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is in a special ed. preschool. They give stamps at

> the end of the day if you've had a good She got 6 out of 7 stamps

yesterday and had a meltdown that lasted about an hour. She kept screaming

" I didn't have a good day, I

> didn't get 7 stamps. " I'm not sure how to handle this. How do you

> handle kids who melt down if they don't get a perfect score? Thanks

> for your advice.

>

> Hi ,

Unfortunately, allergies don't respond to the exposure model. (Wish they

did, as I sit here all clogged up and wheezy from our ragweed peak here in

NY).

Trying to protect from the disappointment will reinforce her

perfectionism. The meltdowns often drive parents and teachers to cave in,

because they are so aversive. Then you begin to walk on eggshells to

anticipate, predict, avert any and all possible triggers to a meltdown,

until that becomes an obsession of sorts too.

You did not mention how old is, but I would suggest a combination of

exposure and cognitive strategies:

The exposure part involves being " honest " and letting her get only as many

stamps as she earned for her behavior, and helping her learn how to cope

with the disappointment. Learning this will only become harder as she gets

older. Also, purposefully setting lower expectations, and getting things

wrong, as others mentioned, is a form of exposure.

How to cope: As a parent, you remain calm and matter of fact, reinforcing

the idea that it's ok just as it is ( " It's no biggie...), without turning it

into reassurance, which is sometimes a fine line. Avoid giving her messages

that reinforce the need for perfection, instead reinforce the idea that lack

of perfection is ideal. I second some of Kathy Hammes ideas reg. this.

If she is old enough for cognitive strategies, I suggest perspective-taking

( " In the BIG PICTURE " ) exercises, presented only when she is calm and

amenable to reason, not in the midst of the maelstrom. Your CBT therapist

can help you design this exercise to suit 's needs, but the gist of

it is to help kids figure out--by asking them a series of questions that

lead them to the right answers-- SO WHAT if you got only 6/7 stamps? what's

the worst that can happen? Ok, so what, what does that mean? What's so bad

about that? What can you do if that happens? In the big scheme of things,

NOTHING is any different if you missed one stamp, and it's hardly the end of

the world.

Hope this helps, keep us posted.

Take care,

Aureen Wagner, Ph.D.

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  • 5 months later...

" perfect is the enemy of good " sounds wonderful--

BUT

that is applying to logical thought and OCD is not logical. , my very

unique child, had a very unique OCD ritual. Every time she heard the word

'perfect' she had to say 'not perfect' six times. This was actually her very

worst symptom for a long time, since once the kids in the school learned of

this, they would gang up on her, saying 'perfect' over and over again, and

she could not keep up with her six 'not perfects', and ended up raging in the

hallways and cafeteria.

Oh, where did this one come from? When she was younger I made a silly joke

about the 'perfect police' writing you a ticket if you tried to do things

perfectly, in an attempt to ward off OCD perfectionism. The above ritual was

the response.

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HI Ellen:

You were going in the right direction making the joke about the perfect

police ticket and using humor to diffuse OCD. A reason this might not have

worked is that at that time it was too high up on 's OCD hierarchy.

Your example of the taunting using the OCD trigger reminds me of how

Steve's older brother did this with him in the early days. He would say

Nazis and Steve would start ritualizing. I got very mad at him and luckily

it did not last too long.

Take care, aloha, Kathy (h)

kathyh@...

At 08:52 PM 02/18/2001 EST, you wrote:

> " perfect is the enemy of good " sounds wonderful--

>BUT

>that is applying to logical thought and OCD is not logical. , my

very

>unique child, had a very unique OCD ritual. Every time she heard the word

>'perfect' she had to say 'not perfect' six times. This was actually her

very

>worst symptom for a long time, since once the kids in the school learned of

>this, they would gang up on her, saying 'perfect' over and over again, and

>she could not keep up with her six 'not perfects', and ended up raging in

the

>hallways and cafeteria.

>

>Oh, where did this one come from? When she was younger I made a silly joke

>about the 'perfect police' writing you a ticket if you tried to do things

>perfectly, in an attempt to ward off OCD perfectionism. The above ritual

was

>the response.

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  • 1 year later...
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Remember that fear always lurks behind perfectionism. Confronting your fears and allowing yourself the right to be human can, paradoxically, make you a far happier and more productive person. -- Dr. M. Burns

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  • 3 years later...
Guest guest

Hi , you are " guilty " of trying to reason with OCD. OCD is just not of

this world, normal rules and reason do not apply! LOL

The OCD junk mail thought here is that perfection is urgently necessary and

attainable, and nothing less has value or is worthwhile. This puts the kids

on a no-win loop since, of course, perfection is not attainable in this

world, and OCD in any case is never satisfied for long. You probably know

that perfectionism, focused on all sorts of things, is a common OCD

obsession.

CBT/ERP can work well with this type of obsession. The simplest approach

may be to " do it wrong on purpose " and then live with the results for longer

and longer periods of time. In your son's case you could suggest he create

art " imperfectly " on purpose, over and over until his anxiety falls around

this issue. You could also display his art around the house, in his room,

wherever he agrees, and he can view his " imperfection " until his anxiety

falls about this. Both of these will cause much anxiety to begin with

probably, but it will reduce considerably with repetition, which is the key.

His joy in his art will return as his anxiety around having to do it

" perfectly " falls. If he has perfectionism around other issues (grades?

room arrangement? clothes? whatever), that may be the place to start if

perfect artwork is jammed way at the top of his hierarchy.

If you want, you could model " good enough " behavior around the house in day

to day activities. Point out times that, though not perfect, a task or

effort is good enough for the purpose, and will do.

We parents always want our kids to do their best, but when OCD gets hold of

this, it turns it into a maddeningly impossible goal.

Kathy R. in Indiana

----- Original Message -----

From: " klwicklund77 " <k777thorpe@...>

Hi, all,

My son, 14, is doing very well on 20mg lexapro - he is calm and

peaceful where before he was tense and anxious.

His handwashing is under control - there are significantly fewer

rules wrapped around him these days.

But, I recently discovered that his problem with perfectionism and

self-criticism is not really in control at all.

He told me about a famous writer who's books had won fame and awards

but he himself never saw his own writing as worthy - he committed

suicide.

So I asked my son if this author was wrong and caught up in

perfectionism and it was his downfall.....then, wasn't my son's own

self-criticism of his artistic ability the same thing?

I asked him if he really believed that this respected author was

wrong but my son is right?

And, unfortunately, though he sees the connection, he only knows what

he feels and what he feels is less than perfect.

I want to help him with this.....but I'm not sure where to start.

It's interfering with his ability to create art anymore.

And, it's interfering with the intense pleasure and satisfaction that

he used to get from his art.

Does anyone recommend some books that I or he could read that would

help us with this?

Thank you so much,

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I bought a book at the conference in San Diego called " When Perfect Isn't

Good Enough " I haven't had a chance to start reading it, but it's the first

book I have seen on the topic. I thought it was worth buying since both my

son and my husband seem to have problems with perfectionism. I'll try to

get into it and let the list know how helpful it seems.

Jackie

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