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"Their day becomes filled with repeating behaviours," Storch said. "For a lot of kids, peers don't understand what is going on. They are isolated. They are ostracized because it doesn't make sense why they are washing their hands. Why they keep repeating questions."

The researchers also found links between bullying and other problems, namely loneliness and depression, in children with OCD, Storch said. Kids were also apt to internalise bullies' negative comments, telling themselves, "No one will ever love me," or "Maybe I am a loser," Storch said.

Having OCD and conditions such as depression is linked to worsening obsessive-compulsive symptoms, potentially explaining why researchers also found a link between bullying and more serious symptoms.

"It could be that the peers are attacking because they are doing things that are so different," he said. "Or it might be that bullying is in some way contributing to OCD."

Compulsive behaviours such as repeating questions, recounting and rechecking information can draw attention to kids with OCD in school, as can vocal or physical tics, common among children with OCD, said Phoebe Moore, Ph.D., an assistant clinical professor of child psychiatry at Duke University.

"That kind of behaviour can draw fire," Moore said. "I definitely see that clinically."

Treating OCD either with approved drugs or behaviour modification techniques will help patients control their obsessions and compulsions, Storch said. But he emphasizes that doctors need to examine the whole child and not just treat OCD symptoms.

"When one focuses solely on the obsessions and compulsions you experience a resolution of those problems, but problems like depression or anxiety and loneliness may still exist," he said. "If you address the OCD without addressing the peer problems, that depression and loneliness may not go away."

Storch suggests parents help children
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