Dear Readers: There are many reasons why young children may start showing certain behaviors such as:

a. needing a routine, wanting to watch the same video (and read the same book) every day, wanting to wear the same clothes every day.

b. talking about the same subject all the time (such as trains, rocks, geography);

c. wanting to have a routine everyday, including at school.

Children with the above behaviors may show tremendous emotions, and "melt downs" when their parents do not follow a routine, and when they don't provide the "sameness" that these sensitive children somewhat "demand".

So, what to do about it? First, it is important to understand "why" children show the above symptoms, and whether it impairs their development and their daily lives at home, at preschool, and in other situations (such as at the supermarket). Then, consultation with your pediatrician and with a developmental/child psychologist may be a good idea to help parents deal with the very first signs of obsessive-compulsive behaviors. The purpose of this short article is not to talk about diagnosis, as the above symptoms can be part of many different conditions, such as Autism Spectrum Disorders, Obsessive Compulsive Disorders, among other pediatric conditions.

Helping parents and children break the very first signs of obsessive-compulsive behaviors during preschool years may be crucial for response to interventions. In addition, teaching children to become more flexible with their behaviors is also important: the sooner parents help their children become more flexible with their routines and activities (as well as with their thoughts), the more responsive their children will become.

Dr. Joffe often has classes for parents of preschoolers (and school age children) who show the above symptoms. Please, call the office for more information. 954-341-4441

If you have further questions about this very important topic, do not hesitate to write to Dr. Joffe.