10/23/2025
Obsessive-Compulsive Disorder (OCD) is often portrayed as organizing your closet or washing your hands excessively. While some people with OCD do feel a need for things to be “just right” or clean, it is a complex, chronic condition that varies for each person and may not involve fear of germs or perfectionism. Despite often being dismissed as a “quirk,” OCD is deeply distressing and impairing regardless of how it manifests.
OCD results in unwanted, intrusive thoughts or images that leave individuals feeling scared, ashamed, or confused. Common fears include harming oneself or others, being immoral, losing control, going to Hell, or causing a catastrophe. These fears lead to reassurance seeking, repetitive behaviors, avoidance, or other rituals to relieve discomfort. These behaviors may seem illogical to others, leaving parents frustrated or confused.
An estimated 500,000 children and teenagers in the United States have OCD. Many remain undiagnosed or misdiagnosed for years, with an average of 14 to 17 years before receiving an accurate diagnosis. During that time, OCD can greatly affect self-esteem, mental health, and quality of life. Parents often struggle to find specialized providers and adequate support. Fortunately, evidence-based treatments such as Exposure and Response Prevention (ERP) can significantly improve functioning. Parent-focused services also help families manage symptoms at home and in the community.
OCD often co-occurs with Autism Spectrum Disorder, ADHD, and Tourette’s Disorder. If you are concerned your child may show signs of OCD, assessment and treatment options are available.
