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Paeds Casesmental-behavioural-and-psychosomatic

Paeds Cases · mental-behavioural-and-psychosomatic

Obsessive-compulsive disorder in children — OSCE

OSCE station: OCD assessment counselling and shared decision-making for stepped CBT-with-ERP care.

osce communication and management station1 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCE
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Target exams

MRCPCH ClinicalRACP DCE
Prompt
Parent and 9-year-old attend after the school flagged lateness and concentration loss; the child has hidden door-tapping and shoelace-tying rituals; parents now accommodate by tying his laces.

Objectives

  1. Open with the child's voice and elicit the hidden obsession–compulsion cycle directly. [17] [22]
  2. Map impairment and screen comorbidity, suicidality and red flags. [22]
  3. Explain the diagnosis of OCD without stigma and without over-promising. [22]
  4. Agree a stepped CBT-with-ERP-first plan and address family accommodation. [1] [14]
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References6ShowHide
  1. [1]Pediatric OCD Treatment Study (POTS) Team Cognitive-behavior therapy, sertraline, and their combination for children and adolescents with obsessive-compulsive disorder: the Pediatric OCD Treatment Study (POTS) randomized controlled trial. JAMA, 2004.PMID 15507582
  2. [4]March JS Sertraline in children and adolescents with obsessive-compulsive disorder: a multicenter randomized controlled trial. JAMA, 1998.PMID 9842950
  3. [5]March JS Treatment benefit and the risk of suicidality in multicenter, randomized, controlled trials of sertraline in children and adolescents. Journal of child and adolescent psychopharmacology, 2006.PMID 16553531
  4. [14]Farrell LJ Closing the Gap for Children with OCD: A Staged-Care Model of Cognitive Behavioural Therapy with Exposure and Response Prevention. Clinical child and family psychology review, 2023.PMID 37405675
  5. [17]Leonard HL Obsessive-compulsive disorder. Child and adolescent psychiatric clinics of North America, 2005.PMID 16171700
  6. [22]AACAP Practice parameter for the assessment and treatment of children and adolescents with obsessive-compulsive disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 2012.PMID 22176943
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