Understanding OCD in Young Children: What's Typical and What's Concerning
Have you ever noticed your child insisting on doing things a certain way? Do they get very upset when their routine changes? Are they extremely worried about germs or making mistakes? Many childhood habits can seem like obsessive-compulsive disorder (OCD), but how do you know what’s part of typical development and what might be a sign of something more serious?
Children go through many phases as they grow. They like predictable routines, ask the same questions, and can be very particular about things. Sometimes, these behaviors can look like OCD.
How can parents tell what’s a phase and what might be a sign of OCD?
OCD is a mental health condition that causes intrusive thoughts (obsessions) and repetitive behaviors (compulsions). It can affect children, but many common childhood habits can seem like OCD. The key is to look at how much these behaviors affect a child’s daily life.
Common Childhood Behaviors vs. OCD
Loving Routines and Repetition
Many kids like doing things the same way every time. They may want the same bedtime story, organize their toys a certain way, or insist on using a favorite cup. This is a common part of childhood. Young children feel safer when things are predictable.
When to consult a professional: If a child becomes intensely upset when their routine changes, or if they spend a long time repeating actions because they “have to.” This could be a sign of OCD.Wanting Things to Be “Just Right”
Some children are very particular about how things are arranged or how their clothes feel. They might want their socks a certain way or their stuffed animals in a specific order. All children have preferences, and this is completely understandable. However, we want to be mindful of a child who becomes very distressed if their preferences are not met, if these preferences become absolute necessities.
Example: It’s totally understandable for a child to have a preference for how their bed is arranged. But if they have a meltdown over the way pillows get placed or whether sheets are tucked in, it could be a sign of something more like OCD.
When to consult a professional: If a child spends a lot of time fixing things until they feel “perfect” and gets extremely anxious if things aren’t right..Worrying About Germs or Getting Sick
It’s common for kids to be cautious about germs, especially after learning about hygiene in school. They might wash their hands more often or avoid sharing drinks.
When to consult a professional: If a child washes their hands excessively, avoids touching things, or asks the same health-related questions over and over.Repetitive Actions and Saying Things Again and Again
Many kids repeat words, tap objects, or step in patterns. This can be part of learning and play.
When to consult a professional: If a child feels they must do these things to stop something bad from happening or gets extremely upset if they can’t do them, it might be a sign of OCD.Seeking Reassurance
Kids often ask their parents, “Are you sure?” or “Will I be okay?” This is expected, especially during new experiences.
When to consult a professional: If a child asks the same questions constantly, even after getting an answer, and still seems uncontrollably worried, they could be struggling with obsessive thoughts.
How to Support Your Child With OCD
If a child has OCD, it can interfere with their daily life. They might take too long to get ready for school, avoid activities they used to enjoy, or seem highly stressed much of the time. They may also struggle to focus in class because they’re distracted by obsessive thoughts.
What Parents Can Do
Watch for Patterns
If a child’s behaviors seem extreme, track when and why they happen. Do they only occur at bedtime, or are they more constant? Do they cause intense distress that becomes unmanageable?Talk About Feelings
Ask your child what makes it necessary to do certain things, or do them in a certain way.. If they say, “I just like it that way,” that’s a preference. If they say, “I have to do it, or something bad will happen,” that could be OCD.Don’t Encourage Repetitive Behaviors
It’s okay to comfort your child, but try not to repeatedly reassure them about their fears. Instead, help them learn to tolerate small amounts of uncertainty. Taking some deep breaths is one way to tolerate uncertainty.Seek Professional Help If Needed
If a child’s behaviors interfere with their daily life or cause significant distress that becomes unmanageable, a mental health professional can help. Therapies like Cognitive Behavioral Therapy (CBT) and Exposure Response Prevention are very effective for treating OCD in children. Doing these treatments in the setting that the obsessions or compulsions are happening can promote even more progress, quickly!
Helping Your Child Thrive
Many childhood habits may look like OCD but are simply part of growing up. The key difference is whether the behaviors are excessive, cause distress, or interfere with daily life. If you’re unsure, talking to a professional can help sort this out. Understanding the difference between typical development and OCD can ensure children get the right support to grow and thrive.
If you suspect your child may have OCD, reach out to the OCD experts at the Child Psychology Center. Our team can provide guidance and support to help your child manage their difficulties and lead a happier, healthier life.
Our Services:
Child Psychology Center offers neuro-affirming, culturally competent, evidence-based therapy for children (ages 0+), teens and caregivers. We offer virtual therapy for people throughout all of California, and we offer in-person therapy in our offices in Carlsbad, CA & Sacramento, CA. Our services are available in both English and Mandarin. Our licensed psychologists offer psychological assessments. While our therapists specialize in treating children, we also treat adults. We specialize in treating anxiety, child behavioral problems, obsessive compulsive disorder (OCD), ADHD, autism, and post traumatic stress disorder (PTSD). We offer parent coaching and consultation. We would love to support you along your journey. Reach out for a free 15-minute consultation today!
