I am the mother of an 11 year old who begin to manifest OCD at 7. She is diagnosed high functioning aspergers with complications of OCD. We reached a very scary point before pursueing medication and I will say that with some kids it is necessary and literally changes the lives of the entire family. I have found that you have to form a relationship with a good doctor, therapist and psychiatrist and work with all of them. Our therapist was able to get us seen by the psychiatrist quickly due to the severity of my daughters problems. Anytime you start to use psychiatric medications you begin a process of observation and adjustment. We have been through many different medications. Some have worked for several years (fluoxetine) before becoming ineffectual or the side effects (elevated prolactin levels, grinding of teeth) manifest. It is well worth seeing the psychiatrist because they are more familiar with how medications work for given ages and given diagnosis. They also are familiar with non medical techniques and can recommend resources for these. Our psychiatrist usually gives us samples to try then a plan for the coming month on implementing changes in medication. She is also available for us to call to adjust medications over the phone between visits.