From Child Mind Institute
By Jerry Bubrick, PhD
How to recognize the signs a child is struggling, even if he is hiding his anxiety
For children who have obsessive-compulsive disorder, functioning in school can be complicated and very difficult. And for a teacher, it can be easy to misread the symptoms of OCD as oppositional behavior on the child’s part, or as ADHD.
But if teachers can recognize the behaviors associated with OCD, especially when a child is embarrassed and trying to hide his anxiety, they can help save him from unnecessary struggle, and clear the way for him to learn successfully.
Here are the kinds of behaviors you might see in kids with OCD:
Frequent requests to go to the bathroom:
This could be to wash hands, if someone near the child was coughing or sneezing, or if she touched something that she perceives as contaminated. She could be washing items—pens, pencils, backpacks, books. It could also be an excuse to get out the classroom and just be away from everyone, and have some respite.
This takes the form of repetitive questions. “Are you sure that’s the answer? Could you tell me again? Did you hear what I said?” Checking doors, windows, lockers, desks. Over and over and over again.
Getting stuck on tasks.
Sometimes kids with OCD will need to finish something to completion, or understand it to completion, before they’re able to move on. So if a child is working out what he did wrong on a math test, and the teacher says, “Now let’s open the textbook and start a new chapter,” he’s not going to be able to shift gears.
If a child leaves the classroom and worries that she left a pencil behind, she’ll go back into the classroom and go to her desk and check. If she had a bad thought as she went through the doorway, she might have to “fix it” by going back through the doorway again saying a good word. If she had a bad thought when she went down a flight of stairs on the way to class, she might need to go back up that same stairway at the end of the period, even if it means being late to her next class.
A child could be erasing a lot because the letters have to look perfect. Or he could have used a word that disturbs him. For example, if he has a fear of vomiting and he’s written the word vomit, he might not be able to stand seeing that word, so he erases it. Kids start having erasers worn down to the metal. Teachers start to see holes in the paper. Words will be drawn over on the back of the page. A lot of different areas of writing become problematic.
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