Hello I need a regarding obsessivecompulsive disorder (OCD) it is for a psychology class that only discuses infancy through late adolescence

In adolescents OCD is associated with alcohol abuse and addiction.
Psychosocially OCD is linked with peer isolation, impairment manifested during school, ideas of suicide, and substance abuse. Children with OCD pose a challenge for clinicians. they are usually unable to comply with behavioral management strategies. Obsessions can be persistent, they can manifest as thoughts, impulses or images that the child experiences. These repetitive behaviors can also be mental acts that the child feels strongly compelled to perform such as counting or repeating words silently, common behaviors may be hand washing, checking the order or placement of certain things continuously, or placing items in order as a rule rather than a spontaneous action (Nicoletto-Syrett, 2002, p 36). Fulfilling or acting out these compulsions in the mind of the child serve to prevent distress or a traumatic event. They apply rules rigidly to their behaviors.
Symptoms can be mild to incapacitating and though it is common in childhood it is not as common as asthma, though occurs more frequently then juvenile diabetes. These children are concerned with cleanliness, aggression or checking and collecting are not able to trust their judgment (Nicoletto-Syrett, 2002, p 37). More extreme compulsions are acts of self-mutilation, an uncontrollable need to touch, spit or swallow and rub objects in a certain way.
Most common are a fear of contamination, fixation on lucky or unlucky numbers, a need for exactness and symmetry and a constant doubt that is excessive. Patients with OCD may find it difficult to focus or concentrate in normal environments such as school and society. Treatment is important in order that these individuals are provided with interventions as early as possible disrupting their normal developmental stages as little as possible, ensuring they reach milestones appropriately and that their OCD, though