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Hi-

I have a couple questions that I need your thoughts on:

My daughter is bossing back her OCD now with many rituals she use to have. We

celebrate all her ways she does the opposite of what OCD tells her to do.

However I think we are OCD free because of it being summer with no school

expectations. I am wondering g if I should medicate her prior to starting school

knowing that school is her trigger or do I wait and see what happens. I am

thinking to be more proactive than reactive but I don't want to medicate before

I need to. She struggles with erasing so her dr had her bring in her homework

from 1st grade and talk about why she erases the letters she does. She gave her

homework to do a weeks worth of sheets in pen and gets a star on a chart with a

reward. Did anyone have a child that got past erasing? The dr explained that she

needs to breathe As a tool when anxious about homework. Does this sound right

type of way to tackle erasing? Also how does my daughter just start doing the

opposite of what her mind is telling her without having to do all the exposure

process that we talk about? Am I missing something? Does anyone else's child

just do the opposite without having to do the steps of exposure therapy?

Sent from my iPhone

On Aug 3, 2012, at 7:38 AM, " Trabulsy, "

wrote:

> - you mention that it is a CBT program for all kinds of things ( not

just OCD). I just want to be sure that you address with them that they will be

doing ERP for your son as well. The meat of OCD treatment IS the exposures. The

CBT alone will not work. Again, many people say they treat OCD because they do

CBT, but keep on them about the ERP. If you have to push them to do DAILY

exposures ( within about 3-5 visits they should start) then you should be

looking elsewhere. I know you are happy you found something, and it may well be

the right thing, and I am sure the parenting skills and CBT are good skills, but

if there is not a ERP component, you will not get very far and will be

frustrated. Just be clear about what they are doing. Question them specifically

about their treatment for OCD. If they dont have a specific plan for OCD that is

different than for generalized anxiety or deperssion, then it is not a good

program for your son for recovery from OCD ( but may be for other reasons- ie

depression, family dynamics etc). I hope you have in fact found a CBT/ ERP

program and i just misunderstood your post. Good luck

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