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Review
. 2024 Jul;20(1):355-380.
doi: 10.1146/annurev-clinpsy-080822-043910. Epub 2024 Jul 2.

Obsessive-Compulsive Disorder in Children and Adolescents

Jordan T Stiede  1 , Samuel D Spencer  1 , Ogechi Onyeka  1 , Katie H Mangen  1 , Molly J Church  1 , Wayne K Goodman  1 , Eric A Storch  1
Affiliations
Free article
Review

Obsessive-Compulsive Disorder in Children and Adolescents

Jordan T Stiede et al. Annu Rev Clin Psychol. 2024 Jul.
Free article

Abstract

Obsessive-compulsive disorder (OCD) in children and adolescents is a neurobehavioral condition that can lead to functional impairment in multiple domains and decreased quality of life. We review the clinical presentation, diagnostic considerations, and common comorbidities of pediatric OCD. An overview of the biological and psychological models of OCD is provided along with a discussion of developmental considerations in youth. We also describe evidence-based treatments for OCD in childhood and adolescence, including cognitive behavioral therapy (CBT) with exposure and response prevention (ERP) and pharmacotherapy. Finally, research evaluating the delivery of CBT in different formats and modalities is discussed, and we conclude with suggestions for future research directions.

Keywords: CBT; ERP; OCD; adolescents; children; cognitive behavioral therapy; exposure and response prevention; obsessive–compulsive disorder.

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