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Very Early Onset Obsessive-Compulsive Disorder: A Case Report

Nursu Cakin Memik, Hatice Unver, Ozlem Yildiz Gundogdu

In this case report we present a case of obsessive-compulsive disorder in a 3-year-2-month old girl. It is aimed to describe a very early onset case of obsessive-compulsive disorder, which was treated with fluoxetine and had benefited from treatment. The case had massive crying, yelling and tantrum attacks in the foreground. She had her first compulsions at 2 years of age, and after that, her compulsions were increased day by day. These symptoms were just like not bathing and not changing other clothes or dirty diapers. The case was obsessive-compulsive disorder based on Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, diagnostic criteria. It has been started selective serotonin reuptake inhibitors. Her compulsions have been decreased during the first month of therapy. This case highlights the issue that obsessive-compulsive disorder should may start very early in the lifetime and if severe, early onset OCD can seriously affect the quality of life of the patient and her family.