|        A Resource for Teachers, Clinicians, Parents, and Students by the Brain Injury Association of New York State.|
Step 1: Organize observations relevant to the problematic behavior/issue
In many cases, there are several contributors to the student’s identified problem. These contributors may interact with each other, therefore, it may be necessary to combine tests from different categories of possibilities. The existence of several interacting contributors may become obvious as you proceed through individual intervention experiments.
Obsessive-compulsive disorder: Some students may appear to be inflexible and engage in ritualistic behavior as a result of obsessive-compulsive disorder.
Relevant observations: The student may appear to have an uncontrollable need to perform a particular activity over and over again or to think a certain thought repeatedly. The behavior may occur with drinking, eating, hand washing, checking work, and other physical activities as well as mental activities (e.g., repeating words in ones head). The student may become extremely upset when her routines are interrupted. The student’s routines or rituals take up considerable time every day and interfere with school and social life.
Assessment: If obsessive-compulsive disorder is suspected, referral to an appropriate physician (e.g., child psychiatrist) is recommended.
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