Obsessive-Compulsive Disorder (OCD) is a serious anxiety-related condition that often gets mistaken for simple habits or “being a little too tidy.” Many people worry or need things just right, but OCD is different. It has constant, intrusive thoughts (obsessions) and often overwhelming urges (compulsions) that disrupt daily life. Here’s what parents need to know to recognise the signs of OCD and get support.
What Are Obsessions?
Obsessions are unwanted, repetitive thoughts that create significant anxiety. A child with OCD might worry about contamination, experience disturbing images, or feel intense fears that something terrible could happen to them or their loved ones. Here are some common examples:
- Fear of contamination (for themselves or others)
- Worrying excessively about family or friends’ safety
- Intrusive, violent, or sexual thoughts
- Compulsive need for order or symmetry in surroundings
These obsessive thoughts can leave a child feeling constantly unsafe, sad, or even withdrawn. They might think that by performing specific actions, they can protect themselves or their family.
What Are Compulsions?
Compulsions are behaviours a child feels they must do to reduce the anxiety caused by their obsessions. We sometimes call these “safety behaviors” because they’re often attempts to feel safe, even if they don’t make logical sense. Common compulsions include:
- Repetitive handwashing or washing in a specific way
- Counting actions or repeating thoughts in a specific number sequence
- Asking the same question over and over for reassurance
- Avoiding certain numbers or words
- Tidying a room repeatedly, even when it’s already clean
- Checking things like lights or locks, repeatedly
While the compulsions may seem illogical—even to the child—they can become deeply ingrained habits that feel uncontrollable. It’s important to remember that OCD behaviours aren’t “naughty” or wilful disobedience. Children who suffer from OCD are often aware their actions don’t make sense but feel powerless to stop them.
How Can OCD Make You and Your Child Feel?
Children with OCD often feel trapped by their compulsions, as if OCD is running their lives. For parents, it can also be difficult as the child’s behaviours can spill over into family routines or create added stress. As a parent, you may even find yourself getting involved in your child’s rituals or routines, hoping to ease their anxiety.
A diagnosis of OCD typically requires that both obsessions and compulsions are present and cause significant distress or impact daily life.
How Common Is OCD?
According to the Royal College of Psychiatry, OCD can affect people of all ages, backgrounds, and genders. It commonly starts in childhood, and it’s estimated that 1–2% of young people experience OCD—roughly 130,000 children in the UK alone.
What Causes OCD?
The exact cause of OCD isn’t fully understood, but research suggests it may involve a brain chemical imbalance, specifically serotonin. OCD can also run in families or appear after a significant illness or traumatic event. Family history of tics or jerky movements can also be a factor.
When to Seek Help: Red Flags
Not all repetitive behaviours or worries are signs of OCD. However, if you answer “yes” to any of the following questions, it may be time to consider professional support:
- Are the compulsions significantly upsetting or distressing for your child?
- Do these behaviours interfere with your child’s daily life (e.g., at school, with friends)?
- Have the symptoms been persistent for over six months?
If you’re concerned, reach out to your GP or a qualified mental health professional. Resources such as the Royal College of Psychiatry and OCD Action can provide further guidance and support.
Remember, with the right help, children with OCD can manage their symptoms and regain control over their lives. If you’re uncertain or need guidance,
If this is the case, seek help via your GP or contact me for a consultation.
Here is a list of great resources at the Royal College of Psychiatry and OCD Action, too
