GP may refer your child for treatment. Mild to moderate compulsive disorders in children can be treated effectively with early intervention and child behaviour strategies. A referral does not mean that your child is seriously mentally unwell.

Your GP may also:

  • Refer your child for counselling to help them learn to deal with the obsessive thinking and compulsive behaviours.
  • Refer to a specialist service if the compulsive disorder is severe or if your child might need medication

Your GP will want your child to come back so they can check how they are improving. If they are not improving, your GP may discuss other options to assist.

It is important to support your child in learning how to manage their compulsions. Treatment can often take time.

Some of the things you can do include:

  • Getting treatment early as it helps prevent the compulsive behaviours getting worse
  • Try not to get frustrated when your child is distressed. It may not make sense to you but their brain is telling them that they are unsafe unless they have this thought or complete this behaviour.
  • Look after yourself – you are the child’s main support and it is easy to forget to maintain good self-care.

What questions could I ask my doctor?

  • What can I do to help my child now?
  • What can I do to help my child over time?
  • When should I make another appointment?
  • How quickly can I expect results?
  • What happens if my child gets worse?

Support Services

Where can I learn more?

    General Information

  • Bullying No Way

    Information for children and parents

    Go to website
  • Kids Helpline

    Information for kids and their parents

    Go to website
  • Raising Children

    Raising Children provides free, up-to-date, evidence-based, scientifically validated information about pregnancy, raising children from birth to 18 years and caring for yourself as a parent or carer.

  • Emerging Minds - Resources for parents and caregivers

    Emerging Minds has been advancing infant, child and adolescent mental health for over 20 years.

  • Headstart

    Headstart is an online navigation tool that helps you find mental health support for you or someone you care for, including free and low-cost services available in-person and online.

Important: This information is to be viewed by someone who has received a diagnosis from their doctor. It is not designed to be used to diagnose a condition or as a substitute for ongoing medical care.

Health Resource Directory factsheets are endorsed by South Western Sydney PHN’s Community Advisory Committee and local GPs
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