{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T19:42:09Z","timestamp":1788550929298,"version":"build-2803163510"},"reference-count":24,"publisher":"Guilford Publications","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bulletin of the Menninger Clinic"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:p> It is not uncommon for patients with obsessive-compulsive disorder (OCD) to present with symptoms that suggest possible risk. This can include apparent risk, which reflects the content of obsessional fears, and genuine risk arising as the unintended consequence of compulsive behaviors. In both situations, risk can cause confusion in relation to diagnosis and treatment. The current article adds to the small existing literature on risk in OCD by presenting case examples illustrating different types of risk in the context of pediatric OCD, along with a discussion of their implications for management. The cases highlight that it is crucial that risk in OCD is considered carefully within the context of the phenomenology of the disorder. Guidance is offered to support clinical decision making and treatment planning. <\/jats:p>","DOI":"10.1521\/bumc_2019_83_06","type":"journal-article","created":{"date-parts":[[2019,8,5]],"date-time":"2019-08-05T14:37:57Z","timestamp":1565015877000},"page":"3-20","source":"Crossref","is-referenced-by-count":6,"title":["Conceptualizing and managing risk in pediatric OCD: Case examples"],"prefix":"10.1521","volume":"84","author":[{"given":"Angela","family":"Lewis","sequence":"first","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Stokes","sequence":"additional","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust, London, UK."},{"name":"Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isobel","family":"Heyman","sequence":"additional","affiliation":[{"name":"Great Ormond Street Hospital and the Institute of Child Health, University College London, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Turner","sequence":"additional","affiliation":[{"name":"University of Queensland, Brisbane, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgina","family":"Krebs","sequence":"additional","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust, London, UK."},{"name":"Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199511000-00008"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/da.22097"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2010.06.013"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/CHI.0b013e3181799ebd"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.179.4.324"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/01.chi.0000134492.80925.96"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2015.11.002"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-3588.2009.00548.x"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3109\/15622975.2014.909606"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcfm.2003.10.008"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2016.08.003"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199706000-00023"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200405000-00002"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2004.06.009"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0028331"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0020462"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2014.11.005"},{"key":"ref21","volume-title":"OCD\u2014Tools to help young people fight back! A CBT manual for therapists","author":"Turner C.","year":"2019"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1192\/apt.bp.107.004705"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.157.6.919"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2007.01875.x"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.53.1.5"},{"key":"ref26","volume-title":"The ICD-11 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines","author":"World Health Organization","year":"2018"}],"container-title":["Bulletin of the Menninger Clinic"],"original-title":[],"language":"en","deposited":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T15:21:14Z","timestamp":1604071274000},"score":1,"resource":{"primary":{"URL":"https:\/\/guilfordjournals.com\/doi\/10.1521\/bumc_2019_83_06"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1521\/bumc_2019_83_06"],"URL":"https:\/\/doi.org\/10.1521\/bumc_2019_83_06","relation":{},"ISSN":["0025-9284"],"issn-type":[{"value":"0025-9284","type":"print"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}