Treatment for Pediatric OCD

Effective, evidence-based treatment is available for pediatric OCD. Pediatricians and other medical providers can play an important role by helping families understand their options, connecting them with an OCD specialist, and supporting treatment with medication when appropriate.

Pediatric OCD treatment

The primary evidence-based treatment options for pediatric OCD are Exposure and Response Prevention (ERP) and serotonin reuptake inhibitor (SRI) medication, which may be used separately or together based on symptom severity and the child’s individual needs.

Exposure and Response Prevention (ERP)

Exposure and response prevention, or ERP, is a specialized form of cognitive behavioral therapy and the leading psychosocial treatment for OCD.

Compulsions and avoidance may temporarily relieve anxiety, but they also strengthen the cycle of OCD. ERP teaches children and teens to gradually face their fears while refraining from compulsions. Through this process, they learn that they can manage the anxiety and uncertainty they experience without relying on rituals.

ERP for children and adolescents should be provided by a licensed mental health professional with specific training and expertise in the treatment.

Pediatricians can help families access appropriate care by referring them to a clinician who specializes in pediatric OCD and ERP.

Medication

Medication can be a valuable part of treatment for children and adolescents with OCD. It is an evidence-based first-line option for youth and may be used on its own, although it is often most effective when combined with ERP. Find recommended medications and dosages at IOCDF's Guide for Medication in Pediatric OCD.

Resources to share with families

In addition to treatment, children and their caregivers can benefit from education, community, and support. The IOCDF offers resources to help families understand OCD, navigate treatment, and connect with others who understand what they are experiencing.