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The treatment for OCD is something called exposure and response prevention. They’ll avoid those situations and feel horrible about themselves just for having the thought.” “Pedophiles actively seek out situations to be alone with children and like those experiences, whereas someone with OCD who has those obsessions will feel extreme guilt and shame. “Like other obsessions, the difference is when kids have them they cause a lot of anxiety and distress and avoidance of the situations that cause the thoughts,” explains Dr. This confusion may be compounded by the fact that the children experiencing the symptoms may also be worrying that they reveal actual desires. “People mistakenly think they aren’t part of OCD because of their sexual nature.”Ĭlinicians who aren’t aware that sexual obsessions can be part of OCD might misunderstand the symptoms, thinking they are actual desires and not a source of extreme anxiety. “Sexual obsessions are typically misunderstood in the field,” notes Dr. The obsessions make kids doubt that they are good people, or question basic aspects of their identity, like their sexual orientation.įor these children it can also be hard to get help. “I think kids are way more freaked out about this obsession than others, especially because it goes against their grain,” says Dr. But with sexual thoughts there is an added element of shame. Kids might be unable to focus in class or socialize normally because of the relentless nature of their thoughts. Sexual obsessions are like any other OCD obsession in that they are unwanted and intrusive thoughts that are deeply distressing to the person experiencing them. These kids might avoid being alone with family members, or avoid being alone with children, at all costs. Just as in the other examples, they don’t actually experience these desires, but they are disturbed by the possibility that they might. People with sexual obsessions might also worry that they have taboo sexual desires such as pedophilia or incest. He might walk with his hands in his pockets and keep a larger distance than is normal from people, to lower the risk that he might do something inappropriate. He might have zero desire to actually commit rape, but the possibility that he might is terrifying to him. Or he might be plagued with worrying that he might commit rape. This can be something as small as worrying that he has offended a peer by inadvertently brushing against her in a crowded hallway. Or a child might worry that he has done or will do something sexual without consent.
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She might have every reason to believe she’s straight - she has always had crushes on male movie stars, she might even have a boyfriend - but she starts to wonder: What if I’m gay? What if I’m attracted to that girl - does that mean I’m gay? Kids with this obsession might try to “test” themselves by looking at pictures of pop stars and trying to evaluate whether they find them to be attractive or not. A girl who is heterosexual might become obsessed with the idea that she is gay. One of the most common is related to homosexuality. Sexual obsessions can take many different forms.
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The child gradually learns how to deal with their anxiety and sees it diminish over time. For example, a child who is afraid of touching people inappropriately might start by touching someone’s arm, then working up to shaking hands and eventually hugging. Treatment for sexual obsessions (and other kinds of OCD) is a therapy called “exposure with response prevention.” In this treatment, a clinician will slowly expose the child to what they’re afraid of. Plus, they come with a lot of guilt and shame. Like any other kind of OCD, these obsessions get in the way of kids’ daily lives. Some kids even worry that they will commit rape or incest - not because they want to or plan to, but because they’re terrified of the idea that they could. For instance, they could be scared that accidentally touching a friend’s hand will be taken as a sexual advance. Other kids might worry about doing something sexual without consent. For example, a teenage girl might be obsessed with the idea that she could be gay, even if she’s never been attracted to another girl. One of the most common is extreme worry about sexual orientation. This kind of OCD can be especially hard because kids are ashamed of having sexual thoughts that they can’t control. For some children and teenagers, these obsessions are related to sex. Kids with OCD (obsessive-compulsive disorder) experience unwanted thoughts, worries or impulses called obsessions.