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The Pain of Hiding OCD
Many kids can suppress symptoms at school, and then explode at home
Dr. Susan Swedo, chief of the Pediatrics and Developmental Neuropsychiatry Branch at the National Institute of Mental Health, discusses how obsessive-compulsive disorder can be so prevalent and seemingly invisible at the same time. The key is that kids with OCD can hide symptoms during the day, only to explode at home because of the tremendous effort.

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Thank you Dr. Swedo, for this clarification. It's easy to think, "You don't have to do your rituals at school, so why do you have to do them at home?" when the truth of the matter is it takes every ounce of energy not to do the compulsions at school. They "have" to come out sometime (for untreated OCD), and, for most children, home is their safe place.