Anxiety Disorder and OCD Clinical Pathway — Outpatient Behavioral Health and Primary Care

Child/Adolescent with Concern for Anxiety or OCD

This pathway guides the screening, assessment and treatment of patients at risk for/with a diagnosis of Anxiety or OCD in an outpatient setting (behavioral health, primary care).

Consider Anxiety/ OCD Screening

Symptoms/Risk Factors	Examples
Decline in function Clinical Behavioral Emotional	School refusal Academic decline Social Isolation Emotional / behavioral outbursts not expected
Somatic Symptoms	Physical complaints not associated with medical diagnosis Medical w/u as indicated normal
Positive BH Screen	Other behavioral health screen such as the PHQ-9
Stressors	Acute or chronic stressors Trauma, major life change, bullying Multiple life challenges Parent divorce, move, loss of family member Chronic diagnosis, or change in freedom around medical needs.
Psychiatric history	Psychiatric diagnosis Recent SI Family history of anxiety

Exclusions

Management of anxiety or OCD symptoms in an inpatient setting
Patients < 6 years

If you have questions about any of the clinical pathways or about the process of creating a clinical pathway, please contact us.

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.

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Anxiety Disorder and OCD Clinical Pathway — Outpatient Behavioral Health and Primary Care

Child/Adolescent with Concern for Anxiety or OCD

Consider Anxiety/ OCD Screening

Exclusions

Find a research study

Innovation and your child

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Anxiety and OCD — Child Adolescent Concern — Clinical Pathway: Outpatient Behavioral Health and Primary Care

Anxiety Disorder and OCD Clinical Pathway — Outpatient Behavioral Health and Primary Care

Child/Adolescent with Concern for Anxiety or OCD

Consider Anxiety/ OCD Screening

Exclusions