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[quote=Anonymous]Wanted to update to say that we found a PHP program that he says he likes. Found a psychiatrist who has many years of experience with OCD and also psychosis.

At the PHP, his therapist is male and I think that made all the difference as it is now clear that many of his intrusive thoughts are sexual in nature (which is a whole subtype of ocd) and he felt comfortable sharing with him while he never wanted to tell me the content of the thoughts except they were “gross” and “people think I do bad things but I don’t”

His meds seem to be working. He’s having fewer outbursts and his behavior isn’t erratic anymore. He still has his compulsions, hand washing, opening and closing doors and drawers particular number of times etc but he isn’t just pacing and unable to settle.

He also is clear that the “voices” are internal thoughts and they make him angry because they’re so unsettling and feel threatening. He’s learning how to explain how he feels.

The psychiatrist and therapists really think this is OCD and that he has a missed autism diagnosis which makes it difficult for him to name and explain his emotions. (This completely tracks with me.)

So, working diagnosis is OCD with poor insight but obviously we will be working with a care team for a long while and that may change especially because ocd and psychotic disorders can be comorbid.

Dunno if/when we will return to school but the PHP is a huge respite and I saw my son smile and laugh today. I had a normal conversation with him. I had a glimmer of normalcy and hope.  For all the PPs that have been through this before I just want to have you all over for dinner and commiserating. Thank you thank you thank you. [/quote]

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