There are some whose main problem consists of compulsions which do not fall into the above categories. Some repeat certain behaviors, such as getting dressed or undressed several times. Some have to do things in a certain way like a strict sequence has to be to be followed in preparing a meal or setting a table. Some have touching compulsions, they have to touch everything, and ensuring equal contact time.

The occupational and social effects of an obsessive-compulsive disorder depend on the severity of the problem. In mild to moderate cases, patients are usually able to continue working and maintain a reasonable social life. However, in severe cases the social and occupational effects of the disorder can be unbearable.

Behavior therapy involves a detailed assessment of the problem, often starting with the child and family keeping a diary of the obsessions and compulsions. The aim of the treatment is to teach young people how to be in control of the problem by tackling it a little bit at a time. The young person designs the treatment program with the therapist, so that little by little

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