Therapy Session with OCD: How to Handle Mental Compulsions Mental compulsions are some of OCD’s sneakiest tricks. They don’t look dramatic. They don’t always involve washing or checking. Sometimes they’re just thoughts… responding to thoughts. Repeating a phrase. Mentally reviewing. Silently checking. Neutralizing. Reassuring yourself in your own head. And because they happen so fast, kids often don’t even realize they’re doing them. OCD loves that. The goal isn’t perfection. It’s interruption.
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Things kids with OCD do that parents might not notice Not all OCD is loud. A lot of it shows up quietly, woven into daily routines in ways that look harmless or “just a habit.” Things like: • Using clothing to avoid touching surfaces • Needing objects to stay in the exact same spot • Checking the trash “just in case” • Opening and closing lids until they feel right • Balancing movements on both sides of the body • Going through toilet paper and soap much faster than expected These behaviors ofte
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This is why it takes kids with OCD so long to get ready Mornings with a child who has OCD can feel impossible. You’re rushing, they’re stuck, and it looks like they’re “taking forever,” but what’s really happening is a constant stream of doubt, fear, and mental compulsions you can’t see. It’s not defiance. It’s not laziness. It’s OCD turning every small step into a roadblock. Brushing teeth that doesn’t “feel right.” Rewashing hands after touching something “contaminated.” Changing clothes becau
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