Anxiety and OCD symptoms in 4-year old

by Mindy Fay
(Plattsburgh, NY)

My 4-year old was identified as having SPD when she was younger, and received OT services from the age of 9 months until her 4th birthday when she was discharged. She is now suffering from anxiety that can be very extreme at times. She continues to have difficulty with clothing, dislikes being dirty, dislikes being carried or riding in the car, and continues to be a picky eater. Lately she has begun to fear and tantrum for an hour about germs, sticky things, and things that happen out of her routine. Her tantrums can interfere with her ability to carry out tasks during the day. She will be entering kindergarten in the fall and is otherwise a smart, fun, and loving child. I am not sure if this is OCD/Anxiety or her sensory issues coming back. How do I know if she needs therapy and which kind (OT or a counselor)? Help please.