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.

中文翻译：

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儿科强迫症的概念化和风险管理：案例。


强迫症 (OCD) 患者出现提示可能存在风险的症状的情况并不罕见。这可以包括明显的风险，它反映了强迫性恐惧的内容，以及作为强迫行为的意外后果而产生的真正风险。在这两种情况下，风险都会导致诊断和治疗方面的混乱。本文通过提供案例说明儿科强迫症背景下不同类型的风险，并讨论其对管理的影响，对现有的关于强迫症风险的小型文献进行了补充。这些案例强调，在强迫症的现象学背景下仔细考虑强迫症的风险至关重要。提供指导以支持临床决策和治疗计划。