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OCD with Tourette's, Tics, ADHD and Depression

OCD and other problems


Up to now you have learned that OCD is a disorder that isn't anyone's fault, just like when a person can’t help getting other conditions like depression. Depression is when someone feels sad or in a low mood quite a lot but wishes they could feel okay. When someone is depressed they also don't enjoy doing things they used to as much, like hobbies and hanging out with friends.


Another condition that some children have is called ADHD. The H in ADHD means hyperactivity. Hyperactivity is when children fidget a lot which makes it difficult for them to focus their attention on what they’re doing. This might be when they're doing their school work, playing a game, watching TV or trying to get to sleep. Distraction makes it worse. Sitting next to a window in class is a distraction because children can't help watching what's going on outside.


Some children have ADHD without the H. This means they have ADD. These children don't fidget so much; instead they seem quiet and dreamy. The A in ADD and ADHD means attention and the first D means deficit. Deficit means the amount of attention you need to do what you're doing is less than what it should be. This is why children find it difficult paying attention in the classroom or when they're doing something else like watching TV. The second D means disorder. This explains that children have a genuine reason for not being able to pay enough attention or follow class instructions. Some children who have ADHD with hyperactivity also have times when they are like children without hyperactivity. When parents and teachers know you have ADHD and/or ADD they can help you with your hyperactivity and attention deficits. 

Tourette's & Tics

Sometimes children shout out things, or they make noises like barks and feel distress because they want to stop but can’t. These are called vocal tics. Other times, children might shrug their shoulders, blink fast, or make other sudden movements with their arms or other parts of their body. These are called motor tics. Some doctors say that when children have at least one vocal tic (e.g. making a certain noise) and three motor tics (e.g. making three different movements), it means they probably have Tourette syndrome. Some people with Tourette syndrome don't always make noticeable movements and loud vocal tics. For example, some motor tics are hidden, like mild limb twitches, and some vocal tics are often muffled, like sniffing. There are other times when children develop tics, like repeated throat clearing. People who have tics don't always have full-blown Tourette syndrome.

Daily Routine Cards

Caring Carol says it can be very difficult for children with ADHD or ADD to get ready for school. It's difficult because these children find it hard to fall asleep and so they have a struggle getting out of bed in the morning. Not getting much sleep makes children get easily distracted which makes them forget what they are supposed to be doing. 

Jasmine and Johnny have these problems so Caring Carol taught them how to make daily routine cards to help them know exactly what they need to do each day. The pictures opposite are of a morning routine but there are others that Jasmine and Johnny made too, one set for after school and one for bedtime. 

When Jasmine and Johnny have finished the task on the first flash card they simply turn the card over then go on to the next one until they've done all their tasks and the cards are all turned over. 

You might want to add more tasks to your morning routine list, like brushing your hair, getting washed, cleaning your teeth, putting on your shoes and picking up your school bag. Simply ask your grown-up to help you write these separately on pieces of card, then turn each one over as you do them, and as part of your daily routine!

Get creative

Caring Carol says it's easy to make your own flash cards and they are helpful for all children to focus on what they need to do, not just children with attention problems. All you need is some white card, safety scissors, and some coloured pencils and a grown-up to help you. Caring Carol says you can make daily timetables, homework timetables and more!

Creative sticker charts

Ask your parents to click on the link below to find some fantastic sticker charts: 

Your parents can reward you with stickers when you've successfully turned over all your cards for each day. Maybe your parents could reward you with something special too, like at the weekend for doing so well... perhaps a take-away pizza or something else you enjoy!


A warm drink before bed, such as milk or Horlicks, can help you calm down and rest better...


Daily routine charts for older children

This is a daily routine chart for children who are little bit older. Simply fill in your tasks down each column for each day. Caring Carol says you can get creative with card and coloured pencils or you could use a computer to make up your own designs and tasks for every day of the week. 

Tourette's & Tics 

Caring Carol says some special doctors said that if children take up a really interesting hobby like art by numbers, learning to draw, or collecting figures and painting them then it could help calm their tics. They also told her that sports and exercises help too. Playing goalie for Everton helps Tim Howard who has Tourette's. 


When children are having to live with OCD it's hard, and sometimes the struggle means their mood can become low. When children have other problems too then it can make things harder still. Caring Carol helps children to understand that if they feel sad, unhappy or are in a low mood to talk to someone right away if they can, such as their parent or teacher. If it's not possible to talk right away Caring Carol says it's wise for children to distract themselves from their low mood until they can talk to someone. It's always good to do something that helps you feel better, like playing a board game with your brother or sister, texting a friend, or asking someone over to watch a DVD. She says that often sad or anxious feelings pass, so recognising how you feel and then doing something to distract yourself can often help the mood pass quicker. However, if the mood persists she says it's important to talk to someone as soon as possible.


It's sad when children get bullied, and this can be made worse if you have other problems to cope with. If you are being bullied, Caring Carol says it's really important to tell someone you know you can trust so that you can be supported, like a teacher. Telling someone you know and trust can help the bully or bullies get help to stop too. She says never be afraid to tell a grown-up you know and trust because they are usually responsible and will know what to do. 

Caring Carol invites your grown-up to help you write to her about anything on this page that might be bothering you! 

These might be different to the other children's problems, but that's okay, Caring Carol says she will understand and she will help your grown-up to help you know what to do.

Parents: this refers to your child's therapy feedback report - please click here for more details: your-childs-feedback-reports.php  

 Question Section 

Here are some questions about what you've just learned!

 Caring Carol says please ask your grown-up to help you find the answers!

  1. When children have ADHD or ADD they find it difficult paying attention, but they can't help it. When parents and teachers know children have ADHD and ADD they can help them with: h-----------y and a-------n d------s.
  2. Daily routine cards can help all children f---s on what they need to do each day... and a w--m d----k like milk or Horlicks can help them calm down and rest better at b-----e.
  3. When someone is depressed it means they often feel what? 
  4. Taking up a hobby like art by numbers; or a sport like soccer can help calm what? 
  5. What does Caring Carol say is helpful when you're feeling depressed, sad or unhappy; and what does she say is important if you're being bullied?
Caring Carol says WELL DONE on coming to the end of your fourth and final lesson!

If you'd like to send all your answers from each lesson to Caring Carol, she will mark them and be delighted to send you a certificate to show how well you've done!

Before you go, please find a special message from Caring Carol below!

 A special message from Caring Carol

Hi Children, I'm so happy that you and your grown-up came along and learnt lots of things about OCD and other problems that may be bothering you, like managing ADHD, tics or feeling sad. 

Remember that OCD can often make you feel distressed but remember unwanted thoughts never come true, nor are they true about you or anyone else, so tell yourself lots of realistic things to help you manage your anxiety. Remember too that it is helpful if you keep busy with interests, hobbies, sports and hanging out with friends. 

Talk to someone you know and trust who will understand about your problems because this can help you feel better about things. And one more thing to remember is to tell someone you can trust if you're being bullied!

Here is a big thank you for taking the time to visit my site, and feel free to visit again any time you need to remember something or to find out if I've included new information! 



Caring Carol


The learning outcome for this lesson is for children to learn to recognise and understand different behaviours in themselves or those around them. The strategies on this page can be used to implement and/or be adapted to suit your child's needs. In terms of praise, it's important to reward your child for even the smallest efforts. For reward suggestions please click on the link below:

Asperger's Syndrome and High-Functioning Autism Spectrum Disorder

There are times when a child is diagnosed with Asperger's Syndrome or high functioning autism (or is exhibiting traits without diagnosis). In terms of recognising the differences in ritualistic or obsessive behaviours, I have included a set of guidelines which you can share with teachers and other caregivers. Please find this on the menu bar or click on the link below and it'll take you straight to the page.

Copyright © 2013 Carol Edwards. Updated 2016 All rights reserved. Images: royalty advanced search.

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