Sometimes when people think of Obsessive Compulsive Disorder (OCD) they have a narrow view of what the condition involves. The average person may jump to the stereotypical excessive-handwashing version of OCD, or the person who obsessively checks the stove to make sure they turned off the burner. These are examples of how OCD can show up in people’s lives, but it doesn’t tell the whole story.
Anyone who has this anxiety-based condition or has a loved one with OCD can attest to the varying ways it can present itself in thought, feeling and behavior. The hallmark of an OCD diagnosis is the presence of two components; obsessive thoughts that are distressing and repetitious, and compulsive urges to engage in behavior to reduce the stress. It’s not exactly a picnic in the park for teens with this condition, but it is manageable with the right type of treatment.
OCD Treatment for Teens
Obsessive Compulsive Disorder responds well to Cognitive Behavioral Therapy (CBT) because it helps teens dissect thoughts and feelings, while identifying ways to disrupt the urge to engage in the behaviors that can take up so much time and energy. Often the key to breaking up with OCD is learning how to tolerate the strong urges to act on distressing thought without giving in.
For teens who are struggling with this, it may sound impossible; the urge to engage in certain behaviors to reduce stress is powerful, but this is the avenue toward freedom. Think of it like a workout, or a training session for your thoughts and feelings. No one starts out running a 5K on their first day out jogging or benching 300 pounds their first visit to the gym. It’s all about learning the techniques and skills that can help you become an OCD Jedi Master.
Cognitive Behavioral Therapy also helps teens sort out some of the underlying anxieties that drive OCD. Learning about triggers is a helpful way to recognize when symptoms may become more intense. Covid-19 may be a trigger for people who struggle with fears surrounding viruses or infectious illness, for example. For some this may manifest in excessive hand washing, overuse of hand sanitizer or other behaviors to reduce stress.
It is important to remember that the compulsive behaviors of OCD are well beyond the range of typical precaution. Compulsive behaviors are time-consuming and/or disruptive to daily life. CBT can help teens determine where behaviors make the leap into being excessive or disruptive and then work on building tolerance to the distressing thoughts. Teens in treatment can learn to use coping strategies to manage thoughts and urges rather than giving in to them. Medications can also be useful for teens struggling with OCD, but it is crucial to engage in the therapeutic aspect of the work to build skills for managing it. Often CBT is sufficient, and no medications are needed.
How Parents Can Help
Parents of kids with OCD are often flummoxed about how to help. The best thing a parent can do is offer empathy, support, and gentle reminders of coping skills when anxiety triggers are mounting. Remember that teens who are struggling with OCD are distressed by their thoughts and that is what drives the compulsive behaviors. It may be tempting to try to convince them that their thoughts are illogical or baseless, but this approach is likely to cause even more stress, which could increase symptoms.
Remember, your teen will build tolerance for varying thoughts and levels of distress in therapy and will learn to trust their minds with uncomfortable thoughts. Managing OCD is about learning how to keep perspective and recognize that thoughts are “only thoughts” and do not require excessive attention or action. When people with OCD learn to allow thoughts to enter and exit the mind like a passing breeze, it can alleviate a lot of stress and often symptoms begin to subside. Even when anxiety is causing some thoughts to get stuck, treatment can help teens recognize the familiar pattern and use skills learned in counseling to get through a difficult moment without giving in to a compulsive urge.
Parents can also do some research to learn more about OCD and the ways it can affect teens. There are a variety of great resources available, including the McLean Hospital site and Peace of Mind. Both sites are helpful for parents to learn more about OCD and varying treatment methods. Teens will enjoy BeyondOCD.org Just for Teens site.
Regardless of where you are on your journey with OCD, and whether you are a parent or a teen with the condition, relief is possible. When you use CBT tools and practice strategies, you can manage OCD and enjoy your life.
Often even the most emotionally reticent teens connect with holiday wonder. It is, indeed, the most wonderful time of the year (or it is supposed to be, according to the song and the hyper-energetic festivity).
The holidays are likely to look far different this year, with Covid lurking around. Many of us are changing our plans and scaling back holiday gatherings, postponing trips to see family and friends, all in the name of safe social distancing practices. These are the wise choices we are making to keep ourselves and our loved ones safe, but that doesn’t make it fun.
Impact of Covid Holiday on Teens
Even if your teen isn’t saying it openly, the shift in traditional festivities is likely impacting them emotionally. Teens who are already prone to depression and anxiety may feel the affect of these changes with greater depth but may not have the ability to articulate it.
What to Look For
If you are worried about your teen’s emotional health this holiday season, here are some things to pay attention to that may indicate internal struggle.
Sometimes anxiety and depressive symptoms aren’t outwardly noticeable and can impact your teen. A depressed or anxious teen might also be experiencing:
Ask any group of parents about their fears for their teenager and you will get a zillion different responses. There are plenty of things to worry about when it comes to teens (we earn these gray hairs, afterall). Out of the long list of issues parents worry about, substance abuse is certainly in the top five. Some parents may worry a lot about their teen’s drug and alcohol use, while others tend to think about substance use as a rite of passage, and as a result may be less concerned about it. Regardless of where we stand on the topic, it can be helpful to understand more about substance use so we can be proactive and compassionate with kids who may be struggling.
Facts About Teen Substance Abuse
Ten million people between the ages of 12 and 29 need treatment for substance abuse. Understanding drug and alcohol use patterns in teens is important because most people who later struggle with addiction start at a young age, some as young as 12 or 13 years old.
The graphic above shows varying types of street drugs teens typically abuse, but the number one substance teens access is alcohol. One study shows that an alarming 4.3 million youth report binge drinking within the past month.
Often, we feel at a loss as to how to protect our kids from the detrimental effects of substances. We hear stories about teen overdose deaths, sexual assaults that are committed during intoxication, car accidents, legal involvement and so on.
Talley Webb, MA, CRMC