Hi there, I am new to this forum. Our 7 year old daughter K has been suffering heightened anxiety and OCD tendencies for the past year. We (and her well-being worker) believe this was triggered by her older sister's tonsillectomy and subsequent stay in hospital - we lost my husband's parents and our dog the year before this and K found it very difficult to come to terms with, and so just shut everything out. Her well-being worker believes her sisters operation then triggered the feelings of bereavement, K was incredibly worried and panicked about the op and we think possibly because everyone else she has known who went into hospital, hasn't come out. She has had protective behaviours work through a local agency working with her school, and also was referred to the Children's Well-being Team for help with her anxiety - she was subsequently diagnosed with levels of generalised anxiety, separation anxiety and OCD that were above the clinical threshold. She panics and gets very distressed if I am not around or if I go out, or even if I'm not in the same room - she has many worries about me not coming back or something happening to me. For a long time now she has had dreams about a witch who comes and takes me to heaven in her dreams and I can't get back. This has led to what she calls her "checking" which is much worse at night - she has rituals involving looking at various things in her room, making sure things are lined up, touching things so many times, making little noises in her throat etc. She's very subtle with it at school and it's much much worse at home. We have been told that should things get worse then the next port of call is a CAMHS referral for her but we also have concerns about this. We do feel that her checking gets worse around times of anxiety (e.g. she had a school performance last term and her checking got much worse in the week before) but are not sure whether it is actually any worse than it was a year ago. We're looking into possibly taking her to see someone privately as there is a years waiting list for CAMHS in our area. I guess our concerns are that we just don't know enough about this - do we get on top of this now and get her some CBT? Or will this be making it into a bigger issue for her than it is? We are very open at home and both our children are very open with us so I do feel we are lucky that she is very honest about all this with us. We just want to do the right thing as parents and are a bit unsure where to turn. Any advice would be gratefully received, thanks in advance.