Early onset OCD - the symptoms are noticeable before teenage years. It has a higher incident of spasm and twitch compare to other types of OCD. Children with repetitive behaviors or compulsions are often severe and recurrent. It is usually apparent before obsessions or unwanted ideas or desire that continually well up in the mind of the children. This type of OCD has relatives with the same disorder. Hoarding OCD -- the patients have cognitive deficits such as the ability to categorize and make decisions. Manifestations are more severe and the higher rates of psychiatric co morbidities for they are afraid and feel uncomfortable to participate in every social situations. And some experts have a debate if hoarding is fit to categorize under OCD. For most patients with hoarding OCD do not want medical help compare to patient with OCD. The patients in this subtype of OCD have lesser response to psychological therapy and medication. Just right OCD -- these are the ideas and feelings that is something not complete or not right. For example is the obsession of one person to wash his hand for he feels that his hands are not quite clean when washing them. And the compulsion is washing his hands thoroughly until he feels complete satisfaction of cleanliness of his hands. Usually, the symptoms are more on problems in their everyday life compare to other usual symptoms of OCD. Primary obsession OCD - it is mostly happen in patients with common subject like sex and violence victims. They form some rituals like praying, reciting some words and counting. No compulsion is sited. It is believed to have a minimal response to treatment but responsive to medicines and to a therapy. Scrupulosity OCD -- it shows an extreme concern with sin that goes further than the average person moral and religious viewpoint. It may involve improper thoughts or ideas if the patient has committed any wrongdoing or crime. The compulsion includes prayers, too much confessions and seeking help and comfort from clergy. It makes patients lives miserable, always on doubt, and on suffering. Tic-related OCD -- this subtype has the same characteristics of early onset OCD with noticeable symptoms the same with Tourette's disorder. Characteristics features includes hoarding and counting rituals; tic like compulsions; disturbing ideas and thoughts of sex and violence; attention deficit/ hyperactivity disorder; bipolar or mood disorder; drugs and substance abuse; and social anxiety. It requires combination treatment of selective serotonin reuptake inhibitor and atypical antipsychotic. For more transforming strategies for ADHD, visit http://askdoctorjohn.info/
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