Guest guest Posted November 4, 2011 Report Share Posted November 4, 2011 My daughter (13) was diagnosed in September with OCD and is under care of phychiatist/phychologist and on Zoloft /Lorazepam for 6 weeks without much progress. I am pursuing PANDAS testing as it came on very suddenly. Right now, Im being told shes too depressed to begin exposure therapy. We've been going 2 times a week. I am wondering if anybody in the Chicago area who have had some positve success with therapy and could sugguest any local phychs/therapists who have helped them or know of local proven OCD experts/therapists? Also, what should I reasonably expect from the phych/therapist? I keep on asking for practical suggestions on what to do with outbursts, refusal to get out of the bathtub, exccessive fears ect. and I'm not getting any answers back. Should the therapist walk us through Exposure Response session to show us how it works? Should the therapist provide suggestions for dialog so I can help/coach my daughter through some of these things? Should they provide more practicle info and how to's? All I have been told is that she will have to do the opposite of what the OCD tells her to do and I need to read Dr. Chansky's book. (which I have) Please let me know. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2011 Report Share Posted November 4, 2011 Hi I'm from Chicago suburbs but very new to this would love to talk Sent from my iPhone > My daughter (13) was diagnosed in September with OCD and is under care of phychiatist/phychologist and on Zoloft /Lorazepam for 6 weeks without much progress. I am pursuing PANDAS testing as it came on very suddenly. Right now, Im being told shes too depressed to begin exposure therapy. We've been going 2 times a week. I am wondering if anybody in the Chicago area who have had some positve success with therapy and could sugguest any local phychs/therapists who have helped them or know of local proven OCD experts/therapists? > > Also, what should I reasonably expect from the phych/therapist? I keep on asking for practical suggestions on what to do with outbursts, refusal to get out of the bathtub, exccessive fears ect. and I'm not getting any answers back. Should the therapist walk us through Exposure Response session to show us how it works? Should the therapist provide suggestions for dialog so I can help/coach my daughter through some of these things? Should they provide more practicle info and how to's? All I have been told is that she will have to do the opposite of what the OCD tells her to do and I need to read Dr. Chansky's book. (which I have) > > Please let me know. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2011 Report Share Posted November 4, 2011 Where do u live? I'm in Woodridge Sent from my iPhone > Hi I'm from Chicago suburbs but very new to this would love to talk > > Sent from my iPhone > > > > > My daughter (13) was diagnosed in September with OCD and is under care of phychiatist/phychologist and on Zoloft /Lorazepam for 6 weeks without much progress. I am pursuing PANDAS testing as it came on very suddenly. Right now, Im being told shes too depressed to begin exposure therapy. We've been going 2 times a week. I am wondering if anybody in the Chicago area who have had some positve success with therapy and could sugguest any local phychs/therapists who have helped them or know of local proven OCD experts/therapists? > > > > Also, what should I reasonably expect from the phych/therapist? I keep on asking for practical suggestions on what to do with outbursts, refusal to get out of the bathtub, exccessive fears ect. and I'm not getting any answers back. Should the therapist walk us through Exposure Response session to show us how it works? Should the therapist provide suggestions for dialog so I can help/coach my daughter through some of these things? Should they provide more practicle info and how to's? All I have been told is that she will have to do the opposite of what the OCD tells her to do and I need to read Dr. Chansky's book. (which I have) > > > > Please let me know. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2011 Report Share Posted November 4, 2011 I have nothing to add other than I am also in the Chicago area (Clarendon Hills) and would love to hear any positive feedback/recommendations regarding psychologists/behavioral therapists in the area. The psychiatrists don't seem to think that OCD can be treated effectively without medication, but they have a financial interest in that opinion so I'm not sure what to believe. My 7-year-old son was diagnosed with OCD and ADHD over the summer, and we're not having much success with medication or therapy. I'm also investigating the PANDAS possibility because he did have a particularly bad case of Strep a couple of years ago. Re: OCD Phychologists/therapists in Chicago? Where do u live? I'm in Woodridge Sent from my iPhone > Hi I'm from Chicago suburbs but very new to this would love to talk > > Sent from my iPhone > > On Nov 4, 2011, at 10:17 AM, N Brennan < brennan155713@... > wrote: > > > My daughter (13) was diagnosed in September with OCD and is under care of phychiatist/phychologist and on Zoloft /Lorazepam for 6 weeks without much progress. I am pursuing PANDAS testing as it came on very suddenly. Right now, Im being told shes too depressed to begin exposure therapy. We've been going 2 times a week. I am wondering if anybody in the Chicago area who have had some positve success with therapy and could sugguest any local phychs/therapists who have helped them or know of local proven OCD experts/therapists? > > > > Also, what should I reasonably expect from the phych/therapist? I keep on asking for practical suggestions on what to do with outbursts, refusal to get out of the bathtub, exccessive fears ect. and I'm not getting any answers back. Should the therapist walk us through Exposure Response session to show us how it works? Should the therapist provide suggestions for dialog so I can help/coach my daughter through some of these things? Should they provide more practicle info and how to's? All I have been told is that she will have to do the opposite of what the OCD tells her to do and I need to read Dr. Chansky's book. (which I have) > > > > Please let me know. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2011 Report Share Posted November 4, 2011 Although I am in NY.........my CBT therapist a LSW was trained by the BTTI (Behavioral Therapy Training Institute) and my son is not on any anti-psychotic meds although he was and I had to fight to get him off (he was admitted to a mental hospital when this first started in April and they put him on meds I didn’t want him on) long story short he is on Augmentin long term as we delve into the PANDAS theory but nothing else. He has been doing CBT for almost 5 months and it has worked wonders. I think the medication depends on the severity of the OCD and how much it affects daily life. My son gained 20 lbs in less than 6 months on anti-psychotics and I was scared to see as his mom that it was a fight to get the psychiatrist to take him off. I ended up switching psychiatrists because of it. As parents we look for the magic pill or magic wand to help our children and this has been life changing/family changing/something that will never be the same again. I am saddened to see these children suffer and the medical professionals (some of them) do not have the patience or understanding. From: nbk64@... Sent: Friday, November 04, 2011 3:00 PM To: Subject: Re: OCD Phychologists/therapists in Chicago? I have nothing to add other than I am also in the Chicago area (Clarendon Hills) and would love to hear any positive feedback/recommendations regarding psychologists/behavioral therapists in the area. The psychiatrists don't seem to think that OCD can be treated effectively without medication, but they have a financial interest in that opinion so I'm not sure what to believe. My 7-year-old son was diagnosed with OCD and ADHD over the summer, and we're not having much success with medication or therapy. I'm also investigating the PANDAS possibility because he did have a particularly bad case of Strep a couple of years ago. Re: OCD Phychologists/therapists in Chicago? Where do u live? I'm in Woodridge Sent from my iPhone On Nov 4, 2011, at 12:06 PM, mailto:krispesola%40yahoo.com wrote: > Hi I'm from Chicago suburbs but very new to this would love to talk > > Sent from my iPhone > > On Nov 4, 2011, at 10:17 AM, N Brennan < mailto:brennan155713%40yahoo.com > wrote: > > > My daughter (13) was diagnosed in September with OCD and is under care of phychiatist/phychologist and on Zoloft /Lorazepam for 6 weeks without much progress. I am pursuing PANDAS testing as it came on very suddenly. Right now, Im being told shes too depressed to begin exposure therapy. We've been going 2 times a week. I am wondering if anybody in the Chicago area who have had some positve success with therapy and could sugguest any local phychs/therapists who have helped them or know of local proven OCD experts/therapists? > > > > Also, what should I reasonably expect from the phych/therapist? I keep on asking for practical suggestions on what to do with outbursts, refusal to get out of the bathtub, exccessive fears ect. and I'm not getting any answers back. Should the therapist walk us through Exposure Response session to show us how it works? Should the therapist provide suggestions for dialog so I can help/coach my daughter through some of these things? Should they provide more practicle info and how to's? All I have been told is that she will have to do the opposite of what the OCD tells her to do and I need to read Dr. Chansky's book. (which I have) > > > > Please let me know. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2011 Report Share Posted November 4, 2011 A book I found very helpful was " What to do when your Child has Obsessive Compulsive Disorder " by Aureen Pinto Wagner. This book was great, and I knew I had found a dtr experienced in treating ocd, when he was telling me everything that I had already read in the book. On the first visit, psychologist explained ocd to us, explained erp and estimated how long treatment might be and set a goal of improvement. Dtr was also very helpful when I had questions about my role in handling ds's ocd. Seems like you should be getting answers to your questions. > > My daughter (13) was diagnosed in September with OCD and is under care of phychiatist/phychologist and on Zoloft /Lorazepam for 6 weeks without much progress. I am pursuing PANDAS testing as it came on very suddenly. Right now, Im being told shes too depressed to begin exposure therapy. We've been going 2 times a week. I am wondering if anybody in the Chicago area who have had some positve success with therapy and could sugguest any local phychs/therapists who have helped them or know of local proven OCD experts/therapists? > > Also, what should I reasonably expect from the phych/therapist? I keep on asking for practical suggestions on what to do with outbursts, refusal to get out of the bathtub, exccessive fears ect. and I'm not getting any answers back. Should the therapist walk us through Exposure Response session to show us how it works? Should the therapist provide suggestions for dialog so I can help/coach my daughter through some of these things? Should they provide more practicle info and how to's? All I have been told is that she will have to do the opposite of what the OCD tells her to do and I need to read Dr. Chansky's book. (which I have) > > Please let me know. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2011 Report Share Posted November 4, 2011 What dose of Zoloft is your dd on? The dose usually has to be increased gradually to a fairly high (200 mg/day) dose for it to be effective although you should see some improvement before then if she is responding to it. It is true that if your dd is quite depressed, it will be more difficult for her to have the strength and energy to go through exposure and response prevention. Hopefully, the meds will help with that too. The therapist should be giving you some answers or more suggestions than " just read this book, " although both Wagner and Chansky have great books. When you say your dd is having outbursts, is she screaming, yelling, hitting, throwing, and/or completely out of control? If so, the only thing you can do at that time, is to keep her from hurting herself or anyone else. She will not be able to reason with you, hear your soothing words, etc. When my older dd was at her worst, at age 8.5 yrs, I often had to " bear hug " her. You sit behind or stand behind the child with your arms pinning her arms to her body. She should be facing away from you. This reduces her ability to hurt you or herself and helps her to physically contain her fear and anger. OCD is scary and if she is being told to fight the fears (which she will have to do), she may initially find it much easier to fight you. She can see you and you are not " inside " her. For my own sanity, I had to learn to mentally check out and not respond to the things dd was saying as it was like fueling the fire. With our dd, we knew a more receptive time was coming when she started to cry. It sounds awful, but this was when she could begin to be comforted and to hear us. This also does not mean that she got away with everything. When our dd broke a window in a rage, we made her pay for the repair; when she trashed her bedroom, she had to help pick it up after she calmed down. What you will have to do with ERP is to gradually stop accommodating the demands of her OCD. When our dd's washing was worst, we were cutting up the soap and keeping it away from her. She would go into rages if the piece of soap we gave her was too small. My husband initially felt we needed to comply with her wishes. This was a natural impulse, but the wrong thing to do. OCD is greedy. If you give in to one demand, it starts making more and more. You do also need to remember--as hard as it is--that it is your dd's OCD making these demands not her conscious willful mind. You can't really dialog with the OCD. When your child is feeling better, she may know that the obsessions and compulsions are irrational, but in the heat of the moment, she will not. A useful analogy in some of the books, is that obsessions are like junk mail, spam, pop up ads, in your brain. It can also help to point out that everyone sometimes has weird thoughts, but most people are able to say " oh, that doesn't make sense. " Those of us with OCD get stuck on the junk thought (like a DVD that is skipping, since I doubt she'll know what a broken record is!) You don't want to promise her that what she fears will never happen; people do get sick, have have house fires, make mistakes, and die. What she needs to hear is that " with help, she can handle " whatever does happen. Also, you can look up the International OCD Foundation website. They have lists of therapists who treat OCD. You will want to talk with anyone you call and make sure what their qualifications are, but it's a starting point. Finally, remember to take care of yourself. It is too easy to forget, but you cannot help your dd if you yourself are overwhelmed. hope this helps a little bit. This listserve is a great place for advice and venting. (mom w/OCD, 11.5 yo dd w/OCD, 9 yo dd w/tic disorder and/or just right OCD?) ________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2011 Report Share Posted November 5, 2011 Greetings, I live in the south suburbs and found a wonderful therapist that was a good fit for my daughter. Feel free to contact me privately to discuss. This therapist told me up front her experiences with OCD and also suggested an OCD specialist. She was not. The specialist told me my daughter needed residential/special school because she had other diagnoses and it was " complicated " by that. I really didn't want that because the rages only occurred at home. She was fine at school. I think sometimes specialists see everything through their rather narrow perspective. When my DD was diagnosed BP they said it couldn't be OCD because of the violence. Hmmm, anyone here think OCD rages can't get violent? The BP psychiatrist to this day thinks the OCD is only evident now that the BP is being controlled by meds. The brain is complex and I don't think anyone knows exactly how it works. It's still trial and error which is so frustrating to us with a child that is suffering. In hindsight (2.5 years later) I can say I made the right decision. The therapist did a more informal ERP. She used a rewards/consequence behavioral plan and progressed at what seemed like a snail's pace. When we tried to quicken the pace, it didn't work. My DD had very black/white thinking and when we tried to draw a line in the sand it only made matters worse. Yes, to an outside observer it looked like we were giving in to DD. In reality there were always consequences. The therapist saw things so clearly. She knew when we were reacting in a way that was triggering issues my DD was not yet able to deal with effectively and other times when our expectation was reasonable and DD needed to feel the discomfort and not soothe herself with destructive OCD behaviors. The lesson I learned is that it takes a long, long time and there are ups and downs along the way. The books and the experts are an excellent source of information but each child is different and therapy has to be tailored to the child. What I liked about this therapist is that I could email her a detailed account of the week prior to my DD's session. If needed, she would talk to us (parents alone) prior to meeting with DD but not too long because the waiting would cause DD to escalate in anxiety. Often, we would meet as a family at the end of the session. She developed a good rapport with DD and could summarize the session and set a weekly goal. I trusted her, respected her and liked her. I did refer a friend who chose not to use her services. She felt the therapist was too " child friendly " and being manipulated by the child. I found living with a child with OCD gave me a case of PTSD and my own responses to my DD were not always healthy. The therapist seemed to " get this " . It's not that I was the cause of my DD's OCD. It was that sometimes I was too tired or my own insecurities were triggered and that caused me to respond inappropriately. I think, those of us on this list know, that " normal " kids can give parents some slack and just mumble something like " you're tripping " . OCD kids don't. Dor Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2011 Report Share Posted November 5, 2011 HI! I don't know if this will be helpful or not, but there is an interesting group on Facebook, called OCD Chicago. I haven't fully investigated them, but I did " like, " them, and their articles and links are usually interesting and seem pretty on target. Check them out (everybody!) and see what you think. Since it is your area, maybe it will be a useful resource! Best, Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2011 Report Share Posted November 5, 2011 Good to know will do! Sent from my iPhone > HI! > > I don't know if this will be helpful or not, but there is an interesting group on Facebook, called OCD Chicago. I haven't fully investigated them, but I did " like, " them, and their articles and links are usually interesting and seem pretty on target. Check them out (everybody!) and see what you think. Since it is your area, maybe it will be a useful resource! > > Best, > Diane > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2011 Report Share Posted November 6, 2011 There is also the OCD Chicago organization (maybe the Facebook group is part of this). But they have a lot of great info including a section on finding a provider. Here is a link to that section: http://www.ocdchicago.org/index.php/ocd-facts/choosing-a-therapist/ Good luck. > > HI! > > I don't know if this will be helpful or not, but there is an interesting group on Facebook, called OCD Chicago. I haven't fully investigated them, but I did " like, " them, and their articles and links are usually interesting and seem pretty on target. Check them out (everybody!) and see what you think. Since it is your area, maybe it will be a useful resource! > > Best, > Diane > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2011 Report Share Posted November 7, 2011 hi!  She is on only 50 mgs right now. (What dose is considered theraputic?) Were slowly increasing it but last time I increased it to 60Mgs she had two really bad days--lots of crying and hystarics where she was unconsolable and said she wanted to die. I told the phych that since I was pursuing Pandas testing I was leary of uping the meds too much since I read Pandas kids dont do well on high doses.  Phych told me after the fact, that increasing it can cause temporary issues until the body/mind get used to it. IS THAT TRUE?  After one long outburst (crying freaking out, dont touch me, Im gross/ Im gross) session, when she finally was calming down I began rubbing her feet (she does not want to be touched in the height of the outbursts) and I then was able to massage her back to relax her.  I have tried that a few times since and it seems to help. I am now keeping track of the anxiety levels and fear levels she has throughout the day to see if there is a pattern.  Yes, they talk. I personally think that its causing her to wallow in her depression.  I dont see any positve results from talking cause its seemed to make it worse.  My theory is that she needs to do one exposure therapy and be successeful so she can see for herself that it works and she can fight this.  ________________________________ To: Sent: Friday, November 4, 2011 8:56 PM Subject: Re: OCD Phychologists/therapists in Chicago?  With meds, it is suggested a trial of 12 weeks. But she also has to get to what will be a " therapeutic dose " for her, the dosage that will help. How much Zoloft is she on? Yes, I think the therapist should be giving you a lot more guidance than that, just like you said. I know therapists can be hard to find, but I'd be shopping around for another. And, just me, wondering why 2x a week if she feels they can't begin therapy yet, what is therapist doing during the appointments, just talk? In our case, didn't have a therapist so just went through the process on our own, with help from reading and suggestions from this group. Feel free to ask any questions about what to try with certain behaviors since your therapist isn't providing much guidance on this. >  >  > Also, what should I reasonably expect from the phych/therapist? I keep on asking for practical suggestions on what to do with outbursts, refusal to get out of the bathtub, exccessive fears ect. and I'm not getting any answers back. Should the therapist walk us through Exposure Response session to show us how it works? Should the therapist provide suggestions for dialog so I can help/coach my daughter through some of these things?  Should they provide more practicle info and how to's?  All I have been told is that she will have to do the opposite of what the OCD tells her to do and I need to read Dr. Chansky's book. (which I have) >  > Please let me know. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2011 Report Share Posted November 7, 2011 I will check them out. Thank you all for your advice and help! ________________________________ To: Sent: Sunday, November 6, 2011 9:57 AM Subject: Re: OCD Phychologists/therapists in Chicago?  There is also the OCD Chicago organization (maybe the Facebook group is part of this). But they have a lot of great info including a section on finding a provider. Here is a link to that section: http://www.ocdchicago.org/index.php/ocd-facts/choosing-a-therapist/ Good luck. > > HI! > > I don't know if this will be helpful or not, but there is an interesting group on Facebook, called OCD Chicago. I haven't fully investigated them, but I did " like, " them, and their articles and links are usually interesting and seem pretty on target. Check them out (everybody!) and see what you think. Since it is your area, maybe it will be a useful resource! > > Best, > Diane > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2011 Report Share Posted November 7, 2011 , hello!  She is only on 50mg so far. will be increasing slowly as Im having her tested for PaNDas too and have read that they dont do well on high doses of meds.  Uped it to 60mgs for 2 days and she had two really bad days of multiple sessions. (Exhusting for both of us.) She is having what I call meltdown sessions of screaming, crying, uncolosable, overcome by fear, dont touch me, sessions where she recectly began to hurt herself but the sessions can go on for an hour or more. She often screams " I dont know what to do " or Im so gross. "  repetedly. I can see the anxiety building up and know its comming its just to late to do anything about it.  The new one is " Dont leave me "  I do have to try to mentally detach or else I get caught up in her pain so I completely get that. I made her help me with the laundry after she had pulled the bedspread off on the floor casue it was " contaminated " by water. (it was washed 2 days prior).  Weeks ago I did the bear hug thing when she was caught in an obsession that had her up till 1:00 am. Now she will not let me touch her until shes comming down. Have tried foot/back massage recently and it helps to calm her once the brunt of the session is over.  How do you handle all this with your other children?  I have another daughter, younger that is totally left out. (She has speach/muscle/school issues so was always the one going to therapy but now its turned around.) I feel so gulity at times. Its been 2 months and I cant see a light at the end of the tunnel yet. My duaghter with OCD tells me her sister causes stress and is gross. Did you ever hear of that? How should I disci;ine her for that?  Now I tell her to not say that since its hurtful.  Also, did your therapist/phych define the type of OCD for you? I got a general diagnosis and I see many people have specific ones.  Please let me know when you have a moment and thanks again for the info!   ________________________________ To: " " < > Sent: Friday, November 4, 2011 9:20 PM Subject: Re: Re: OCD Phychologists/therapists in Chicago?  What dose of Zoloft is your dd on? The dose usually has to be increased gradually to a fairly high (200 mg/day) dose for it to be effective although you should see some improvement before then if she is responding to it. It is true that if your dd is quite depressed, it will be more difficult for her to have the strength and energy to go through exposure and response prevention. Hopefully, the meds will help with that too. The therapist should be giving you some answers or more suggestions than " just read this book, "  although both Wagner and Chansky have great books. When you say your dd is having outbursts, is she screaming, yelling, hitting, throwing, and/or completely out of control? If so, the only thing you can do at that time, is to keep her from hurting herself or anyone else. She will not be able to reason with you, hear your soothing words, etc. When my older dd was at her worst, at age 8.5 yrs, I often had to " bear hug " her. You sit behind or stand behind the child with your arms pinning her arms to her body. She should be facing away from you. This reduces her ability to hurt you or herself and helps her to physically contain her fear and anger. OCD is scary and if she is being told to fight the fears (which she will have to do), she may initially find it much easier to fight you. She can see you and you are not " inside " her. For my own sanity, I had to learn to mentally check out and not respond to the things dd was saying as it was like fueling the fire. With our dd, we knew a more receptive time was coming when she started to cry. It sounds awful, but this was when she could begin to be comforted and to hear us. This also does not mean that she got away with everything. When our dd broke a window in a rage, we made her pay for the repair; when she trashed her bedroom, she had to help pick it up after she calmed down. What you will have to do with ERP is to gradually stop accommodating the demands of her OCD. When our dd's washing was worst, we were cutting up the soap and keeping it away from her. She would go into rages if the piece of soap we gave her was too small. My husband initially felt we needed to comply with her wishes. This was a natural impulse, but the wrong thing to do. OCD is greedy. If you give in to one demand, it starts making more and more. You do also need to remember--as hard as it is--that it is your dd's OCD making these demands not her conscious willful mind. You can't really dialog with the OCD. When your child is feeling better, she may know that the obsessions and compulsions are irrational, but in the heat of the moment, she will not. A useful analogy in some of the books, is that obsessions are like junk mail, spam, pop up ads, in your brain. It can also help to point out that everyone sometimes has weird thoughts, but most people are able to say " oh, that doesn't make sense. "  Those of us with OCD get stuck on the junk thought (like a DVD that is skipping, since I doubt she'll know what a broken record is!) You don't want to promise her that what she fears will never happen; people do get sick, have have house fires, make mistakes, and die. What she needs to hear is that " with help, she can handle " whatever does happen. Also, you can look up the International OCD Foundation website. They have lists of therapists who treat OCD. You will want to talk with anyone you call and make sure what their qualifications are, but it's a starting point. Finally, remember to take care of yourself. It is too easy to forget, but you cannot help your dd if you yourself are overwhelmed. hope this helps a little bit. This listserve is a great place for advice and venting. (mom w/OCD, 11.5 yo dd w/OCD, 9 yo dd w/tic disorder and/or just right OCD?) ________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2011 Report Share Posted November 7, 2011 It sounds like you got stuck with a therapist who doesn't have a clue how to treat OCD, and she is wasting your money. I got stuck like that two summers ago, and I spent about 2 thousand dollars taking my daughter to see her twice a week with no help, but just having my daughter have someone listen to her sagas about how other kids treat her badly and how I don't indulge her OCD. Whenever I told the therapist that my daughter needs her to explain how to handle the social situations better, she said that my daughter needs to feel " heard " so she is just letting her know that she understands. It was such a WASTE!!! UGH!! We switched to an OCD specialist who does ERP and worked directly on her fears, as well as helping her with her social issues, and my daughter is doing amazingly better. I have always wanted to write the other therapist a letter letting her know how annoyed I am by the money and time that I wasted on ineffective treatment, unsupported by any research, but I know there would be no point. Please look into finding a therapist who will work directly with you and your daughter on her fears. Re: OCD Phychologists/therapists in Chicago? With meds, it is suggested a trial of 12 weeks. But she also has to get to what will be a " therapeutic dose " for her, the dosage that will help. How much Zoloft is she on? Yes, I think the therapist should be giving you a lot more guidance than that, just like you said. I know therapists can be hard to find, but I'd be shopping around for another. And, just me, wondering why 2x a week if she feels they can't begin therapy yet, what is therapist doing during the appointments, just talk? In our case, didn't have a therapist so just went through the process on our own, with help from reading and suggestions from this group. Feel free to ask any questions about what to try with certain behaviors since your therapist isn't providing much guidance on this. > > > Also, what should I reasonably expect from the phych/therapist? I keep on asking for practical suggestions on what to do with outbursts, refusal to get out of the bathtub, exccessive fears ect. and I'm not getting any answers back. Should the therapist walk us through Exposure Response session to show us how it works? Should the therapist provide suggestions for dialog so I can help/coach my daughter through some of these things? Should they provide more practicle info and how to's? All I have been told is that she will have to do the opposite of what the OCD tells her to do and I need to read Dr. Chansky's book. (which I have) > > Please let me know. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2011 Report Share Posted November 7, 2011 Zoloft dose range for children/teens is in the range of 50 to 200mg a day. Does sound like she is sensitive, but the doctor is correct that it can take a few days, couple weeks, for initial " side effects " to settle down and the body adjust. The OCD can also increase when first starting an SSRI or at each increase. Anyway, doctors do like us parents to try and " wait out " any effects those first couple weeks (unless there is danger to self/others thru impulsive behaviors or harm, acting on thoughts, etc). Talk therapy doesn't work for OCD. It may help build up a relationship with her therapist until your daughter can participate with the CBT/ERP, but you don't want to waste visits (and $) until that starts either. If you feel your daughter is up to it, they should try something you & she feel is easy, just one thing to try working on to boss back a thought, compulsion.... Quick thoughts (I say that in case I need to take something back, lol) > > hi! >  > She is on only 50 mgs right now. (What dose is considered theraputic?) Were slowly increasing it but last time I increased it to 60Mgs she had two really bad days--lots of crying and hystarics where she was unconsolable and said she wanted to die. I told the phych that since I was pursuing Pandas testing I was leary of uping Quote Link to comment Share on other sites More sharing options...
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