Abstract
Childhood obsessive-compulsive disorder (OCD) is characterized by recurrent intrusive thoughts associated with anxiety or fear and/or repetitive purposeful mental or behavioral actions aimed at reducing fears and tensions caused by obsessions. Among the commonly reported obsessions in children are fears of contamination, exposure to germs or disease followed by worries related to harm befalling on them, their family members or fear of harming others due to losing control over aggressive impulses. We are reporting a rare presentation of childhood OCD in which the child has repetitive intrusive urge to shout, producing lot of anxiety when being suppressed, followed by compulsive shouting to relieve the anxiety. Keywords: obsessive-compulsive disorder, shouting, anxiety, sense of relief
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