Other cognitive strategies include learning to have distressing thoughts without necessarily acting on them. This is more effective when combined with a behavioural strategy called ‘Exposure and response prevention’ (discussed below), so that the child can test out how valid their fears actually are. This technique involves testing out how realistic the obsessive thoughts are, and replacing any unrealistic thoughts with more realistic ones. These skills help to decrease arousal when anxious, and include deep breathing and learning to release muscular tension in the body. OCD tends to become worse during high levels of stress, so reducing sources of stress, learning strategies to manage stress and problem solving is important. This involves the following strategies: Stress management techniques: Research has shown that child OCD is best treated using Cognitive Behaviour Therapy (CBT).
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