OCD Treatment for Teens and Young Adults

Obsessive-compulsive disorder (OCD) is a serious mental health condition that is typically diagnosed in adolescence. It can cause extreme distress and interfere with every aspect of a young person’s daily life.

To achieve long-term healing from OCD, young people need treatment that provides relief from obsessions and compulsions, while addressing underlying causes and co-occurring mental health conditions. Without this full-spectrum care, young people are vulnerable to relapse.  

Newport Healthcare’s specialized OCD treatment incorporates Exposure and Response Prevention (ERP) therapy, considered the gold standard of care for OCD. Clients’ treatment plans also include psychiatric care, medication management, other evidence-based modalities (such as EMDR and Attachment-Based Family Therapy), experiential activities, and academics/life skills education.

A teen or young adult with OCD may obsess over things many of their peers also worry about, such as embarrassing themselves at a party, failing a final exam, or being abandoned by a romantic partner or friend.

But for young people with OCD, the intensity and frequency of the obsessive thoughts are much more extreme.

Common OCD obsessions include:

  • Fear of being unsafe or getting sick
  • Aversion to germs or dirt
  • Taboo thoughts about sex and violence
  • Aggressive thoughts toward oneself or other people
  • Worrying about your or a loved one’s safety
  • Concern about environmental contaminants, such as asbestos
  • Obsession with household chemicals, such as cleaners and solvents
  • Being afraid they will blurt out obscenities or insults
  • The need to have objects arranged in a particular way
  • Dread of hurting someone by accident
  • Inability to discard useless or worn-out possessions

People with OCD engage in compulsions as a way to prevent the feared outcome from occurring. They may feel brief periods of relief after performing these rituals, but they receive no pleasure from the compulsive behaviors.

In general, OCD compulsions fall into one of four types of OCD behaviors: checking, contamination/mental contamination, hoarding, and rumination/intrusive thoughts.

Examples include:

  • Repeatedly checking switches and locks—e.g. that a door is locked or oven is off
  • Checking one’s physical condition or body parts again and again
  • Rereading or rewriting assignments or other work
  • Repeating routine activities, such as going in and out of a door
  • Excessive handwashing
  • Arranging and ordering things in a very specific way, such as eating foods in a specific order
  • Repetitive cleaning of things or of oneself
  • Compulsive counting
  • Doing tasks in multiples, such as opening a door or closing a door three times

Research shows that young people who have experienced childhood trauma, such as physical abuse, sexual abuse, or the loss of a parent, have a higher risk of developing OCD.

According to the National Institute of Mental Health, individuals whose parents or other family members suffer from OCD are more likely to develop the disorder.

Research shows that OCD may be linked to abnormal structures or function in the frontal cortex and subcortical areas of the brain.

If OCD compulsions and obsessions begin to interfere in your life or the life of someone you care about, talk to a doctor or a mental health professional. Your family doctor may be a good place to start.

Symptoms of OCD in teens and young adults likely won’t get better on their own—and they may get worse or lead to other problems if untreated. Because OCD is so distressing, it creates a higher risk of anxiety, depression, and suicidal thoughts.

If you or a loved one has any of the OCD obsessions or compulsions listed above, a full assessment by a mental health professional is the first step to take. An assessment will likely include the following exams and tests to inform a comprehensive diagnosis:

The doctor may do a physical exam and ask in-depth questions about the patient’s health to determine what may be causing OCD. In some cases, OCD symptoms may be linked to a medical issue, like PANDAS.

A doctor may conduct a blood test called a complete blood count, or test to rule out physiological or hormonal issues that might cause obsessive-compulsive symptoms.

A doctor or mental health professional may inquire about your thoughts, feelings, and behavior, or give you a questionnaire to fill out, to gauge the severity of the symptoms.

Obsessive-compulsive disorder is often accompanied by a range of other conditions that commonly occur alongside OCD, called OCD spectrum disorders. Therefore, Newport Healthcare’s teen and young adult OCD treatment addresses the following disorders alongside OCD:

  • Generalized anxiety disorder
  • Social anxiety
  • Body-focused repetitive behaviors: dermatillomania (skin picking) and trichotillomania (hair pulling)
  • Specific phobias
  • Panic disorder
  • Body dysmorphia
  • Misophonia—extreme sensitivity to sounds, such as chewing, tapping, etc.

Multidisciplinary care to create long-term healing

  • Exposure and Responsive Prevention (ERP) therapy: 4.5 hours of ERP therapy each day, five days a week, in both group and individual formats, plus daily homework
  • Psychiatric care and medication management
  • Cognitive Behavioral Therapy to help address both the underlying causes and the symptoms of OCD
  • Attachment-Based Family Therapy, so families can learn how to support their loved one without unintentionally reinforcing their obsessive patterns
  • Mindfulness and meditation to help balance the nervous system, including yoga and reflection exercises
  • Creative art therapies, including music therapy and art therapy, to enhance self-expression and process trauma related to or underlying depression
  • Adventure therapy to empower young people to handle challenges and master new skills
  • Community service, as doing good for others is proven to increase life satisfaction and well-being
  • Accredited academic component for teens, and assistance with college applications and admission 
  • Support with career planning, resume building, and planning next steps
  • Life skills training, including daily skills for independent living  
  • Executive functioning support, to enhance emotional regulation, organization skills, and self-awareness 

Newport Healthcare’s specialized residential OCD programs for ages 12–18 and 18–35 are located in California and Virginia. We also offer an OCD treatment track for young adults at our outpatient location in Connecticut. Our telehealth OCD program includes individual ERP sessions, group therapy, and psychiatric care.

In addition to our specialized programs, we provide care for anxiety and OCD at our locations across the country. Our programs are located in Northern and Southern California, Connecticut, Maryland, Minnesota, Pennsylvania, Utah, Virginia, Washington State, Utah, and Wisconsin.