skip to Main Content

Understanding and Addressing Intrusive Thoughts in Children: A Compassionate Approach

When children express what they perceive as “bad thoughts,” it can be an understandably distressing experience for both them and their parents. These troubling thoughts—often blasphemous, sexual, harmful, or taboo in nature—can leave families feeling bewildered and concerned about their child’s mental well-being. However, it’s essential to understand that such thoughts are not uncommon, particularly among children with a predisposition for Obsessive-Compulsive Disorder (OCD).

Examples of Intrusive Thoughts

To frame this discussion, let’s first define what we mean by “bad thoughts.” These might include:

  • Blasphemous thoughts: Thoughts that challenge or mock religious beliefs.
  • Sexual thoughts: Inappropriate or distressing thoughts about sex.
  • Harmful thoughts: Urges or images involving harm to oneself or others.
  • Thoughts about death: Preoccupations with death or dying.
  • Taboo thoughts: Ideas that are socially unacceptable or shocking.

These thoughts are often unwanted and anxiety-provoking, reflecting the intrusive nature that is characteristic of OCD.

What Do Intrusive Thoughts Indicate?

When a child starts to express these types of thoughts, it can signal the onset of OCD, particularly if these thoughts are followed by compulsive behaviors. These behaviors might include:

  • Reassurance seeking: Constantly asking for validation that they are “okay” or “not bad.”
  • Confessing thoughts: Feeling compelled to disclose these thoughts to parents or authority figures.
  • Repetitive actions: Engaging in rituals or other repetitive behaviors as a way to neutralize the anxiety these thoughts produce.

It’s worth noting that the typical onset of OCD symptoms in children is around seven years old. However, it’s crucial to recognize that these intrusive thoughts can also be indicative of other psychological issues such as Generalized Anxiety Disorder (GAD) or other forms of anxiety. For this reason, a thorough evaluation by a highly trained OCD therapist is indispensable.

Importance of Specialized Evaluation

When seeking help, it’s vital to consult with a therapist who has extensive experience in treating OCD. An unqualified or unfamiliar therapist can inadvertently mislead families, causing unnecessary stress and delaying effective treatment. Therefore, identifying a specialist who has seen hundreds of cases of OCD can make all the difference in receiving an accurate diagnosis and appropriate care.

Treatment for Unwanted Thoughts in Children

One of the most effective treatments for children experiencing unwanted intrusive thoughts is Exposure and Response Prevention (ERP) therapy. ERP is regarded as the gold standard in OCD treatment and involves gradually exposing the child to the source of their anxiety while preventing the compulsive behavior that typically follows. This method helps children build resilience and develop a healthier relationship with their thoughts.

In addition to ERP, parent training by a skilled OCD therapist can be incredibly beneficial. This training equips parents with the tools they need to support their child’s therapeutic journey effectively.


The good news is that effective help is available. With the right treatment plan, children can learn to manage their intrusive thoughts, leading to significant improvements in their quality of life. ERP, in particular, equips children with a skill set that not only addresses their current challenges but also provides lifelong strategies for managing anxiety and intrusive thoughts.

In conclusion, while it can be alarming for parents to hear their children articulate troubling thoughts, it is important to approach the situation with compassion and informed action. By seeking specialized care and understanding the nature of these thoughts, families can navigate this challenging terrain effectively, providing their children with the tools they need to thrive.

What To Do?

If you suspect your child may be experiencing symptoms of OCD or intrusive thoughts, we highly recommend scheduling a consultation with a qualified OCD specialist. Early intervention and the right treatment can make a world of difference. Remember, you are not alone in this journey, and there is hope for your child to lead a fulfilling and healthy life. Let us come together as a community to support our children’s mental health and well-being. So, do not hesitate to reach out for help if you need it. With the right support and guidance, we can help our children overcome their intrusive thoughts and thrive. Let us continue to advocate for mental health awareness and break the stigma surrounding OCD and other related disorders. Together, we can create a more understanding and accepting society for our children to grow up in. Thank you for taking the time to learn about OCD and intrusive thoughts in children, and we hope this information has been helpful. Keep spreading knowledge, compassion, and support for mental health. Remember, every child deserves a chance at a happy and healthy life. Let’s make it happen. So don’t wait any longer, take the first step towards helping your child today. Seek help from professionals, educate yourself and others about OCD, and most importantly, be there for your child with love, understanding, and patience.

Finding the Right Help

To ensure your child receives the best possible care, it is crucial to seek out a professional who specializes in OCD treatment. Look for therapists with a proven track record and significant experience in treating pediatric OCD. This expertise ensures that your child is evaluated and treated with the nuanced understanding that OCD demands. Additionally, you want to seek out a therapist who utilizes evidence-based treatment methods such as cognitive-behavioral therapy (CBT) or exposure and response prevention (ERP). These approaches have been shown to be effective in managing OCD symptoms in children. At GroundWork in Orlando, we’re pleased to offer Child OCD therapy that is truly specialized, and provided by experts in the OCD field.

Ready To Make A Change?

GroundWork is proud to offer both in-person &
virtual Telehealth appointments.

In-Person Sessions: Central Florida
Virtual Sessions: Florida, Maine, South Carolina, Montana, Vermont



Contact our office via phone, or complete a call back request online with a time thats best for you



We learn about your goals and struggles, and match you with a specialized therapist



Whether in person or virtual, you’ll start meeting with a specialized therapist to make lasting change



CBT and ERP are goal-oriented and solution focused; it doesn’t take long to notice big changes

Professional Affiliations

Request A Call Back

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Contact Us & Location
GroundWork Cognitive Behavioral Therapy
341 N Maitland Ave #330
Maitland, FL 32751


411 Congress St #3292
Portland, ME 04101

Burlington, VT 05043

Virtual & In-Person Appointments

Virtual / Telehealth appointments available for individuals residing in: Florida, Maine, Vermont, South Carolina & Montana

In-person appointments available in Central Florida. By appointment only.

Back To Top