Anxiety Disorders in Children/Adolescents OCD May be aware that symptoms do not make sense and are excessive (adolescents) Distressed when compulsive habits are prevented (younger children) Most common obsessions concern dirt, contamination, repeated doubts, arrangement of things, fearful aggressive or murderous impulses, disturbing sexual imagery Frequent compulsions are repetitive washing of hands, use of tissue to touch things, checking drawers, locks, windows, doors, counting rituals, repeating actions, requesting reassurance 4
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