Childhood OCD affects not only the individual child, but invariably also involves primary caregivers, by means of family accommodation (87). Moreover, therapists and parents often find it challenging to differentiate avoidance, and anxiety-related impairment from, say, oppositional behaviours. In this context, a comorbid ODD rate of 12% indicates the need for comprehensive functional behavioural analysis, as well as a careful psychotherapeutic plan that ties in treatment components for both disorders (88).
