OBSESSIVE-Compulsive Disorder in Children and Young People with Intellectual Disabilities

Sutton, Paul and Kupara, Dorothy ORCID: https://orcid.org/0009-0000-3583-269X (2024) OBSESSIVE-Compulsive Disorder in Children and Young People with Intellectual Disabilities. In: Handbook of Psychopathology in Intellectual Disability: Research, Practice, and Policy. Autism and Child Psychopathology Series, 2 (2). Springer Cham, New York, pp. 73-91. ISBN 978-3-031-66902-6

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Abstract

Children and young people with intellectual disabilities are at increased risk of developing mental health issues. They experience a diverse range of co-occurring psychiatric conditions including anxiety, depression, and obsessive-compulsive disorder (OCD), at a rate that is equivalent to or higher than their peers without intellectual disabilities. However, although the mental health needs of children and young people with intellectual disabilities may be significant and functionally impairing, they are frequently not identified and therefore go untreated. OCD in children and adolescents is a highly debilitating disorder that consists of repetitive, intrusive thoughts (obsessions) and distressing, time-consuming ritualistic behaviour (compulsions).

This chapter reviews the current knowledge of causative factors and mechanisms underpinning OCD, as well as assessment and evidence-based treatment of the disorder. Issues concerning differential diagnosis are highlighted, indicating challenges related to distinguishing OCD from repetitive behaviours in other conditions such as autistic spectrum disorders, and genetic syndromes associated with intellectual disability. In recent decades, cognitive behavioural therapy (CBT) has become well established as the primary choice of treatment for OCD, and its development for use with children and young people, besides its application in modified versions within the field of Intellectual Disability, are discussed. Particular issues regarding pharmacological therapeutic interventions, in addition to the central importance of psychoeducation and family support, are underscored in the final part of the chapter.

Item Type: Book Section
Identifier: 10.1007/978-3-031-66902-6
Subjects: Medicine and health > Nursing > Learning disabilities nursing
Depositing User: Dorothy Kupara
Date Deposited: 02 Oct 2024 18:49
Last Modified: 02 Oct 2024 18:49
URI: https://repository.uwl.ac.uk/id/eprint/12734

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