[Utilization of thought stopping in the treatment of obsessive- compulsive disorder in a 9 year old girl].
OBJECTIVE
To use a pharmacobehavioural approach employing modified techniques of exposure, prevention of the response, and thought stopping in the treatment of obsessive-compulsive disorder in a 9-year-old girl.


METHODS
The diagnosis of obsessive-compulsive disorder (OCD) was made based on the DSM-IV criteria. The patient was seen over 15 sessions, during which clomipramine was introduced and modified techniques of exposure, prevention of the response, and thought stopping were successively used. Follow-up extended over more than 18 months after the end of the therapy.


RESULTS
The patient learned and used the behavioural techniques easily, and we observed a rapid, complete, and sustained disappearance of the obsessive-compulsive symptomatology.


CONCLUSIONS
Use of a pharmacobehavioural approach in treating OCD in young children remains limited. Techniques used with adults and slightly modified to adapt them for children are, in our view, an avenue of treatment worth exploring.
Frare
P
P
Hôpital Notre-Dame, Département de psychiatrie, Montréal, Québec.
Lebel
A
A
D002648:Child; D002997:Clomipramine / Q000627:therapeutic use; D005260:Female; D006801:Humans; D009771:Obsessive-Compulsive Disorder / Q000188:drug therapy / Q000523:psychology*; D011569:Psychiatric Status Rating Scales
D002997:Clomipramine