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Reply to "Help- need a recommendation for a Dr. to help 8 year old with OCD morbid obsessive intrusive thoughts!"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Since onset was sudden, could this be PANDAS from a strep infection?[/quote] +1 and it doesn't have to be a positive strep test, can just be from body fighting strep exposure. My DD had sudden onset of OCD/intrusive thoughts and anxiety and it was PANDAS for her. [/quote] +2 The doctor should do ASO and anti-DNASE strep titers as it looks like his possible strep would not be detectable by throat swab. My DS, classic PANDAS, always came down with OCD within two weeks of getting strep, but it could be a month or so. Very sudden, very severe. If the titers are positive, your DS really should be on antibiotics. You also would be helped by a therapist who specializes in exposure and response prevention (ERP) therapy, a variant of CBT. Very effective, often within a surprisingly few sessions. It is tough, so medications like SSRIs are sometimes given to take the initial edge off. Tenex is another possibility. We did without owing to side effects. Used Behavior Therapy Center of Silver Spring, which is very good.[/quote]
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