Guest guest Posted July 24, 2008 Report Share Posted July 24, 2008 My daughter has " just right " OCD, and we also have her on Zoloft. Our therapist had us start with our pediatrician since we had such a long wait to see a pdoc, and we started her with 25 mg. for a week, then tapered up from there. We finally got into the pdoc, who now has her at 150 mg/day, and we are hoping that we can manage the OCD symptoms at that level. We were a bit worried about the high dose, with the warnings we had to sign regarding thoughts of suicide, but both our pdoc, therapist, and pediatrician said that therapeutic levels of Zoloft are often that high. Our daughter is 13, I am not sure how old yours is. We saw immediate changes in attitude and behavior also, and now she is finally having better luck managing the OCD when it pops up -- she still counts, repeats, taps, checks, etc, but she is able to limit the time spent in these activities. As you know, it is a day by day battle, and there are good days and bad days, but for now we seem to be on the right track. Good luck to you and your daughter - I hope that you find out some good news at your appointment. Theresa in Colorado Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 24, 2008 Report Share Posted July 24, 2008 Is your daughter having some CBT along with the medication?  The Zoloft will work better if she is forced to challenge herself not to do her compulsions.  If she is highly motivated, she could try this by herself, but most likely she would do better doing it in partnership with you and a behavior therapist. Re:Question on Zoloft My daughter has " just right " OCD, and we also have her on Zoloft. Our therapist had us start with our pediatrician since we had such a long wait to see a pdoc, and we started her with 25 mg. for a week, then tapered up from there. We finally got into the pdoc, who now has her at 150 mg/day, and we are hoping that we can manage the OCD symptoms at that level. We were a bit worried about the high dose, with the warnings we had to sign regarding thoughts of suicide, but both our pdoc, therapist, and pediatrician said that therapeutic levels of Zoloft are often that high. Our daughter is 13, I am not sure how old yours is. We saw immediate changes in attitude and behavior also, and now she is finally having better luck managing the OCD when it pops up -- she still counts, repeats, taps, checks, etc, but she is able to limit the time spent in these activities. As you know, it is a day by day battle, and there are good days and bad days, but for now we seem to be on the right track. Good luck to you and your daughter - I hope that you find out some good news at your appointment.  Theresa in Colorado Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 24, 2008 Report Share Posted July 24, 2008 We see therapist once a week, and our pdoc every three weeks. The problem we are having is that the therapist has a hard time with ERP/CBT since it is difficult to expose our daughter to a " feeling " . She has no germ issues, doesn't do handwashing, stuff like that. It is more she repeats things until they " feel right " to her. Our therpaist is trying to talk with other therapists, and also to get some information from the OCFoundation since she isn't able to attend the conference in Boston this coming week, but said that there is a good presentation on " Just Right " OCD she is hoping to get information from. > > Is your daughter having some CBT along with the medication? Â The Zoloft will work better if she is forced to challenge herself not to do her compulsions. Â If she is highly motivated, she could try this by herself, but most likely she would do better doing it in partnership with you and a behavior therapist. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 24, 2008 Report Share Posted July 24, 2008 With the " just right " feeling, you can have her try to delay repeating things, trying to get through the anxiety/need she is feeling to repeat it. Like when would sit down and it didn't feel " right " and he would want to get back up to sit again, I would tell him to try to stay seated for a few moments. Or when he would want to repeat turning something on or off, to try to delay or NOT touch the switch again. If it's something like putting items/objects in their place or it doesn't feel " right " , they can try to place items in another spot and refrain from returning them; they will end up returning them, but just trying NOT to and delaying it is making an effort to " boss back " OCD. Quick thoughts, phone call, gotta go! > > We see therapist once a week, and our pdoc every three weeks. The > problem we are having is that the therapist has a hard time with > ERP/CBT since it is difficult to expose our daughter to > a " feeling " . She has no germ issues, doesn't do handwashing, stuff > like that. It is more she repeats things until they " feel right " to Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 24, 2008 Report Share Posted July 24, 2008 The important thing is to have her do things, but stop before they feel just right and go on to other things. Re:Question on Zoloft We see therapist once a week, and our pdoc every three weeks. The problem we are having is that the therapist has a hard time with ERP/CBT since it is difficult to expose our daughter to a " feeling " . She has no germ issues, doesn't do handwashing, stuff like that. It is more she repeats things until they " feel right " to her. Our therpaist is trying to talk with other therapists, and also to get some information from the OCFoundation since she isn't able to attend the conference in Boston this coming week, but said that there is a good presentation on " Just Right " OCD she is hoping to get information from. > > Is your daughter having some CBT along with the medication?  The Zoloft will work better if she is forced to challenge herself not to do her compulsions.  If she is highly motivated, she could try this by herself, but most likely she would do better doing it in partnership with you and a behavior therapist. > > =0 A Quote Link to comment Share on other sites More sharing options...
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