My daughter has this thing. Everything she wears has to be tight. And, I mean: so tight that she bruises herself, clothing rips, snaps break, etc... If I don't tie her shoes tight enough (and I never can), she kicks and screams, throws them across the room.... If I don't put them on: they don't get on. If I do manage to get her shoes/clothing on with the right fit, she only takes them off the second I start driving the car. We show up to school looking like I'm a lazy mom who didn't bother to dress her kid for school. It can take over 2 hours of effort on my part to get her ready. Getting her into her school uniform: impossible. Finding belts small enough that are in dress code...I haven't found one yet. Not sure it would help anyway though. The issue is the obsessive need of hers to make things so tight that they hurt. Even to the point of the snap not staying on and her clothes bursting open at school. That doesn't phase her. How do I handle this? If I give her the right to dress herself: she's not in the school's dress code, and in general: she looks inappropriate and I look like a bad mother. If I fight the battles to dress her properly, it's more than an hour or two long screaming meltdown fit, and in the end: she has the last word because she undoes everything the second I'm out of the room or driving the car. So...do I just cut off all the adjustable bands and make her have to pull her pants up all the time (they are too big without the bands) to keep them on? I fear that will only increase her agitation/stress/need for control which will turn into a different compulsion. <sigh> what do i do? I've talked to her about the need to be gentle with her body. No effect. I've talked to her about looking normal. No effect. I've made rules with consequences (haha: no effect). I've tried the reward system. That at least makes her get the clothes ON, but...not on appropriately. My trying to change anything she wants: meltdown, screaming all the way to school, crying at school, anger fits... So. What do I do? What is the proper way to handle Obsessive Compulsive behaviour in a child?