MythBusters: Understanding OCD in Children

Written by Molly Jacobi

Obsessive-Compulsive Disorder (OCD) is often misunderstood. In popular culture, it’s frequently portrayed as a quirky obsession with cleanliness or order — the person who “just loves things neat.” Phrases like “I’m so OCD” have even become part of everyday language.

But OCD is far more complex than a preference for tidiness or routine. It’s a mental health condition characterized by persistent, intrusive thoughts (obsessions) that cause distress, and repetitive behaviors or mental acts (compulsions) used to relieve that distress. A better understanding of OCD helps reduce stigma and ensures that children and families get the support they need.

Myth 1: People with OCD just really don’t like germs.

While cleanliness is one possible focus, OCD can take many forms. Compulsions might include checking, counting, arranging, or touching objects in specific ways, or seeking reassurance repeatedly. These behaviors are often tied to deeper fears about safety, morality, or harm.

Children with OCD may also experience intrusive thoughts that feel foreign or frightening — and they might struggle to distinguish these from their own thinking. The key is not the content of the thought or behavior, but the anxiety and distress that drive it.

Myth 2: OCD is overdiagnosed in children.

In reality, OCD is more likely to be underdiagnosed in children. Because symptoms can look different from child to child, and kids often struggle to explain their internal experiences, adults may misinterpret their behaviors. What looks like defiance, attention-seeking, or even tics associated with other conditions (like Tourette Syndrome or Autism Spectrum Disorder) may actually be signs of OCD.

To complicate matters, symptoms can wax and wane over time, making diagnosis even more challenging. Early evaluation and awareness are crucial for getting kids the right help.

Myth 3: Treating OCD always requires medication.

Medication can be a helpful and effective option, but it isn’t the only path to treatment. The gold standard for OCD is Exposure and Response Prevention (ERP) therapy — a type of cognitive behavioral therapy (CBT) that helps children face their fears gradually while learning to resist the urge to perform compulsions.

Other evidence-based treatments, such as Acceptance and Commitment Therapy (ACT) and Supportive Parenting for Anxious Childhood Emotions (SPACE), can also be highly effective. Many families benefit most from a combination of approaches tailored to the child’s needs.

Myth 4: Children with OCD are just being dramatic.

OCD brings intense distress. When children can’t quiet their obsessive thoughts by performing compulsions, they may feel overwhelmed and exhibit strong emotional reactions — sometimes mistaken for dramatics or defiance.

These reactions are not “attention-seeking”; they are coping attempts in the face of deep anxiety. Recognizing this can help parents respond with empathy and guide their child toward more effective coping skills.

Myth 5: Childhood OCD is just a phase.

While symptoms can fluctuate, OCD is not simply something a child “outgrows.” For some, symptoms may lessen over time, but for many, OCD remains a lifelong condition if left untreated.

Early intervention is key. With the right treatment and support, children can learn skills to manage their symptoms and lead fulfilling, balanced lives — both now and into adulthood.

Myth 6: OCD is caused by bad parenting.

OCD is not caused by parenting style. Genetics, brain structure, and certain physiological factors — such as birth complications or infections — all play significant roles.

That said, parents naturally want to relieve their child’s distress and may unknowingly accommodate OCD-related rituals. This can temporarily ease anxiety but also reinforces the cycle of compulsions. Parent training can help families learn how to respond in supportive, non-accommodating ways that promote long-term progress.

The Takeaway

Misconceptions about OCD are everywhere, but understanding the truth can make all the difference. Recognizing OCD as a real, treatable condition helps reduce stigma and opens the door to healing.

If your child is showing signs of OCD — or if you’re unsure and want guidance — our team at Growing Minds Psychology can help. We provide direct therapeutic support for children and collaborate with families to strengthen emotional health and resilience.