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"Special Interest" or Obsessive-Compulsive Disorder?

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"How do I know whether or not my child's 'special interest' is actually an Obsessive-Compulsive Disorder?" The term “Obsessive-Compulsive Disorder” (OCD) is a clinical diagnosis that only a doctor can make. Many Aspergers and high functioning autistic (HFA) kids also share an OCD diagnosis, but the Diagnostic and Statistical Manual definition for Aspergers and HFA calls for very OCD-like behavior as one criterion. It can be very confusing for parents, and even diagnosticians, as to whether or not the “special interest” is simply an Aspergers or HFA trait, or part of another diagnosis (in this case, OCD). So, when is a “special interest” simply a “special interest,” and when is it legitimate OCD? Obsessive-compulsive disorder is a chronic illness, a type of anxiety disorder characterized by obsessive thoughts and compulsive behavior. Unlike other anxiety disorders, the child knows that such thoughts and behaviors are irrational and silly, but cannot...

Routines, Rituals and Obsessions in Kids on the Autism Spectrum

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“My 5 year old son is high functioning autistic and has an obsession for fans, and it’s been going on almost 6 months now. He talks and even draws a table fan constantly. He calls anything round a fan (even though he knows the real name of the object), but he imagines it to be a fan and moves those objects like a top. He can spend hours playing with them. He will collect all the fans in the house and line them up like toy soldiers. I am concerned that his passion for fans has turned into an obsession. In fact, now he knows more about them, the hand fan, ceiling fan, table fan, exhaust fan, and so on. This is the only ‘peculiar’ issue I have with him (for the moment anyway). What does all this mean? Should I be concerned? Should I do something about it? If so, what?!” Rituals and obsessions are one of the hallmarks of High-Functioning Autism (HFA) and Asperger’s (AS). In order to cope with the anxieties and stresses about the chaotic world around them, these children often obs...

Understanding Obsessive-Compulsive Disorder in Children with Autism

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Obsessive-Compulsive Disorder (OCD) is a complex mental health condition that affects individuals of all ages, characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) that a person feels driven to perform. For children on the autism spectrum, navigating the dual challenges of OCD and Autism Spectrum Disorder (ASD) can be particularly difficult. This article aims to provide an in-depth exploration of how OCD manifests in children with autism, approaches to treatment, and practical strategies for supporting these children and their families. The Relationship Between Autism and OCD Research indicates a significant correlation between ASD and OCD, with children with autism being at a notably higher risk of developing OCD than their neurotypical peers. While OCD can occur independently, many of its symptoms can be misinterpreted as traits of autism, making accurate diagnosis and treatment essential. For instance, both conditions can ...

Obsessions in Kids on the Autism Spectrum

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"Why is my 6-year-old son (high functioning autistic) so engrossed in Minecraft, and how can I tell if it is an unhealthy obsession rather than just a fun time activity for him?" The intensity and duration of the child’s interest in a particular topic, object or collection is what determines whether or not it has become an “obsession.” Children with Aspergers and High-Functioning Autism (HFA) will often learn a lot about a thing they are obsessed with, be intensely interested in it for a long time, and feel strongly about it. There are several reasons why these kids may develop obsessions, including: they can get a lot of enjoyment from learning about a particular subject or gathering together items of interest those who find social interaction difficult might use their special interests as a way to start conversations and feel more self-assured in social situations obsessions may help children cope with the uncertainties of daily life obsessions may help children ...

Aspergers Children: Obsessions and Rituals

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Question My Aspergers son spends all his time collecting and ruminating over his baseball cards. That’s ALL he talks about, all day long: baseball trivia (names of teams, names of players, player stats, and on and on...). Is this Aspergers related behavior, and how can I get him to broaden his interests? Answer Rituals and obsessions are one of the hallmarks of Aspergers (high functioning autism) and other Autistic Spectrum Disorders. In order to cope with the anxieties and stresses about the chaotic world around them, children often obsess and ritualize their behaviors to comfort themselves. While some children may spend their time intensely studying one area, others may be compulsive about cleaning, lining up items, or even doing things which put them or others in danger. Based on data from psychological testing, it is likely that the memory of the youngster with Aspergers may not be better than others in general, but the huge collection of facts he knows probabl...

Does Your "Obsessive" Child on the Autism Spectrum Have OCD?

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"My child (with HFA) does obsess about certain things, but how can I tell if he has full-blown obsessive compulsive disorder?" Obsessive compulsive disorder (OCD) is described as a condition characterized by recurring, obsessive thoughts and compulsive actions. Obsessive thoughts are ideas, pictures of thoughts or impulses that repeatedly enter the mind, while compulsive actions and rituals are behaviors that are repeated over and over again. The obsessions seen in kids with Asperger’s (AS) and High-Functioning Autism (HFA) differ from the youngster with obsessive compulsive disorder. The youngster with AS or HFA does not have the ability to put things into perspective. Although terminology implies that certain behaviors in AS and HFA are similar to those seen in obsessive compulsive disorder, these behaviors fail to meet the definition of either obsessions or compulsions. They are not invasive, undesired or annoying, which is a prerequisite for a diagnosis of obse...