A Case of Childhood Onset Obsessive Compulsive Disorder Presented as School Refusal for a Year

School refusal is a common problem seen among children as well as adolescents. It is very commonly present with other psychiatric co-morbidities like anxiety disorders, mood disorders, neuro-developmental disorders, child abuse and many more. OCD is also a common psychiatric condition in children and adolescents. Childhood presentation of OCD becomes difficult to diagnose due to its presentation as well as child’s inability to describe symptoms. If untreated, it will significantly hamper child’s academic, social and family functioning.  We present a case of 12 years old boy with one year symptoms of school refusal, sadness and anxiety. He had been evaluated and found to have obsessions and compulsions underlying above mentioned symptoms. He was improved with Fluoxetine, Clomipramine and supportive psychotherapy.