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Causes and methods of treating obsessive movements in children. Obsessive movement syndrome in a child Neurotic hand movements in children

Obsessive movements in children, which have developed into a full-fledged syndrome, are a manifestation of obsessive-compulsive neurosis. The occurrence of these movements indicates that the child has a problem that he cannot voice. Most often, the child does not realize the roots of his experiences and cannot understand what is happening to him. The child can also react with obsessive movements to problems that the parents have. It is useless to ask the baby why and why he endlessly repeats the same movement - he does not know the answer.

The appearance of obsessive movements in children is a signal that the whole family needs correction. The child, as the youngest and weakest member of the family, is the first to react to family troubles. A timely visit to a psychiatrist or psychotherapist will not only help maintain the baby’s health, but also help parents better understand each other.

It is almost impossible to describe everything; each baby has its own characteristics. Obsession neurosis occurs when the needs of a small personality cannot be satisfied. The movements are of the same type and are repeated every minute. There are 2 main types: tics and obsessive movements.

A tic is a rhythmic contraction of muscles, most often the eye muscles, uncontrolled by consciousness. In babies this is manifested by endless blinking, sometimes by quickly closing their eyes. Obsessive movements are as follows:

head jerking;
"sniff;
twirling hair on a finger;
twisting buttons;
snapping fingers;
shoulder lift;
waving of hands;

Obsessions can be more complex: rituals when washing hands, walking around furniture on one side, blowing on the palm, swinging a leg bent at the knee, etc.

Obsessions help the child relieve internal tension, captivate and push the cause of their occurrence into the background.

A fashionable spinner toy is nothing more than satisfying the need of nervous children and infantile teenagers for stereotypical movements that create the illusion of peace.

Drug treatment

Medicines for obsessive movement neurosis in children are of auxiliary value. They improve blood supply, nutrition and metabolism in nerve cells, calm, prolong sleep, but do not completely solve the problem. Medicines are used as a temporary measure to relieve internal tension, reduce moodiness and irritability.

The following groups of drugs are used:

Truly psychotropic drugs - Phenibut, Sonapax, Sibazon, Tazepam - are prescribed only by a doctor for a short course. Medicines are prescribed by a psychiatrist or psychotherapist, taking into account the general somatic condition of the child. It is important to select age-appropriate, safe dosages that will not interfere with the baby’s development.

Non-drug treatment

There are no specific methods of non-medicinal influence on obsessive movements in children. You can use physiotherapeutic methods that reduce general excitability - electric sleep or exposure of the brain to a weak pulse current and others like that, but they will bring a temporary effect.

At home, you can use baths with decoctions of medicinal herbs - mint, lavender, lemon balm, and add sea salt. Everything that strengthens the nervous system is useful - fresh food rich in microelements and vitamins, walks in the fresh air, sea swimming, sunbathing.

Correct behavior of parents

The basis of recovery, without which it is impossible to move the situation forward. There are several important rules:

How to react to obsessive movements?

Exactly the same as for stuttering - ignore with all behavior. As Dr. Komarovsky rightly says, with obsessive movement neurosis in children there is no tumor, no inflammation, no vascular problems in the nervous system. Such neurosis is a psycho-emotional disorder that arose in response to a traumatic situation. This is a reversible condition that stops once its cause is eliminated.

When a child has obsessive movements, you need to immediately contact a psychiatrist or psychotherapist, and until then pretend that nothing special is happening. You should not reprimand or reprimand your child, much less punish him. Parents' attention only reinforces such movements and makes them more desirable.

You can try to distract your baby with food, play, or a walk. You should not discuss the baby’s characteristics with friends or relatives, especially in his presence. Everything said by the parents is stored in the child’s memory and consciousness; such conversations will only delay recovery.

Psychotherapy

The main way to get rid of obsessive movement neurosis in a child. The psychotherapist analyzes the family situation in detail and reveals all the hidden problems. One of the problems that led to the child’s illness may come to light:

abuse;
overly strict parenting;
pedagogical neglect, when the child is left to his own devices and no one is involved in his development;
parental alcoholism;
mental disorders in parents and close relatives;
psychological and moral trauma;
fear or emotional overload;
intra-family conflicts;
parents' rejection of the child's gender;
the birth of a baby from an unloved person;
moving to another city, region or home;
the child’s rejection of his stepmother or stepfather;
aversion to having younger children;
conflict in a children's team.

The range of problems leading to the development of obsessive movement neurosis in children is diverse and determined by the specific situation. In this case, the psychotherapist acts as an objective mirror in which each of the participants in family relationships can see themselves from the outside and have the opportunity to correct behavior and the way they respond.

Methods of child psychotherapy

Non-directive play psychotherapy is most often used to treat childhood obsessive movement neuroses. After the child gets used to the doctor, a third participant is introduced into communication - a toy that cannot cope with its hands (eyes, fingers, neck, legs). The disorder that worries the child is imitated. During the game, the baby opens up and identifies the problems that caused the motor obsession.

The peculiarities of the child’s psyche - naivety and spontaneity - make it possible to project the most painful moments of communication with parents, other adults or peers onto the game. This transfer goes unnoticed by the child, and provides the doctor with extensive information about what is really going on in the baby’s soul.

Family psychotherapy brings excellent results when pedagogical mistakes and their consequences for the child’s health are explained to each family member individually. In this case, the psychotherapist plays the role of an impartial commentator, tactfully inviting adults to look at their mistakes from the outside.

Schoolchildren greatly benefit from adaptive techniques that overcome communication problems and difficulties. Such techniques are especially important when changing the children's team and for removing the child from the position of a victim.

Behavioral therapy is widely used to help children assert themselves by channeling natural desires into socially acceptable directions. The method of emotive imagination perfectly helps to overcome various fears, when a child takes the place of a favorite hero and copes with all difficulties in his image.

Through the joint efforts of the family, it is usually possible to cure obsessive movement neurosis in children.

They say that a child is like a sponge, absorbing everything that surrounds him. It often happens that the atmosphere in a family or team is not very favorable. The result is neurosis in the child. How to recognize an obsessive state, we will consider further.

What is a disorder

Obsessive movement neurosis is commonly called type of mental disorder, which is characterized by the patient’s uncontrolled repetition of the same body movements.

A disorder of the nervous system leads to the fact that the patient cannot control his desire to repeat stereotypical behavior.

Some parents confuse this disorder with a nervous tic. However, these are completely different situations. In the case of a tic, the movements are involuntary and therefore cannot be controlled. Obsessive movements are difficult to stop with willpower, but it is still possible with careful control and constant emphasis on this.

When diagnosing obsessive movement neurosis The symptoms that often accompany the disorder help:

Bed-wetting;
The child's temper and touchiness;
Loss of appetite;
Sleep problems.

The clinical picture of neurosis is most often observed in children who have reached the age of nine. A patient under 9 years of age does not understand that compulsive movement is something unnatural. After reaching this age, children usually begin to understand and feel embarrassed about their “habit.”

It should be understood that neurosis is not a mental disorder. But the situation requires immediate intervention.

Reasons

Doctors call the main cause of obsessive behavior mental trauma, which the person received earlier. The connection between the event itself and the obsessive state is difficult to establish for the reason that neurosis develops not as a result of the trauma itself, but as a result of the internal experience of the immature psyche.

When what happened goes beyond the child’s understanding, he tries to comprehend it, processes it in his thoughts for a long time and, if he is unable to adapt to the situation, experiences emotional shock. The experience causes stimulation of certain lobes of the brain, and in order to relieve tension, the baby makes obsessive movements that help him relax.

There are three main groups of factors that lead to the occurrence of obsessive movement neurosis in children:

Biological factor:

Hereditary predisposition;
Traumatic situations during pregnancy or labor;
Presence of chronic diseases.

The occurrence of a disorder due to biological causes is difficult to influence. In this situation, the most important role is played by quickly identifying the disease and starting work on it.

Psychological causes of obsessive movement neurosis:

Social factors:

Unfavorable family situation;
Undesirability of having children;
Difficulties in adapting to the team (especially common when visiting kindergarten for the first time);
Incorrect parenting methods;
Earlier separation of the mother from the child, for example, going to kindergarten before the age of three;
Incorrect distribution of roles in the family, dominance of the mother;
Conflict situation in the house;
Quarrels and divorce of parents.

It is important for parents to know that the main cause of obsessive-compulsive disorder (OCD) is not the temperament of the child himself, but the environment around him. Children with weak personalities are more susceptible to developing the disorder, but temperament or personality traits are not the main cause. The “trigger mechanism” is an unfavorable environment.

Obsessive movement neurosis can develop due to constant nervous tension, which arises due to frequent welding in the house, unreasonable punishments and obsessive thoughts about this.

An example of the influence of a parent on the psyche:

The father constantly reminds his son that he is weak and not courageous enough. The child thinks differently and tries in every possible way to prove his strength to his father. The parent stubbornly does not notice the child’s efforts and continues to stand his ground. As a result, the son's own thoughts about himself differ from the parent's, which leads to internal contradiction. To get rid of obsessive nervous excitement, he makes stereotypical movements that help relieve tension.

Complicating the situation is parents' emphasis on neurosis as bad behavior. It is important to understand that actions occur unconsciously and do not serve the purpose of attracting attention.

How to recognize

Parents need to know how to recognize compulsive movements.

In some situations, it can be difficult to recognize childhood neurosis. Up to a certain age, a child performs manipulations so naturally that they do not seem to parents to be a symptom of a disorder.

Common symptoms of OCD:

In addition to the symptoms described, there are some “rituals” that the patient can follow. He feels the need:

Rubbing your hands in a certain situation;
Blow into your palms before heading out the door;
Tries to walk around all objects on one side only;

It is difficult to describe all manifestations of OCD, since each child exhibits experiences individually. The main feature is the constant repetition of the action, almost minute-by-minute execution.

Some symptoms are dangerous. The patient may involuntarily bite his nails into wounds, pull out hair, etc. In some cases, children may experience an unreasonable outburst of rage and nervous agitation.

Also, obsessive-compulsive neurosis carries a danger to the psyche. Indecisive, weak-willed children become hostage to their fears, mired in the problem and the inability to solve it.

At the first symptoms of obsessive movement syndrome, it is necessary to urgently begin treatment, since the advanced situation will be more difficult to change.

Treatment

If the situation arose as a result of mental trauma against the background of an unfavorable situation, the first thing to do is the irritant needs to be eliminated. Most often, along with the source of the experience, the neurosis itself disappears.

Before starting treatment for the syndrome, parents should carefully review the child's living conditions. You need to pay attention to situations in which the baby feels comfortable, and also notice in which situations neurosis manifests itself in the most acute way.

It is easier for parents to notice the psychological state of a child than for strangers, so before going to the doctor you need to try figure out the situation on your own.

If it is impossible to determine the cause of stress, you should consult a specialist. A psychotherapist, neurologist and psychologist will deal with the elimination of obsessive movement neurosis. In children, treatment consists of finding the cause and normalizing the mental state.

The basis of treatment for OCD is psychotherapy. In advanced cases, the doctor may prescribe sedatives and antidepressants. Don't be afraid of drug treatment. The specialist will select the optimal therapy for a particular child.

You should not start treatment with antidepressants without consulting a doctor.! Each individual drug has a specific effect on the central nervous system, so a specialist must select treatment.

In most cases, when treating obsessive disorders, the doctor does not resort to the use of medications. Most often, it is enough to work with a psychotherapist who will find the cause of the child’s stress.

Psychotherapy includes the following techniques:

Art therapy;
Sand therapy;
Dance classes;
Game activities.

During the treatment of neurosis, counseling parents is of great importance to determine the picture of relationships in the family. In most cases, to eliminate the child's problem, you will need to change the atmosphere in the house.

The task of parents is not to try to calm the child, but normalize his condition. To relieve your baby of anxiety, walk with him more often, draw, and play sports. Activities during which the child’s consciousness will take a break from obsessive thoughts will benefit his condition.

It is important to be patient and not scold your child for obsessive movements. Remember that he does this unconsciously, and your task is not to overcome the movement, but to eliminate the situation that led to its occurrence.

Folk remedies

After consulting with a doctor, you can help your child overcome obsessive states using traditional methods. The main task of parents is to try to calm the baby’s nervous system.

This can be done using the following tools:

Infusion of oat grains with honey;
Decoctions of valerian and other herbs with a calming effect: motherwort, lemon balm, calendula;
Regular honey water;
Baths with soothing infusions.

Obsessive neurosis often occurs in children of different age groups. A fragile child's psyche cannot successfully deal with disturbing factors. Currently, life is full of different events and carries a lot of information, which can contribute to the occurrence of chronic stress in both adults and children. Obsessive-compulsive neurosis in children often manifests itself in the form of obsessive-compulsive neurosis.

Obsessive neurosis can occur in children of all ages

It is impossible to successfully cure neurosis without identifying the negative factors that caused it.. It is believed that the development of neurosis in children is due to three main reasons.

Psychological, characterized by insufficient coherence of the processes of inhibition and excitation in the cerebral cortex, as well as the characteristics of the baby’s temperament:

If a child is choleric, then restrictions that interfere with motor activity and free expression of emotions are contraindicated. This may lead to him becoming even more active. All this can contribute to the development of neurosis.
If your child is phlegmatic, then attempts to speed up his actions can also lead to the development of neurosis. At the same time, the baby will slow down his actions even more, become withdrawn and stubborn.
The development of obsessive movement neurosis can be facilitated by circumstances that traumatize the child’s psyche.

Biological causes: hereditary predisposition, past illnesses, insufficient sleep, mental and physical stress.

Social reasons such as:

Sometimes these movements take the form of bizarre rituals. Children can only walk around objects they encounter on the right or left. There are times when a “little one” begins to jump before going to bed and at the same time does a certain number of jumps. By this he protects himself from the fear of being in the dark.

There are many other obsessive movements that are logically impossible to explain, and the repetition of which children themselves are not able to cope with. Such movements do not disappear without appropriate treatment.

Along with this, neurosis is almost always accompanied by poor appetite, decreased performance, insomnia, and tearfulness. A child with obsessive movement neurosis is often teased by his peers, and this further traumatizes the child’s psyche.

Treatment

Obsessive movement neurosis in children cannot be left without appropriate treatment.. Before contacting a doctor, parents are advised to take a closer look at their baby and try to determine the cause of the unusual behavior. If it is not possible to find out, then it is necessary to bring him to a psychologist, sometimes the help of a psychotherapist is required.

A psychotherapist should treat neurosis

The following treatment methods are used:

Behavioral therapy

It is considered the main method of treatment, the features of which are:

learning the ability to get rid of internal anxiety, which helps to wean oneself from obsessive actions;
creating a situation in which the child, under the control of a psychologist, encounters something that frightens him - this helps to eliminate the anxious state and delay the exacerbation of the disease;
interaction between the psychotherapist and the child’s parents during treatment in order to identify the source of anxiety and eliminate it, as well as to improve family relationships and correct parenting methods;
There are cases when children with symptoms of neurosis have no idea how certain actions are performed normally - clear examples from mother and father, teachers, and peers can help resolve this problem.

Drug treatment

In very advanced cases of obsessive movement neurosis in children, treatment will be required with medications that have a sedative and antidepressant effect, such as:

person;
cinnarizine;
milgamma;
pantogam;
glycine;
Sonapax;
asparkam.

These drugs are prescribed by a doctor. They cannot be used independently, since they have different effects on the central nervous system.

Treatment with folk remedies

In the treatment of childhood neurosis of obsessive movements, folk remedies are used in addition to the main therapy. A doctor's consultation is required. The following have a calming effect:

Decoctions of motherwort, valerian, lemon balm.

Infusion of oat grains. It is prepared in this way: you need to take half a kilogram of raw material, rinse it, then add one liter of water. Boil over low heat until the grains are half cooked. After this, strain the infusion and add a teaspoon of honey. Give your baby 1 glass daily.

Honey water. To prepare it, mix a tablespoon of honey in a glass of warm water. Give your child a drink before he goes to bed. Relieves insomnia, relieves irritability.

Helps well taking baths before bed with the addition of mint, lavender, sea salt.

Carry out activities to promote health:

spend more time in nature with him;
in summer, let your baby run barefoot;
turn on the music - let him dance;
Give paper, pencils, and paints more often so that he can draw more;
read fairy tales before bed, which greatly distracts from negative thoughts;
arrange holidays for the child - they bring joy and relieve anxiety;
Cook together with your baby some food that he loves.

All this really helps him throw out negative energy.

Features of parental behavior with obsessive neurosis:

you need to devote more time and attention to your child;
try to find out what is bothering the baby and try to eliminate it;
you cannot reproach him for obsessive movements; instead, you need to talk to him about the disturbing situation;
never scold for obsessive movements;
try to gently limit the time you use the computer and watch TV, and switch the child’s attention to some other interesting activity.

Prevention of obsessive movement neurosis

Measures to prevent the occurrence of neurosis should be carried out both with healthy children and with children who have recovered from neurosis. Children may not remember the psychological trauma that caused the development of the pathological process. But they remain in the subconscious and lead to obsessive states.

Therefore, it is very important to identify negative factors and their timely elimination. A child’s psyche is not the same as that of adults - it has not yet formed, and it is very difficult for children to resist disturbing situations.

In this regard, he must be taught to cope with stress. This is achieved by proper upbringing of the baby from birth:

It is necessary to instill in him such qualities as the ability to overcome difficulties, not to panic in danger, and teach patience and endurance.
From early childhood, you need to teach your child to follow the rules of hygiene, to be neat and tidy - this should become his habit.
It is necessary to raise a child to be persistent and hardworking.
Get used to physical education and sports.

If the baby learns these qualities, this will protect him from stress and associated painful disorders of the nervous system.

It is necessary to accustom your child to physical education

Some features of the prevention of neuroses

Parents and teachers must have proper contact with their child:

It is necessary to create a trusting relationship so that the child can always turn to his parents with any question. This will prevent prolonged stress from occurring.
It is necessary to praise the child adequately for his achievements, since an overly enthusiastic attitude will lead to the fact that the child will constantly expect praise, and in the absence of it will become offended. It is also impossible to belittle successes.
If he needs to be limited in something or even prohibited from doing something, it is necessary to explain to him the reasons for this.
To prevent your child from becoming uninitiative, you cannot remind him of his shortcomings all the time.

Komarovsky about obsessive movement neurosis in children

E.O. Komarovsky is a famous pediatrician, writer, and has extensive work experience. The most famous is his book “The Health of the Child and the Common Sense of His Relatives.” Komarovsky has a great advantage - the ability to clearly explain to any mother how to maintain the health of a child given by nature.

Komarovsky's basic principles are very simple:

dress the child according to the weather;
play outdoor games with him in the fresh air, which promotes a good appetite;
if the baby does not want to eat, do not force him;
temper the child, walk with him in the fresh air more often;
Maintain the temperature at home no more than 22 degrees.

According to Dr. Komarovsky, obsessive movement neurosis is a mental disorder and is not a disease. No organic changes are observed with it. The main reason for the development of neurosis is a factor that traumatizes the child’s psyche.. Obsessive movements are a reversible disorder, and when the negative influences are eliminated, the baby’s condition returns to normal.

Emotional well-being is important for a child's mental health

If parents promptly determine what is bothering their child and eliminate these factors, the obsessive movements may stop. However, this is a difficult task, so in any case you should definitely contact a child psychiatrist.

It is necessary to constantly remember that a child’s healthy psyche is directly related to a friendly environment and emotional well-being in the family.

One of the most common types of nervous conditions is obsessive movements in children. This syndrome negatively affects the child’s quality of life and interferes with his socialization. Children with this type of neurosis are often ridiculed by classmates, which only worsens the condition. Since no child is immune from the occurrence of obsessive movement syndrome, every parent should know how it manifests itself and what ways it can be cured.

What is obsessive movement syndrome, does it pose a danger to the child?

The syndrome or neurosis of obsessive-compulsive disorder in children (hereinafter referred to as OCD) in modern medicine is called “obsessive-compulsive disorder.” Obsessions are thoughts of an obsessive nature, often having a negative connotation. At the same time, the child is not able to control them. Compulsions are repetitive involuntary movements.

Most often, NND is detected in children with a high level of intelligence and fine mental organization. Such kids often experience inexplicable fears and feel insecure even in familiar society. Neuroses do not pose a direct threat to the health and life of a child, but these conditions may indirectly be involved in his death.

Obsessive-compulsive disorder often leads to psychological problems or worsening mental health conditions. If the symptoms of this disease are ignored, they gradually worsen, the child withdraws into himself, becomes aggressive, and is increasingly visited by suicidal thoughts.

Experts note that the main danger of obsessive movement neurosis lies in untimely treatment.

Causes of pathology in children

Elimination of symptoms of NDD begins with finding out what was the basis for starting the process of destabilization of the child’s mental state. There are many internal and external factors that provoke the occurrence of this disorder, which are divided into 3 groups.

A group of factors leading to the occurrence of obsessive movements syndrome
Biological	Psychological	Social
Genetic predisposition	Disorder of the basic functions of the central nervous system, disruption of the processes of inhibition and excitation.	Lack of emotionality of the mother towards the child; lack of full contact with the father; frequent conflicts in the family; difficult experience of parental divorce; difficult family situation; growing up in a family with unfavorable conditions.
Pathologies that arise in a child during intrauterine development or during passage through the birth canal	Wrong approach of parents to raising a child with a choleric type of temperament. Such children are contraindicated from multiple prohibitions and restrictions that impede their motor activity and the free expression of feelings and emotions.	Too early separation from mother due to going to work; difficulties of adaptation in kindergarten.
Chronic lack of sleep	Wrong approach to a child with a phlegmatic personality type. The development of NND can be provoked by an attempt to “shake up” a phlegmatic child through violent actions. This can lead to the opposite result - the baby will become even slower and completely withdraw into himself.	Non-compliance with the daily routine.
Excessive physical activity and mental stress	Situations associated with severe fear or other circumstances that contribute to traumatizing the child’s unstable psyche.	Stress associated with frequent changes in place of residence, environment, habitual way of life and environment.

Symptoms of obsessive movement neurosis

Parents should be alert if their child often:

snaps fingers or sucks them;
bites nails;
shakes his head or sways from side to side;
sniffles or makes other noises through the nose;
waves his arms or swings one or both legs;
pinches the skin on various parts of the body;
blinks;
tilts neck to one side;
twirls a strand of hair around his finger;
bites his lip;
pulls down his clothes.

In this case, the movements must be repeatedly repeated and uncontrolled. If a baby sniffles, this does not always indicate obsessive-compulsive disorder - the phenomenon may accompany a common runny nose. As a rule, a child exhibits several of the above signs at the same time.

The disease in children can manifest itself in different ways. One child constantly sniffles and shakes his head, the other blinks and fidgets with his clothes.

Features of treatment

Timely identification of signs of NDD and taking measures to relieve them will help to avoid further problems. Successful treatment is possible only with an integrated approach. Eliminating the symptoms of the disease involves the joint use of medications, various methods of psychotherapy and folk remedies based on natural ingredients.

Drug therapy

Drug therapy in the treatment of NND in children is of secondary importance. In most cases, children are prescribed the following medications:

nootropics - Pantogam, Glycine;
vitamin preparations with a high content of B vitamins - Kinder Biovital, Vitrum, Multi-Tabs, Pikovit;
sedatives of plant origin - Persen, Tenoten, children's herbal teas (more details in the article:);
homeopathic medicines - Nervohel, Shalun, Notta, Baby-Sed, Hare, Dormikind (we recommend reading:).

Psychotropic drugs (Phenibut, Sonapax, Sibazon, Tazepam) are taken for a short time and only as prescribed by a psychiatrist or psychotherapist.

In this case, the doctor takes into account the general somatic condition and age of the small patient.

Psychotherapy sessions

The psychotherapy regimen is developed on an individual basis. Often, psychotherapeutic sessions are conducted with the participation of all family members. This measure is resorted to in cases where the causes of NND are related to methods of education. The duration of therapy depends on the degree of manifestations of neurosis.

The following psychotherapy techniques are considered the most effective in combating the signs of obsessive-compulsive disorder:

individual;
family;
autogenous;
art therapy;
introduction to a hypnotic state;
group classes to improve communication skills.

Folk remedies

NND can be treated using the following folk remedies:

Prevention of childhood neuroses

Measures to prevent childhood neuroses:

exclusion of overprotection of the baby;
timely treatment of somatic diseases;
prevention of physical and mental stress;
choosing the right parenting tactics;
creating a favorable atmosphere in the family;
taking immediate action if there is a suspicion of a nervous condition in a child.

Doctor Komarovsky's opinion on obsessive movement syndrome in children

According to the famous children's doctor E.O. Komarovsky, NND is a mental disorder, not a disease. Evgeniy Olegovich also notes that the reason for this phenomenon is hidden in a psychotraumatic factor. Based on this, obsessive-compulsive disorder can be safely considered a reversible mental disorder. In this case, recovery can be achieved only by eliminating the traumatic factor.

Dr. Komarovsky notes that in such a situation, the main task of parents is the timely identification and elimination of causes that negatively affect the child’s psyche. However, it is impossible to solve this problem on your own without the help of a psychiatrist.