In Adults, DCRC promotes the following protective factors through self-assessment and strategies: Relationships: The mutual, long-lasting, back-and-forth bond we have with another person in our lives. Internal Beliefs: The feelings and thoughts we have about ourselves and our lives, and how effective we think we are at taking action in life. Initiative: The ability to make positive choices and decisions, and act upon them. Self-Control: The ability to experience a range of feelings, and express them using the words and actions society considers appropriate.

Skin Excoriation (SE) Another BFRB of clinical relevance is Skin Excoriation (SE), which shares many of the same features as TTM. The three primary features of SE are: Ongoing and repetitive picking of one’s skin that may or may not be triggered by a visible scab or other mark (e.g., bug bite or pimple), which due to the force of picking, creates or worsens a skin lesion. The most common sites are the face, arms, and hands, although other body parts can also be a target, such as the legs and pubic areas where ingrown hairs may be more frequent.

Counting, tapping, touching, or rubbing Compulsions can involve counting, touching, or tapping objects in a particular way. Some children and teens have lucky and unlucky numbers involved in their rituals (e.g., needing to touch a door four times before leaving a room). Ordering/arranging This compulsion involves arranging items in specific ways, such as bed sheets, stuffed animals, or books in the school locker or book bag. For example, a child might need to line up all the shoes in the closet so that they all face forward, and are matched by color. Mental rituals Not all children and teens with OCD will have compulsions that can be seen. Some perform rituals in their head, such as saying prayers or trying to replace a “bad” image or thought with a “good” image or thought. For example, a teen might have a bedtime prayer that he or she mentally repeats over and over again until it “feels right”.

It is normal for young children to sometimes feel worried or upset when faced with routine separations from their parents or other important caregivers causing children to cry, cling, or refuse to part.

Unit 4: Facing Fears: Exposure. Unit 4 outlines one of the most powerful tools for managing anxiety.  You will learn how to help your child or teen overcome their fears by gradually facing them one step at a time.

Character toys such as people and animals. Together with your child, create a story using characters so that each character has a role to play