Unacceptable obsessional thoughts in children and adolescents

Carly Johnco, Eric A. Storch

Research output: Chapter in Book/Report/Conference proceedingChapterResearch

Abstract

This chapter discusses the phenomenology and clinical presentation of aggressive/harm, sexual and religious/moral obsessions, as well as issues relating to assessment and treatment of these conditions in youth. Aggressive obsessions are commonly endorsed by children and adolescents with obsessive‐compulsive disorder (OCD), with some studies suggesting rates as high as 80%. Standardized assessment measures allow clinicians to ask about a range of OCD symptoms, and can help to normalize and educate youth about them. The Children's Yale‐Brown Obsessive Compulsive Scale, the Children's Florida Obsessive Compulsive Inventory (C‐FOCI) and either the Children's Obsessional Compulsive Inventory (ChOCI) are some assessment tools for assessing obsessive‐compulsive symptoms in children and adolescents. Cognitive behavioral therapy (CBT) with a focus on exposure and response prevention (ERP) is the first‐line treatment for aggressive, religious/moral and sexual obsessions in youth.
Original languageEnglish
Title of host publicationThe Wiley handbook of obsessive compulsive disorders
EditorsJonathan S. Abramowitz, Dean McKay, Eric A. Storch
Place of PublicationChichester, UK
PublisherWiley-Blackwell, Wiley
Chapter24
Pages441-456
Number of pages16
Volume1
ISBN (Electronic)9781118890257, 9781118890264
ISBN (Print)9781118889640
DOIs
Publication statusPublished - 2017
Externally publishedYes

Publication series

NameWiley Clinical Psychology Handbooks Series

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  • Cite this

    Johnco, C., & Storch, E. A. (2017). Unacceptable obsessional thoughts in children and adolescents. In J. S. Abramowitz, D. McKay, & E. A. Storch (Eds.), The Wiley handbook of obsessive compulsive disorders (Vol. 1, pp. 441-456). (Wiley Clinical Psychology Handbooks Series). Wiley-Blackwell, Wiley. https://doi.org/10.1002/9781118890233.ch24