Re:Narrative/CBT Approach to OCD in children

Another option with young children is to introduce a puppet or stuffed animal that just happens to have the same problems as the kid does. The therapist can then engage the toy in a discussion of it's thoughts and fears and encourage the child to answer for the toy. The kid may find it easier to verbalize his or her thoughts and feelings in this way.

However, people sometimes have a vague feeling of dread without being aware of specific fears. It is possible that the child has told you all he or she knows.

As far as a Narrative approach, I'm not aware of any evidence that it adds much to the treatment of OCD. Exposure and response prevention seems like the way to go.

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