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How can we help our daughter with OCD to gain more self-confidence and reduce her anxiety?

Marta Carulla-Roig
Marta Carulla-Roig
Child and adolescent psychiatrist. Mental Health Area
Hospital Sant Joan de Déu Barcelona

It's common for many young people not to seek help or openly discuss their OCD symptoms because some of their intrusive thoughts are strange or absurd. They're usually embarrassed to share them, perform rituals "in secret," and may even subtly involve you, as parents, by asking you to do, for example, "what their OCD tells them to do": "Repeat that word," "Close that door," "Check that," "Place that object like this," etc.

It's important to communicate well with your daughter and, without invading her space, show her support and be there for her, so she knows she can trust you and that you're there if she needs to share something that's troubling her. It's also important to follow the therapists' advice and adhere to the proposed treatment plan without giving in to the demands of OCD.

Sometimes there may be some tolerance of the symptoms on the part of the family members , and some accommodation to the rituals, so it is very important to work with the parents and cohabitants, and that they do not become involved in the rituals of their children.

If these aspects are tolerated, OCD enters the home and ends up "dominating everyone," and this, to a certain extent, in moderate to severe cases, significantly interferes with family dynamics. If parents don't compromise, episodes of significant conflict can arise. Setting "limits to OCD" as parents is a key focus in therapy with adolescents. In adults, it's also beneficial to provide training to partners, parents, or cohabitants.

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Marta Carulla-Roig
Marta Carulla-Roig
Child and adolescent psychiatrist. Mental Health Area
Hospital Sant Joan de Déu Barcelona
María del Pino Alonso Ortega
María del Pino Alonso Ortega
Psychiatrist. Obsessive-Compulsive Disorders Unit. Psychiatry Department
Hospital Universitari de Bellvitge