Question: Hello doctor,

My daughter XXXXXXX (turned 6 in Jan) has recently (from almost a month) started saying she is getting bad thoughts continously. On reassuring her, and repeated questioning she said that her bad thoughts involve:
1. Pregnancy - she thinks there is a baby in her stomach sometimes, or some random person on the street.
2. thoughts of marriage - imagining her to be bride or looking at our (me and my husband) wedding photos/videos or seeing anything related to marriage on tv etc.
3. killing a person
4. she tells she thinks her grandmother, grandfather and one of her cousins (my inlaws live with us and this cousin recently got a job in blore. So, she is also living with us right now) are mad and doesnt like them.

I've talked to her at length that she is a very nice girl and she will not be able to kill a person even if she wanted to and not to worry about killing and such. It looks like thought of death and killing seem to be in control/subsided. But, the other factors keep disturbing her always.

Regarding marriage, I try to tell her to not to view marriage as a bad thing. It is like any other function/party that we attend. A chance to dress up and such. But, it still persists.

Similarly, I tell her not to have bad thoughts about granny because she takes care of her and gives her food when she is back from school etc.

I keep telling her the samething, everytime she comes to me telling she got a bad thought.

But, still the problem persists. I would like to know what you think about this as a child psychiatrist? Does she need any counselling to get over this? What I need to do handle her problems correctly? In my view, she is not thinking about these intentionally. She is getting thoughts into her head which she considers as wrong/bad and doesnt know how to handle it or control it.

Otherwise, she is a very active and smart kid. Studies and plays well.

Please help me to help my child.

I know this getting very long but please bear with me.
To give you a little background about the family, after I got married, me and my husband stayed in my parents house itself as both of us had jobs in blore itself and my first daughter was born while we were still with my parents. I had recently changed job so didnt get more than 3 months leave. So, my mom took care of my daughter during the day from the time she was 3 months old until she was 4.5 years. While she was 4 years, my second daughter was born and then we got our inlaws to shift to blore and we moved out of my parents' house. My first daughter is very much attached to my mom more than anyone else and somehow, I feel that moving to new home and not being able to be with my mom is depressing her to some extent.

Thanks
XXXX

Hello sir,

Thanks for your reply. I do not observe any repetitive behaviour to neutralise bad thoughts. Whenever a bad thought comes to her mind, she just comes and tells me. Infact, she waits for me to come back from office in the evening and tells me the bad thoughts she had during the day.

I have been reassuring her that all her thoughts are silly and not to worry about it. But, when would this stop? How will she learn to control/handle her thoughts?

If it is OCD, any medication/counseling is required?

Thanks
XXXX