Do you think my child has OCD (obsessive compulsive disorder)?

@kiran1978 (4134)
Australia
July 17, 2008 8:57pm CST
I am really worried my three year old has tendencies of being obsessive compulsive. It is becoming worse. Lately for the past week, she screams and cries because she can't find the clothes she wants on. It has to be exactly a certain pair of pants that she wants. She has no shortage of clothes, her whole wardrobe is full of clothes. She changes like atleast 6 times a day. But the morning time is worse, she has now got to the stage where she is not happy with the undies that she wears, saying that they don't fit properly, but they do. It is becoming really frustrating as it takes a long time each day to get clothes on her. Then when she finally does find something she likes, she will want to change it in a hour. Other things that concern me is that she has to have the strap on her shoes perfectly aligned on the velcro. The heal of her socks have to be exactly on her heel. With food too, she is becoming fussier - One night I gave her some rice and chicken. She said she doesn't like it (she usually does). She told me that she wanted pasta. So I made her pasta. Then she said she did not want that and wanted rice again. This is becoming a regular occurance she says she does not like something then she does. I know some of you here probably are thinking it is just normal 3 year old behaviour, that is what I use to think. But I think some of these behaviours are extreme, especially the fussiness with the clothes changing everyday. So please tell me what you think and do you have any similar experiences or advice.
6 people like this
22 responses
• United States
18 Jul 08
Some of it is her age some of it like the shoe and sock thing could be. People with this have to have things a certain way and usually have a routine as you say she does. I did these things when I was little. My mother said I would not leave the house if ever thing was not perfect. She did not dare interrupt my routine. As I got older I became obsessive with my room and began to count and became obsessive with hygiene.. Now I still do these things and many more like checking my locks over and over at night. I count in even numbers now. I can't take it if it is odd. And many more. She is so young I don't think they can diagnose her yet but I would keep a eye on it. Look for patterns.
2 people like this
@kiran1978 (4134)
• Australia
18 Jul 08
Thanks honeydew, i appreciate your advice you seem to have a lot of knowledge in this area. Did you ever get checked out as a kid or adult to see if you had OCD? It would be quite frustrating living this way, especially having to check locks all the time and worrying about your hygeine. What is the treatment for OCD do you know. Like you said they could probably not diagnose my daughter till she got older. I am worried like you mentioned that it gets worse as you get older.
@kiran1978 (4134)
• Australia
18 Jul 08
Thanks for getting back to me. I am glad the medication helps you. I hope your daughter does not have it. My daughter also loves to clean, I forgot to mention that, she also would rather clean with a wash cloth. Also when I clean my car she says, "Oh mum you cleaned your car (really excitedly)." What kids get excited when you clean your car, lol. I will keep an eye on her, thanks again for your story and advice.
• United States
18 Jul 08
I now take meds. So I can deal with being a real human being! Without taking the meds I would be stuck in the house counting and cleaning. I would not get anything else done. I also believe my daughter has this. She is 2. When I took her in the doc said wait and see as she grows. it is hard to tell when they grow so fast.My mom did not figure it out until I was 15 and drove her crazy. She thought I was being a pain in the butt. I would maybe call around to the shrink ask a few question and see what they think. Some of my daughter behavior is learned behavior. So I am waiting it out and trying not to teach her wrong. She will take a bath 3 or 4 times a day. she hates being dirty. She would rather play with a wash cloth wiping things off instead of her toys. she has a routine and I do not interrupt it. Good luck!
@ShepherdSpy (8544)
• Omagh, Northern Ireland
18 Jul 08
I honestly don't know enough about OCD to give a considered opinion on this-for example,is there an age criteria before OCD can be diagnosed? Is it recognised as a problem in 3yo's? The little girl does sound very fussy about how She does things,and wants things...maybe there's degrees of compulsive behaviour? Good luck with a diagnosis and treatment!
@kiran1978 (4134)
• Australia
18 Jul 08
Thankd Shepherspy for your opinion. I have read that it is more common as they get older however a small percentage of children have been known to be diagnosed with it at preschool age. What I am worried about, is, if it gets worse as she gets older. I guess I should get her checked out, just did not know if I was being paranoid or not.
1 person likes this
@beeeckie (802)
• United States
18 Jul 08
That sounds exactly like me from ages 4-6, and yes, it sounds like OCD. I can specifically remember times when nothing felt like it fit correctly and if my socks weren't the same exact length/alignment, I felt the world would literally end. I am OCD and the "tics" and weirdness haven't gone away, but they change every few years. I would ask her doctor or a counselor, though.
@beeeckie (802)
• United States
18 Jul 08
p.s. there are a lot of comments referring to your daughter as a brat, you as being too lenient, etc. I don't think OCD is understood very well, and this shows for it. For the acute sufferer, it is very nightmarish and can take a long time to get under control. Children can most definitely suffer from OCD and again, I do think it's worth having your daughter screened for it. Sometimes OCD can have comorbidities, such as depression or other tendencies. I'm not trying to scare you, but I feel a lot of empathy for you and your daughter...again, my mother went through what you're going through with me, it was a very difficult time. BTW around the time it was found I had severe OCD I was diagnosed with depression. Age 5. So it's just good to find out sooner rather than later, so you can carve out a path to help your daughter adjust, relax and regain some cognition in her daily life.
@beeeckie (802)
• United States
22 Jul 08
Some of the other things I "had" to do around 4-6 was about food, much like you described with your daughter. (Really, when I read your post initially, it was like someone had been secretly watching my mom and me interact during those years, it's so similar to my experience) I was extremely nervous about food and would often ask for a different plate. Eventually my mother came up with a system, in which she asked me to alternate bites between my sandwich, vegetables, and fruit, so it would all be "even" and I wouldn't be "leaving anything out". I thought if I didn't eat everything "evenly" nothing was right. To a degree I still use the alternation trick to help me out. Oy, OCD tics can be so weird to describe, because logically they make no sense but there they are, nevertheless. I am still weird about food, btw, I was bulimic and for a brief time anorexic for a number of years, and I still get weird if the food is the wrong temperature. I was never much of a neatnik or compulsive cleaner (though in a weird way I wish I was!) but I would also freak out if my hair got out of place or had any lumps or wisps. The reason I keep saying ages 4-6 is because the OCD seems to have internalized itself quite a bit after that. Around age 7 I became obsessed with the number 4. I counted everything four times, and I mean EVERYTHING. If I was staring at floor tiles in school, I could only look at four of them, and if I accidentally saw a fifth one, I had to start another set. Sometimes I repeated myself four times. I would walk from one place to another in counts of four steps at a time. Etc etc. The best thing I can think of when she has to have everything perfect, though I am not a professional by far, is to try asking her what she is afraid will happen if it isn't perfect. She may cry or become extremely upset, but sometimes there is a literal end-of-world, deathlike fear involved, though it's illogical. Just ask her, make sure it's a comfortable, safe environment at home when you do, though. Definitely keep me updated. I am anxious to know how you guys do.
@kiran1978 (4134)
• Australia
21 Jul 08
Thank you so much for your comment, I will get her checked out. I also have a 12 year old and I never experienced this with her when she was 3 years old. Can you tell me more about how you were when you were 4-6 years old. My daughter also likes everything clean. When I clean my car, she gets excited and says, "oh mum you have cleaned your car." Can you tell me any strategies on handling her behaviour when she has to have everything perfect? I appreciate you sharing your story with me. I will let you know the outcome of the visit with the doctor.
1 person likes this
@littleowl (7157)
18 Jul 08
Hi Kiran wish Icould help you on this one-my grandson he's 4 is fussy not so much with clothes but his shoes yes and also his food and is very much like your daughter but my son is as fussy and he is 26 so really don't know what to say-I hope things get btter it can't be easy for you with three children...hugs littleowl
@littleowl (7157)
19 Jul 08
Hi Kiran-for your sake I hope it is a stage she is going through I know that as I bought my son and daughter up to be clean and not get dirt on their clothes they now hate being dirty and are so clean its my grandson is the same and refuses to get a mark on his clothes if he does they have to be changed!! But for your daughter I really hope that things get better and she stops being the way she is for you..hugs littleowl
@kiran1978 (4134)
• Australia
19 Jul 08
Hi littleowl, thanks for your support. It is not three children that is hard, it is just difficult with my three year old at times when she chucks lots of wobblies over silly little things. My 12 year old and 4 month old are really easy. Hopefully it is just a stage she is going through.
@capirani (2840)
• United States
18 Jul 08
I don't know that much about OCD. But I think a lot of it might just be normal behavior as children that age want to test everything out. She may have a bit of perfectionist personality also. I think it is normal for little girls to want to change clothes often, but I don't think they have to be allowed to do it. My daughter always wanted to change clothes later on in the day...but that didn't last long because I wouldn't let her do it. One outfit a day is enough and I didn't want to spend all my time doing laundry because of all the clothes she could have gone through. Think about it...look at teenage girls today. Aren't they changing clothes all the time? Maybe she is just a little "clothes horse". The food issue, I am one who believes in the child eating what is served or not eating at all. I never made substitutes with my kids. They won't starve. They will eat. It is too easy these days with all the fears of being accused of abuse for parents to discipline their children. But setting rules and boundaries is not abuse and it is good for the kids. I am not saying you are not doing this. All I am saying is that the things she is doing seem fairly normal to me and she is testing your limits to see how much she can get away with. It is very normal for a 3 year old to say they don't like a food that they have always eaten before. You know better, but they think you will believe them and let them have their way. The more you give in, the more she will do this with you, both in eating and in dressing. If she crys or screams, let her. You can't let her temper tantrums rule you. If you do, she becomes the boss and controls the household. She may be looking for boundaries. When her favorite clothes are in the laundry, show her, and maybe even let her help you with laundry so that she has more understanding. Give her choices for dressing but limit them to two....either/or. Take it or leave it. And don't give in. The more you give in, the harder it will be to control her as she gets older and her wants are more dangerous. On the other hand, it doesn't hurt to ask your doctor as well. Just don't let the doctor be one of those who is in a hurry to diagnose something that really isn't there.
@kiran1978 (4134)
• Australia
18 Jul 08
Hi capirani I think you have a good point about not giving in. I have been giving in alot more since I have my new 4 month old baby. Often I just don't want to hear my three year old chuck wobblies so I do give in more then I should. I like your idea about letting her help me with the laundry, she does help me fold clothes. Maybe I will try showing her that the clothes she wants are in the dirty wash. In saying that though I am still a bit concerned as she is also fussy with having a clean room, she does like everything to be perfect. But like you said she may just be a bit of a perfectionist.
@capirani (2840)
• United States
18 Jul 08
Since you just mentioned you have a new baby in the house too, a lot of this may just be her acting out because she is jealous of the attentions the baby gets. Any attention is better than no attention to a child, so putting up a ruckus may be her way of hanging on to your attention.
@penny64 (1106)
• Australia
18 Jul 08
Great post Capirani! I agree that the baby does shed a new light on things, and it could be a jealousy thing. Recently it was revealed that a good way to deal with a tantrum is to throw one straight back. It shows them how silly it looks, and distracts them from the issue. Might be worth a go ...
@penny64 (1106)
• Australia
18 Jul 08
I actually saw something like this on tv before I became a mum myself. The problem was solved very quickly by taking away the element of choice from the child. For example, you are saying that your daughter changes often during the day. Perhaps you could just choose the clothes for the day for her, and that is that. Don't let her change. Also, when she said she didn't like rice and wanted pasta, you made the pasta. Again, perhaps you could let her know quite firmly that it is rice and chicken for dinner, or nothing. My daughter is four years old, and I have applied those remembered techniques when coming up against very similiar problems to you, and they appear to have worked. I know you are trying to be a wonderful parent, and it feels a bit harsh at first to be strict. However, I remember on the tv show they said that at that age, the child is trying to grow up too fast. Apparently even a tiny choice is a major decision for a child, and she goes through a major dilemma that maybe she has made the wrong choice. It could be why your daughter is suddenly changing her mind all the time. By taking away the option to choose, you are actually helping the child. Let her make small choices first, like which colour to draw with. I really hope this helps. I DO understand how stressful it can be. Good luck!
@kiran1978 (4134)
• Australia
18 Jul 08
Hi Penny, what you are saying is correct I know, and I have tried this in the past. However she is so head strong and she just whinges and cries if she does not get her own way. I know I am making it harder for myself, I should just give her no choice, I worry with the food though I can't force her to eat and if she doesn't eat what I give her, she does not get all the nutrients she needs. It is terribly frustrating, that is why I let her choose now as she does not budge or give in. I will try to be tougher, thank you for your great advice.
• United States
18 Jul 08
if she has this you can not just choose her clothes for her she will go crazy becaause it does not feel right. They have a picture in there head and it has to be just so are they can not move on to other tasks.
@kiran1978 (4134)
• Australia
18 Jul 08
Hi honeydew, Sadly you are so right, that is exactly what she does when I have tried to chose her clothes for her. She screams and goes crazy, today I went through her cupboard with her, asking her which clothes she likes. I put all the clothes that she does not like in a storage bag. She still has a full cupboard of clothes. We'll see what happens tomorrow, if she finds clothes easier now that she has chosen which clothes go in her cupboard.
@rsa101 (38166)
• Philippines
18 Jul 08
Well she does have the symptoms of being an OCD but I think she is too young to be diagnosed. But maybe a child psychologist could best diagnosed if she has that behavioral problem. What I encountered with my son when he was 3 was somewhat similar to that being too choosy in the foods that he wants to eat but we were able to break that one when we really showed that he should eat different variety of foods and not follow his fave foods only. In time, he was able to break that habit. Every time he was able to eat this certain kind of food we always compliment him that he is doing good in eating that food. We always explain the value of the food to him if he eats that. That works sometimes with him. With regards to choosing his dress we always compliment that he looks good in every dress that he wears so that his mind will be conditioned to wearing that dress confidently. And as much as possible we don't used same dress in one whole weekend. If he looks for that certain kind of dress we just tell him that his dress is still in the laundry bin and is still dirty. I guess every child has its own sets of attachments when they are growing.
@kiran1978 (4134)
• Australia
19 Jul 08
Hi rsa, thanks for your opinions and advice, I do like the idea about complimenting her when she eats foods and wears dresses. She does respond sometimes to positive reinforcement. I will have to overdo the positive reinforsement and see if that changes anything. I will let you know.
1 person likes this
@Debs_place (10520)
• United States
18 Jul 08
It sounds like you have spoiled her and let her do these things and now she expects them. At night, let her pick out what she wants to wear the next day. It is not uncommon for kids to want to wear the same thing everyday. So just make sure it is clean. At night, pick out 3 appropriate outfits, and all of the accessories and let he pick which one she want to wear. Tell her that her choice is final. Comes morning she can not change her mind. If she throws a tantrum let her. But don't give in. Some kids are fussy about their socks. They don't like seams on the toes etc. Try to figure out which ones she likes and then by then. Give her a voice in what kind of clothing you buy for her, but within reason. As for food, is she does not like her dinner give her a choice of PB& J or her dinner, do not cook her anything else. If not she can go hungry for awhile. It won't kill her. Just make sure that one of the choices is available later. Tell her she can change her clothes once before dinner and that is it too. Put your foot down.
@kiran1978 (4134)
• Australia
19 Jul 08
Hi Deb, yes I probably have spoilt her, you are right, I do need to put my foot down. But I still think some of her behaviours are a bit extreme and she is a real perfectionist in everything she does and she also likes things to be clean. She getx excited, lol and always makes a comment, saying, "mum you have cleaned your car."
1 person likes this
@dpk262006 (58676)
• Delhi, India
18 Jul 08
After going through your entire discussion, I would still say that some children behave like it, it comes under nomral category. I feel, it should not be rated as Obsessive Compulsive Disorder. I think, a child is wise enough to judge whether her demands are going to be fulfilled or not or if at all her demands are going to be fulfilled, how soon it will be fulfilled. The moment a child comes to know that her demands would definitely be fulfilled later or sooner, she will surely make fuss about it. If we tell a child that her demands are NOT going to be fulfilled, she may get upset for few hours and after that she may come to terms. In your case, once you do not go according to her demands, let her feel agitated, for few hours and then see the result. Does it help. If you are going to fulfill all demands of your kid, she would 'blackmail' you time and again.
@dpk262006 (58676)
• Delhi, India
19 Jul 08
Hi Dear! Many thanks for appreciating my advice, I wrote with my experiences. Hope the experiment, which I have suggested you may help you to come out of problem soon. Also, all children are not alike, you should consider yourself lucky that your elder one was well behaved and did not put you into trouble. Be patient, you will succeed.......LOL!
@kiran1978 (4134)
• Australia
19 Jul 08
Hi Dpk, thank you for your advice you always have alot of good advice and wise words. I think that has been my problem always giving in to her demands. Lately I have got stricter and not given in right away and that is why I think she is reacting like this even more. I think I just need to do what you said and not give in and put up with her tantrums for a few hours and see if that works. Thank you, much appreciated. I did not have this problem with my eldest daughter she has always been really well behaved.
@wachit14 (3595)
• United States
18 Jul 08
Having raised two children and having worked with children in that age group for over ten years, I am going to say that this is somewhat normal for a three year old. She is caught between being a baby and a child. This period of a child's life can be very stressful. She is conflicted about lots of things that are sending her into a power struggle between herself and you. In order to determine though if she is truly OCD, the behavior she exhibits outside of the home will be must telltale. If she is enrolled in nursery school, and her behavior carries over there, the teachers can advise you and let you know if they believe that she needs to be tested. So how should you handle this? Allow her to have as much freedom as possible when making choices, even if they aren't the choices you would make. Let her wear whatever clothing and underwear suits her. When my own daughter was that age, I would choose two outfits for her and allow her to choose one to wear. If neither suited her, I would leave the room after telling her that she could pick her own outfit. Usually she chose her own, but only after I left the room. The same goes for food. Give her a few choices and allow her to pick one. If she doesn't eat at that moment, she may not be really hungry and she'll eat later. My point is that she is going through a push me/pull me stage. She will outgrow it eventually. Just be patient with her.
@kiran1978 (4134)
• Australia
21 Jul 08
Hi, I do let her pick her own clothes and she still cries. Then she asks me to pick and she does not want what I pick. It is very frustrating. With food, I often give her choices with that too, I just feel she is testing the boundaries at the moment. Hopefully like you said she will grow out of it, thanks for your advice.
@gemini_rose (16264)
18 Jul 08
It does sound a bit strange that she has so many tendencies developing, I mean mine has her little ways of doing things in a certain way but not to that extent. Is there anyone you could have a word with about it, like a health visitor or someone and maybe if it is OCD then they can help do something about it before it goes any further.
@kiran1978 (4134)
• Australia
19 Jul 08
Hello, I think I will take her to doctor and see if I can get a referral for someone who specialises in this area. Apparently people are saying here that she can't be diagnosed this young. Be interesting to see what the doc thinks. Hopefully it is just a phase or maybe she is just a little perfectionist, not sure. I will let you know, thanks for your support.
• United States
18 Jul 08
Have you talked to her doctor? He or she might be able to refer you to a child psychologist who's able to give you a better idea of whether she's got OCD or whether she's behaving 'normally'. The child psychologist would also be able give you ways to work with your daughter's behaviors.
@kiran1978 (4134)
• Australia
18 Jul 08
Hi, no I have not talked to a doctor as yet, was thinking about doing it. Was not sure whether it was just normal 3 year old behaviour or something else. I think after getting other peoples advice here and yours I will get her checked out. Thanks for your advice.
18 Jul 08
Hi Kiran, That sounds destressing, is she streese about something or she could have picked it up from someone and copying them? I should see the doctor about it but saying that I remember my neice was doing simliar thing she say he had tummy ache and didn't have it and yes she did the thing about her undies she used to scream blue murder and my sister just didn't know what to do we even thought it could be attention seeking. She grew out of eventually, but I should take her to doctor to put your mind at rest.Hope it all goes well andd your daughter will be ok. All my love Blessings Tamara
@kiran1978 (4134)
• Australia
18 Jul 08
Hi Tamara, thanks for sharing your story about your neice, I am happy to hear that she grew out of it. I hope my daughter does too and quickly. A good friend of mone suggested buying a whole bunch of the same undies so she doesn't keep changing them. I think I will get her checked out at the docs though did not know whether I was just being paranoid or not.
@lixiaos (17)
• China
18 Jul 08
i don't have experience enough because i haven't had a kid. but i ever see some kids of my colleague. The kids who behave better are those who contact more people. So i believe you give your kid more chance to contact others, she will be more active other than pay attention to herself.
@kiran1978 (4134)
• Australia
21 Jul 08
hello, She has contact with alot of people. She also has two other sisters. She goes to daycare two times a week aswell and she sees lots of kids there.
• United States
18 Jul 08
I believe that your daughter might have the early signs of OCD, but you might want to take her to a therapist just to be on the safe side. OCD starts out just like that. Everything has to be perfect or else the person is never happy. I had a small form of this as well, and it varies from person to person. I have to have things a certain way as well or else I feel like I am losing control. It can be annoying and it can really take a toll on a person's life. Hell, it can ruin their life. Again, get her to a child psychologist who can diagnose her.
@Hatley (163776)
• Garden Grove, California
18 Jul 08
hi kiran I really think that shes just being three years old and wants things exactly so. my son did the same thing at age three he had to have his food on his plate just so, his clothes had to be just so, and he complained about his shorts. I dont think that ocd starts that young. I do know from friends that their little girls around that age would change clothes a dozen times if you would let them, so you have to be mama and be strict, pick one of two and thats it. also relax as if your are upset she will pick that up at onceShe is learning now that she has choices and I think sometimes kids are overwhelmed with the whole idea of choices and dont really know which one they wanted. they do not yet think like us adults.if you are really worried check her out with her doctor for your peace of mind. good Luck God Blessby the way myson is a perfectionist, that was always his personality and he works now as a computer programer.
• Philippines
18 Jul 08
good day..It rather look to me that she's a spoiled brat than having OCB. Try not giving into her, I mean if you gave in to her every whim because she's using her crying to get it, you're spoiling her. Try that first for a few weeks. hope this help.
@Valenas (1507)
• United States
18 Jul 08
I have not really heard of OCD occurring in a three-year-old, which means that I cannot say that it is not possible, either. I am kind of stuck as far as providing explanation for her behavior, mostly because I am not sure what it is like in your house, or what she is being influenced by. Obsessions are thought based, and compulsions are action-based. But, why a three-year-old would be getting these is beyond me. I want to say that she doesn't have it, that there is some other cause, such as the fact that she is entering a new stage of life. But, I do think that you should schedule an appointment with her doctor, and ask if s/he believes you need to seek the help of a Psychologist. Best of luck.
@kiran1978 (4134)
• Australia
18 Jul 08
Thanks Valenas for your opinion on this, I will get her checked out. I hope it is nothing too serious where I need to see a psychologist.
• United States
6 Aug 08
I don't know a lot about this, but what you are describing sounds like it could be a sensory issue. You might want to research Sensory Defensiveness in addition to OCD. Having issues with the way clothes feel and foods taste is classic with a sensory disorder. Hope this helps. Good luck!
• United States
6 Aug 08
I don't know a lot about this, but I am questioning my own 6 year old as possibly having OCD. A friend of mine is an occupational Therapist. And from talking to her I think you might also want to look into Sensory Defensiveness. Children with sensory issues classically have problems with the way clothes feel, and foods taste. Hope this helps. Good luck!