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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小儿强迫症的概念化和风险管理：案例。

强迫症（OCD）患者表现出可能存在风险的症状并不少见。这可能包括明显的风险（反映强迫症的内容），以及由于强迫行为的意外后果而产生的真实风险。在这两种情况下，风险都可能导致与诊断和治疗相关的混乱。当前文章通过介绍在儿科强迫症方面说明不同类型风险的案例，并讨论了其对管理的影响，增加了有关强迫症风险的现有文献。这些案例表明，在疾病现象学的背景下，认真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。