I've Noticed Behaviours That Are Clearly Obsessive Compulsive.
Question: I've noticed behaviours in one of my new students that are clearly obssessive compulsive. Does this get worse and develop into a full blown disorder if left unchecked? I'd appreciate some advice on whether I should say something to her parents. There is no school counsellor at the school where I teach. Thanks.
Answer (1) OCD behaviours and rituals are basically an attempt at self soothing. The rituals and compulsions usually have no direct link to the real internal problems and are therefore, only symbolic in nature. Because the enactment of the compulsions do not actually fix or change anything in relation to the real problems, it can only provide a temporary relief from the internal pressure at best and so, has to be repeated over and over again. The greater the anxiety, the greater the urgency and frequency of the behaviours.
You are quite right in acknowledging that there is a difference between obsessive compulsive behaviour (which we can all suffer from from time to time) and the full blown disorder, which is of course life crippling. If your student's behaviour does not diminish over time or should become worse, then I feel you have an obligation to bring it to the parents' attention. It is then their responsibility to find appropriate help for their child.
Answer provided by David White, Psychotherapist
Answer (2) In the absence of a school counsellor, have you considered discussing your concerns with the person responsible for student welfare at your school first, so that you deal with the matter according to the school's guidelines? I would consider it very appropriate to tactfully tell the parents what you have noticed. They may well be aware of her behaviour: maybe she has already received treatment. If not, can you assist with an appropriate referral for an assessment, if requested?
From my experience, adults with OCD were aware of symptoms in childhood, and regret that help was not available earlier. I believe that obsessive and/or compulsive behaviour is a defence against anxiety, and that if the source is not addressed, it is likely to become even more deeply entrenched. Do help this child where you can. An alert teacher can indeed change the life not only of a child, but of an entire family. Good luck.
Answer provided by Dr Wendy Sinclair, Psychotherapist
Answer (3) By all means speak to the parents. Tell them of your concerns and recommend a professional assessment by a practitioner who specialises in children and can conduct the investigation in a child-sensitive manner which will not add to the student's discomfort.
People living with undiagnosed OCD can live lives of quiet, secret terror, wondering if they are mad. Accordingly they often strive to hide or mask their obsessions and rituals, adding to their guilt and self-doubt. A timely intervention can foreshorten their misery and reduced effectiveness. You are performing one of the many unspoken services to children like many of your teaching colleagues. Your own education department should have a branch which can assist in the process.
Answer provided by John Hunter, Counsellor
OCD = Obsessive Compulsive Disorder
