Over and Over Again

When a child or teen repeats actions for no obvious reason, there is often a reason! In fact, there are many reasons why young people might repeat movements or actions. Let’s look at the more common ones.

  • Pervasive Developmental Disorders (PPD): Some mental health disorders like autism, Asperger’s Disorder and PPDNOS (pervasive developmental disorder not otherwise specified) may have repetitive behaviors as part of their symptom picture. For instance, there may be rocking or rhythmic movements, hand flapping or twirling. Such behaviors in and of themselves do not indicate the presence of a pervasive developmental disorder – many other symptoms must be present for a diagnosis to be made. Behavioral Therapy may help reduce these kinds of repetitive behaviors.
  • Simple Nervous Habits. Some children kick their legs back and forth when seated or rock back and forth, or twirl their hair or even crack their knuckles.  This sort of repetitive behavior may just be a discharge of “nervous energy.” Unless these behaviors interfere with functioning or cause distress, there is no need to treat them. However, some people find that giving their children Bach Flower Remedies (try “Agrimony”) may help reduce nervous habits. Consult a Bach Flower Practitioner for an individually designed remedy most appropriate for your child’s needs.
  • Tourettes Syndrome. Tic disorders are, by definition, repetitive behaviors. SImple Tic Disorders such as Transient Tic Disorder (common in 7 – 9 year old children) may consist of one repetitive behavior such as blinking or twitching a shoulder or clearing the throat. In simple Tic disorders, the particular behavior may change from time to time, or, there may be more than one movement or sound involved. These sorts of tics usually disappear on their own within a year or so, although in some children they can last years or right into adulthood. In Tourette’s Syndrome, the child has BOTH repetitive movement and repetitive vocalization occuring, and there can be more than one of each kind. Bach Flower Remedies have helped people with Tic Disorders. There are also medications that your doctor can presecribe. In addition, there are behavioral therapies that can help bring tics under control.
  • Obsessive Compulsive Disorder (OCD)When a child feels compelled to repeat certain behaviors and very anxious if he is prevented from doing so, he may be suffering from OCD. OCD is an anxiety disorder that consists of worries (obsessions) and rituals (repeated behaviors). Sometimes the child is aware of the worry (i.e. he is afraid that someone in his family will become sick) and sometimes he just feels anxious without knowing why. In either case, he discovers a series of repetitive actions that makes him feel temporarily calmer. For instance, he may count numbers in his head, or take a certain number of steps forward and backward, or wash his hands a certain number of times or write and rewrite and rewrite his schoolwork. There are many variations of repetitive behaviors that those who have OCD may perform. If the child’s behavior interferes with his functioning at home or school or if he is very distressed by having to do them, it is highly possible that OCD is the culprit. However, only a professional child psychologist or psychiatrist can make an accurate diagnosis and prescribe an appropriate treatment plan (usually consisting of cognitive behavioral therapy -CBT and sometimes, medication as well).
  • Physical Disorders and Medications. Occasionally repetitive behaviors can be symptomatic of a medical condition or a reaction to medication. Your pediatrician or GP can do an assessment for you.

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