How to Identify Obsessive Compulsive Disorder in Your Child

Thrive Wellness • July 18, 2023

Does your child seem to have an intense fear or obsession with topics like death, germs, organization or any other topics? Does it seem like these thoughts are frequent and uncontrollable? Does the fear of these topics seem to affect their home, school and social life? 

Does your child seem to have ritualized or repetitive behaviors that often take up most of their time? Are they unable to just “let it go” when they are completing these rituals or behaviors?  

Your child might be experiencing OCD. 

How Common is OCD in Children?

In the United States, half a million children suffer from experiencing OCD. To put it in perspective, every one in two-hundred children, or four to five children in an elementary school setting, or 20 teenagers in a high school classroom are affected by OCD. 

Although the root cause of OCD for individuals is never the same, there is effective treatment available for these persons to achieve a life less riddled by their OCD. 

What is OCD?

Obsessive Compulsive Disorder is attributed for its intrusive, uncontrollable thoughts and fears, otherwise referred to as obsessions, present in one’s mind. These obsessions are extremely difficult to cope with. This results in individuals suffering from OCD to partake in behaviors that “alleviate” the intense emotional reactions that come with obsessions, otherwise known as compulsions. They’re defined as compulsory due to the nature of frequency in which individuals with OCD deem it necessary to complete their compulsions, which further impacts their everyday life. OCD has the ability to negatively affect an individual’s perception of reality, their relationship with themselves and others, sociability, and other co-occurring mental health conditions like anxiety.  

The exact root cause of  OCD also remains undetermined. Research displays that in some cases OCD can stem from a lack of serotonin in one’s neurological system, genetics, trauma, or even streptococcal infections, but these are not exact diagnoses for all. 

Signs & Symptoms of OCD in Children

OCD takes a unique form per child, and can begin to develop as young as four years old, so it’s important to note that these signs and symptoms are the most common, however are not the end-all be-all to OCD prognostics.

  • A severe fixation on dirt or germs.
  • Intrusive thoughts about violence, causing harm to others or oneself..
  • Preoccupation with order, symmetry, or precision.
  • Persistent thoughts concerning engaging in offensive sexual acts or prohibited behaviors.
  • Disturbed by thoughts conflicting with personal religious beliefs.
  • Intense desire to remember even the most insignificant details.
  • Excessive focus on minute particulars.
  • Excessive worrying about potential negative events.
  • Aggressive thoughts, urges, or actions. 

Signs of OCD in compulsions and behaviors in children could look like this: 

  • Engaging in frequent hand washing ( exceeding 100 times daily)
  • Repeatedly verifying and rechecking, such as ensuring a door is securely locked.
  • Adhering strictly to established rules of order, such as dressing in a specific sequence each day.
  • Accumulating and hoarding various items.
  • Engaging in repetitive counting and recounting.
  • Categorizing objects or arranging things in a particular order.
  • Iterating words spoken by oneself or others.
  • Repeatedly posing the same questions.
  • Persistently using offensive language or making vulgar gestures.
  • Reciting sounds, words, numbers, or music to oneself repeatedly. 

These actions are typically done multiple times in one day, enough to disturb and interfere with one’s everyday life. 

Camp Courage

Your child deserves the best quality care possible to them, and at Thrive we’ve developed a program specifically designed for children struggling with OCD. Camp Courage for children and adolescents with OCD are specialized and intensive, aiming to immerse patients, their families, and support systems in a comprehensive treatment experience. The objective of these programs is to equip patients and their support systems with the necessary tools and assistance to establish a path towards lasting recovery. 

Read more about our program and how to sign up.  

About Megan Meaney

Megan Meaney earned both a bachelor’s degree in social work (BSW) and a master’s degree in social work (MSW) at Roberts Wesleyan College in New York. As a therapist at Thrive Wellness Reno, she provides play therapy and outpatient therapy for children and adults dealing with obsessive-compulsive disorder (OCD), perinatal mood and anxiety disorders (PMADs), and perinatal loss and grief, among other mental and behavioral struggles. Megan loves the career path she’s chosen as she finds fulfillment in fostering healing in a safe and supportive environment. She believes we aren’t meant to move through our lives alone and enjoys lifting others up as she actively listens to what clients are going through and provides an outside perspective on how to process their experiences and emotions.

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December 2, 2025
Like the fir tree, a symbol of endurance rooted in hope, our Family Inclusive Recovery (FIR) approach reflects the strength that grows when families face challenges together. At our new residential center “The Greenhouse”, FIR is more than a treatment model, it’s a philosophy of healing that places families at the heart of recovery for adolescents and young adults navigating eating disorders, anxiety disorders, and obsessive-compulsive disorder (OCD). We believe lasting healing doesn’t happen in isolation; it’s built with the support of families through perseverance, hope, and compassionate care. What Is Family Inclusive Recovery (FIR)? Family Intensive Recovery (FIR) is a specialized and immersive approach that actively engages caregivers as central agents in their child’s healing process. Rather than seeing families as contributors to a problem, we view them as essential partners in recovery. Drawing from two evidence-based frameworks, Supportive Parenting for Anxious Childhood Emotions (SPACE) and Family-Based Treatment (FBT), FIR helps families cultivate resilience, confidence, and connection throughout the journey to recovery. Grounded in SPACE and FBT Through the SPACE model, parents learn how to recognize and reduce well-intentioned but unhelpful behaviors known as accommodations that can reinforce anxiety and OCD symptoms. By shifting from rescuing to supporting and challenging, parents develop the confidence to guide their child through discomfort, helping them build distress tolerance and self-trust. Simultaneously, Family-Based Treatment (FBT) empowers families to take an active, compassionate role in their child’s nutritional and emotional recovery. Parents learn how to support weight and nutritional restoration, disrupt the eating disorder’s patterns, and reestablish boundaries that promote health and growing autonomy. Together, these approaches strengthen both the individual and family system, allowing recovery to take root within an environment of empathy and optimism. From Blame to Collaboration A cornerstone of the FIR model is removing blame. At Thrive, parents are not viewed as the cause of their child’s struggles, but rather as key partners in recovery. Treatment focuses on joining forces to create a safe, supportive environment where: Families learn to sit with their child's discomfort alongside them without rushing to fix or control it. Parents practice compassionate firmness, setting boundaries grounded in care and safety. Teens and caregivers rebuild trust through open, honest communication. This collaborative framework helps families reestablish a sense of connection and confidence, fostering long-term resilience and open communication that extends beyond the treatment setting. Why Family Matters in Recovery Recovery from eating disorders, OCD, or anxiety isn’t a one-person job, it requires integrated care including the family. When families learn to navigate challenges together, they can model emotional regulation, reinforce healthy boundaries, and create conditions for sustained recovery. Through FIR, we aim to strengthen attachment bonds, reshape family interactions, and empower every member of the family to grow. The result is not only symptom reduction but also a deeper sense of unity, hope, and shared endurance, just like the steadfast fir tree that stands resilient through every season. Moving Toward Hope Family Inclusive Recovery invites caregivers and loved ones to become active participants in change. It’s a journey of learning, letting go, and leaning into love and acceptance. Together, families and clinicians can cultivate the courage in clients to face uncertainty, and in doing so, help them discover that recovery is not just possible, but enduring. If you’d like to learn more about Family Intensive Recovery at The Greenhouse or how we support families in eating disorder and OCD treatment, reach out to our team today.
November 14, 2025
The Greenhouse at Thrive Wellness A New Chapter of Hope and Healing in Nevada On Friday, November 14 , we gathered with our partners at Molina Healthcare to share an important moment for our community. Together, we celebrated Molina’s generous $50,000 grant , an investment that is helping bring The Greenhouse to life. Their support is not only a financial contribution—it’s a statement of belief in the young people and families of Nevada who deserve access to compassionate, evidence-based mental healthcare close to home. This gathering marked the beginning of something we’ve dreamed about for years: a place designed specifically for adolescents and emerging adults to receive the care, connection, and support they need during some of the most vulnerable moments of their lives. Something New Is Growing In early 2026 , Thrive Wellness will open The Greenhouse , Nevada’s first residential treatment center devoted to adolescents and emerging adults navigating eating disorders, anxiety, and OCD . For too long, families have faced a heartbreaking dilemma—send their child far from home for treatment or go without the specialized care they need. The Greenhouse is our answer to that gap. It will be a place where young people can settle into an environment built for healing, where they are understood, supported, and surrounded by a team that believes in their capacity to recover. The Greenhouse represents a natural extension of our mission. It’s a living expression of our belief that recovery is possible—and that with the right support, families can find their footing again. 
November 11, 2025
Are you looking for a meaningful way to give back this holiday season? Thrive Wellness is excited to continue our 6th Annual Giving Tree Program in collaboration with Perenn Bakery this winter. This year, Thrive Wellness Reno and Perenn Bakery are proud to partner with Ronald McDonald House Charities® of Northern Nevada. The organization supports families with children receiving treatment at area hospitals, providing comfort, hope, and a home-away-from-home during challenging times. Ronald McDonald House Charities offers essential services, removes barriers, strengthens families, and promotes healing when children need healthcare the most. How It Works Simply take one (or a few) tags from the Giving Tree, each listing an item you can purchase and donate for residents of the Ronald McDonald House. Then, drop off your item(s) at one of our designated donation locations by Friday, December 19. Items Needed: Restaurant gift cards Walmart or Target gift cards Games, puzzles, and coloring books Toys (Barbie, Hot Wheels, Lego sets, craft sets, magnet blocks, baby dolls, action figures, journals, infant toys, etc.) Children's books (picture, chapter, and graphic novels) Toiletry sets (for adults) Lotion/self-care gift sets (for adults) Sweatshirts/hoodies (adults, XS-XXL) Scarves, gloves, fuzzy socks, pajamas (all sizes) Infant diapers, onesies, and baby bottles Bulk individually wrapped snacks (granola bars, chips, etc.) Please ensure all donations are new, in original packaging, and unwrapped. Donation Drop-Off Locations Please deliver donations by Friday, December 19, to one of the following sites: Thrive Wellness 201 W Liberty St., Suite 201, Reno, NV 89501 Perenn Grocery 7600 Rancharrah Pkwy, Suite 130, Reno, NV 89511 The first 50 people to return their donations will receive a complimentary ornament gift!  Why We Give Back Through our Giving Tree program, we’re honoring one of our core values at Thrive Wellness: staying rooted in community. This annual tradition allows us to give back to those who need support most during the holiday season. We invite you to join us by taking a tag at any Thrive or Perenn location and helping spread kindness throughout our community. There’s no better way to embrace the holiday spirit than by supporting local families with thoughtful, heartfelt donations. We are deeply grateful for your generosity and continued support. Thank you for helping us make a difference!
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