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How to Help a Child With OCD At Home: Guidance for UK Parents

Obsessive-Compulsive Disorder (OCD) affects many children across the United Kingdom, with a prevalence of 0.25% in those between 5-15 years old. OCD causes distressing thoughts and repetitive behaviours that can disrupt their daily lives.

As parents, it is crucial to understand how to provide effective support and help for your child with OCD at home. By creating a nurturing and understanding environment, implementing appropriate strategies, and seeking professional help when needed, you can play a significant role in helping your child manage their OCD symptoms and improve their overall well-being. This piece will explore some of the healthy mechanisms to apply when supporting your child with OCD within your home environment.

How to Help a Child with OCD at Home: 8 Expert Tips

1. Educate Yourself About OCD

The first step in supporting your child with OCD is to educate yourself about the disorder. It is important to gain a comprehensive understanding of what OCD is, its symptoms, and how it may manifest in children. There are various online resources, books, and support groups that can provide valuable information and insights. When assessing OCD, the DSM-V criteria are used and this is accessible to the public to see a list of symptoms. By becoming well-informed, you can better empathise with your child and provide appropriate support. It is also important to minimise any negative stereotypes that may be present around OCD and support your child with a non-judgmental approach.

2. Open Communication

Maintaining open and honest communication with your child is crucial. Encourage them to express their feelings, thoughts, and concerns about their OCD. Create a safe space where they feel comfortable discussing their experiences. Active listening and empathy are essential during these conversations, as they help your child feel understood and validated. One suggestion is prioritising some time per week where a child can share how their OCD has been making them feel, or encouraging them to keep a diary based on their experiences.

3. Establish a Routine

Children with OCD often benefit from having a structured routine at home. Establish a consistent daily schedule that includes regular meal times, study periods, playtime, and relaxation activities. A predictable routine can reduce anxiety and provide a sense of security for your child. With a set routine, there is less variable time available to increase a child’s uncertainty within their day which could potentially lead to increased OCD symptoms. Ensure that the routine accommodates their needs while still allowing flexibility when necessary, and make sure they are aware of any changes to this routine to allow them to mentally prepare.

4. Encourage Healthy Coping Mechanisms

Help your child develop healthy coping mechanisms to manage their OCD symptoms. Teach them relaxation techniques such as deep breathing exercises or mindfulness meditation to reduce anxiety. There are various resources online targeted at mindfulness activities for children, such as YouTube videos or online articles (e.g. https://www.mindful.org/mindfulness-for-kids/). Encourage engaging in physical activities they enjoy, as exercise can have a positive impact on mental well-being. Creative outlets like drawing, writing, or playing a musical instrument can also serve as effective distractions from obsessions and compulsions.

5. Break Tasks Into Manageable Steps

Large tasks or overwhelming situations can trigger anxiety in children with OCD. Break down tasks into smaller, manageable steps to make them less daunting. Encourage your child to focus on one step at a time, celebrating each accomplishment along the way. This approach helps your child build confidence and avoid becoming overwhelmed by the enormity of a task.

6. Avoid Enabling Rituals

While it may be tempting to assist your child in completing their rituals or compulsions, doing so can reinforce their OCD behaviour. Avoid enabling their rituals by gently encouraging them to challenge their compulsions. Provide support, reassurance, and understanding while gradually helping them reduce their reliance on these rituals. It is important to find a balance between support and not reinforcing their OCD behaviours.

7. Collaborate with Professionals

Seeking professional help is an important factor for managing OCD in children. Collaborate with healthcare professionals, such as paediatricians, therapists, or child psychologists and psychiatrists experienced in treating OCD. They can provide accurate diagnoses, develop appropriate treatment plans, and offer guidance tailored to your child’s specific needs. Collaborating with professionals ensures that your child receives the best possible care and support. The most common form of therapeutic input is Cognitive-Behavioural Therapy (CBT), a therapy designed to challenge the negative beliefs that a child has about their obsessions and compulsions, and reframe them to remove the importance of these beliefs.

8. Include Siblings

Involving siblings in supporting a child with OCD at home can be highly beneficial for both the OCD child and their siblings. It is important to educate siblings about OCD, helping them understand the nature of the disorder and its impact on their siblings. This knowledge fosters empathy, patience, and tolerance towards their sibling’s behaviours and rituals. Siblings can actively participate in creating a supportive environment by offering reassurance, understanding, and encouragement. They can also assist in maintaining a structured routine under the guidance of parents and professionals. Involving siblings in family therapy sessions or support groups allows them to learn effective strategies to support their siblings and provides them with a space to express their own concerns. Through involvement, siblings develop stronger bonds, empathy, and a sense of unity within the family. It also promotes a supportive and inclusive atmosphere, where the OCD child feels understood and accepted by their siblings, which can significantly contribute to their overall mental health.


To Conclude

Supporting a child with OCD at home offers numerous benefits that positively impact their well-being and overall quality of life. By providing a supportive and understanding environment, parents create a sense of safety and acceptance for their child. This fosters trust and open communication, allowing the child to express their thoughts and feelings freely. Additionally, helping a child with OCD at home allows parents to actively participate in their treatment journey, leading to a stronger bond between parent and child.

By implementing practical strategies and encouraging healthy coping mechanisms, parents can empower their child to develop effective skills for managing their OCD symptoms. Overall, supporting a child with OCD at home not only aids in symptom management but also strengthens familial relationships and promotes the child’s overall well-being.

FAQs – Obsessive-Compulsive Disorder (OCD) in Children:

What are the common symptoms of OCD in children?

Common symptoms of OCD in children may include excessive fear of germs or contamination, excessive need for symmetry or order, fears about their health, intrusive and distressing thoughts, repetitive checking behaviors, excessive reassurance-seeking, and a strong need for rituals or compulsions.

How can I differentiate between normal childhood worries and OCD?

Normal childhood worries are typically short-lived and do not significantly interfere with daily functioning. In contrast, OCD involves persistent and distressing thoughts and behaviors that consume a significant amount of time and disrupt the child’s daily life. If you notice that your child’s worries and rituals are excessive, time-consuming, and cause significant distress or impairment, it is important to consult with a healthcare professional for a proper diagnosis.

Are there any self-help techniques that parents can use to help a child with OCD at home?

Parents can use several self-help techniques to support and help their child with OCD at home. These techniques include providing a supportive and understanding environment, implementing a structured routine, encouraging healthy coping mechanisms such as relaxation exercises and physical activities, breaking tasks into manageable steps, and avoiding enabling rituals.

Is professional therapy necessary for treating child OCD?

Professional therapy, such as cognitive-behavioral therapy (CBT), is considered the gold standard treatment for child OCD. Therapy helps children learn effective coping strategies, challenge their obsessive thoughts, and gradually reduce their compulsions. In more severe cases, medication may also be recommended. It is crucial to involve healthcare professionals experienced in treating OCD to develop an individualized treatment plan for your child.

How long does it typically take to see improvements with treatment?

The duration to see improvements with treatment for child OCD varies from child to child. Some children may respond well to treatment within a few months, while others may require longer. Consistency, adherence to therapy, and the severity of symptoms can all influence the timeline for improvement. It is important to be patient and work closely with healthcare professionals to monitor progress and make adjustments to the treatment plan as necessary.

Are there any support groups or helplines available to help a child with OCD at home in the UK?

Yes, there are support groups and helplines available for parents in the UK who have children with OCD. Organizations such as OCD-UK (www.ocduk.org) provide resources, support groups, and helpline services specifically tailored to parents and families affected by OCD. Support groups on Facebook can also be useful, where parents can share their experiences and seek advice from others who are facing similar challenges.