I am working with a young man who fixates on open/closing, locking/unlocking doors and switching lights etc on and off (less than the door fixation). It seems that once he sees the door he is compelled to repeatedly open & close or lock & unlock unless we can distract him which can be very difficult. Sometimes saying "one more and then let's do ..." works as long as we invite him to do something else of interest but often it doesn't work. Asking him to stop or trying to prevent him just increases the compulsion. This can be very problematic when attempting to carry out personal care as he won't move away from the door to get in the bath or go to the toilet.
He has a similar reaction when he sees there are crisps in the cupboard. He will have a packet but will keep going back to the cupboard for another. On one occasion an agency staff member gave him crisps each time and he had 4 packets and still went back for a 5th when a member of the permanent team intervened.
We have tried distraction, prevention and letting him do it once and then try to stop. Niothing works consistently. Does anyone have any other suggestions?
Edited on February 23, 2017 - 9:07am