Pediatric OCD & Anxiety

You’re here because you’re worrying about your child.

Maybe you’ve spent months (or event years) trying to figure out what’s going on. You’ve talked to teachers, consulted pediatricians, read books, searched Google at midnight, and replayed the same questions over and over in your mind:

Is this anxiety?
Is this OCD?
Am I missing something?
How do I help my kid feel better?

You may have noticed your child becoming increasingly anxious, rigid, or distressed. Bedtime routines that once seemed a bit quirky now take hours. Simple transitions lead to tears or meltdowns. Reassurance-seeking has become a constant part of family life.

“Will something bad happen to you?”
“Am I a bad person?”
“What if I get sick?”
“What if I hurt someone?”

“Is every mad at me?”
“Will I throw up?

Maybe your child is avoiding school, struggling with friendships, spending excessive time getting ready, washing, checking, confessing, or seeking reassurance.

Perhaps your family has slowly started rearranging daily life around anxiety, OCD, or fear without even realizing it.

And if you’re being honest with yourself, you’re exhausted and not sure how to go on.

When Age-Appropriate Anxiety Becomes Something More

All children worry sometimes. They get nervous about new experiences, friendships, school, sports, and life’s inevitable challenges.

OCD and anxiety disorders are different.

These conditions often demand attention around the clock. They convince children that danger is everywhere and that uncomfortable feelings must be avoided at all costs. Over time, life can start to revolve around managing fear rather than truly living.

For children with OCD, intrusive thoughts can become relentless. To reduce the distress these thoughts create, they may engage in compulsions such as checking, washing, confessing, seeking reassurance, mentally reviewing events, repeating behaviors, or avoiding situations that trigger anxiety.

What begins as an attempt to feel better often becomes a cycle that keeps them stuck.

OCD Doesn’t Just Affect Your Child

…It affects the entire family.

Many parents tell me they feel like their home has been taken hostage by anxiety or OCD. Conversations become dominated by reassurance. Family plans revolve around avoiding triggers. Siblings are impacted. Marriages feel strained. Everyone is walking on eggshells trying to prevent the next meltdown.

You love your child deeply, which is exactly why this is so hard.

Most parents are not accommodating because they don’t know better. They’re accommodating because they’re trying to help. They’re trying to reduce suffering. They’re trying to make it through the day.

The problem is that anxiety and OCD are rarely satisfied for long, and accommodating your child’s anxiety is probably making it worse.

There Is Hope!

One of the most rewarding parts of my work is watching families realize that things do not have to stay this way.

Anxiety and OCD are highly treatable. We know a tremendous amount about how these conditions operate, and we have effective, evidence-based treatments that help children and families reclaim their lives.

I’ve watched children return to school, families reclaim parts of life they thought were lost, and parents finally exhale after years of living in crisis mode.

Recovery is possible, and I’d be honored to help your family get there.

I don’t just work with your child—I work with you.

Parents are an essential part of treatment.

In fact, some of the most meaningful progress happens when parents begin to understand how anxiety and OCD operate and learn how to respond differently.

Together, we’ll develop a clear plan to reduce reassurance-seeking, scale back accommodations, and help your child build confidence in their ability to tolerate hard feelings. I’ll help you understand what is helping, what is unintentionally keeping the cycle going, and how to support your child without becoming trapped by anxiety yourself.

Perhaps most importantly, I’ll help carry some of the weight you’ve been carrying alone.

You don’t have to figure this out by yourself anymore.

You’ve already been trying hard.

Most parents who find their way to my office have already tried everything they can think of.

You’ve explained.
You’ve reassured.
You’ve reasoned.
You’ve negotiated.
You’ve accommodated.
You’ve researched.

You’re not here because you haven’t been trying hard enough.

You’re here because anxiety and OCD require a different approach.

Not sure what your child needs yet? I’ll walk you through each option.

1. Ongoing Therapy for Children, Teens & Families

Depending on your child’s age, developmental level, motivation for therapy, and family needs, there are two primary treatment pathways I offer.

Child & Parent Therapy (Ages 10+): Exposure and Response Prevention (ERP)

For older children, teens, and adolescents who are willing and able to participate in therapy, I provide Exposure and Response Prevention (ERP), the gold-standard treatment for OCD and one of the most effective treatments available for anxiety disorders and phobias.

ERP helps children learn that they can handle uncomfortable thoughts, feelings, physical sensations, and uncertainty without relying on avoidance, compulsions, or constant reassurance. Together, we identify the patterns that anxiety or OCD has created and gradually practice responding differently.

Despite the intimidating name, ERP is not about forcing children into overwhelming situations. It is a structured, collaborative process that helps children build confidence one step at a time. Rather than waiting until they feel brave enough to do something, children learn that bravery often comes first, and confidence follows.

Parents play an important role in ERP treatment. We work together to understand how anxiety and OCD operate, reduce accommodations and reassurance-seeking, and create a consistent plan that supports your child’s progress at home.

This option is generally the best fit for children ages 10 and older who are able to participate actively in treatment sessions.

Parent Coaching: SPACE Treatment

Not every child is ready, willing, or able to participate in therapy.

For younger children, children who refuse treatment, or families who would prefer to focus on changing the home environment first, I also offer SPACE (Supportive Parenting for Anxious Childhood Emotions), a research-supported parent coaching model developed at Yale University.

Unlike traditional therapy, SPACE works directly with parents and does not require the child to attend sessions.

Through SPACE, we focus on helping parents respond differently to anxiety and OCD. Together, we create a structured plan to gradually reduce accommodations and reassurance while communicating confidence in your child’s ability to handle difficult situations.

One of the most powerful aspects of SPACE is that parents do not have to wait for their child to be motivated for treatment before making meaningful changes. As parents shift their responses to anxiety, children often experience significant improvements in symptoms, independence, confidence, and overall functioning.

SPACE is often an excellent option for:

• Younger children

• Children who refuse therapy

• Children who are highly resistant to treatment

• Families seeking additional support alongside their child’s therapy

• Parents who want practical tools they can begin using immediately

👉 Click here to inquire about ongoing therapy services:

2. Pediatric OCD, Anxiety & Neuroimmune Diagnostic Consultation

Many families come to me because they know something isn’t right, but they’re not sure what they’re looking at—or what to do next.

Perhaps your child has developed OCD, anxiety, ARFID, school refusal, intrusive thoughts, emotional outbursts, or severe reassurance-seeking. Maybe you’ve received conflicting opinions from providers, or you’re wondering whether developmental, educational, medical, or neuroimmune factors could be contributing to what you’re seeing.

This 90-minute diagnostic consultation is designed to help families move from confusion and uncertainty to clarity and a concrete plan.

One of the unique aspects of my practice is my specialization in OCD, anxiety, and neuroimmune-related mental health presentations, including PANS/PANDAS. While I do not diagnose or medically treat PANS/PANDAS, I am trained to recognize symptom patterns that may warrant further medical evaluation and can help families understand appropriate referrals, assessments, and next steps.

What the Evaluation Includes

The evaluation is designed to provide diagnostic clarification, identify contributing factors, and develop personalized recommendations for treatment and support.

This may include:

• Assessment of OCD, anxiety, ARFID, and related concerns

• Review of developmental, educational, social, family, and medical history

• Screening for potential neuroimmune red flags and atypical symptom presentations

• Review of symptom onset, severity, and functional impact

• Structured assessment measures, including tools such as the CY-BOCS, PANS-31, and other anxiety-related assessments when clinically indicated

• Discussion of school concerns, accommodations, and educational supports

• A copy of my 65-page Parent’s Guide to PANS/PANDAS (when applicable)

Within approximately two weeks, you will receive a comprehensive written report summarizing findings, diagnostic impressions, recommendations, referrals, and next steps.

Many families share this report with pediatricians, therapists, psychiatrists, school personnel, and other members of their child’s treatment team. My goal is for you to leave the process with a clearer understanding of what’s happening and a roadmap for moving forward.

A Note About PANS/PANDAS

Most children evaluated through this service have traditional OCD and anxiety presentations. However, some children demonstrate symptom patterns that raise questions about possible medical contributors, such as sudden symptom onset, dramatic behavioral changes, restrictive eating, urinary symptoms, regression, or episodic symptom flares.

When clinically relevant, I screen for neuroimmune red flags and provide recommendations for further medical evaluation. Please note that this service does not provide a medical diagnosis of PANS or PANDAS. PANS is a diagnosis of exclusion that requires comprehensive medical assessment by a qualified physician. My role is to help identify concerns that may warrant additional evaluation and connect families with appropriate resources and referrals.

Following the Evaluation

Depending on the findings, recommendations may include:

• Ongoing ERP therapy

• SPACE parent coaching

• Referral to an OCD or anxiety specialist

• School accommodations and educational supports

• Psychiatric consultation

• Psychological or neurodevelopmental testing

• Medical evaluation for neuroimmune concerns

• Coordination with your child’s existing treatment team

Whether ongoing treatment with me is the best fit or another provider better meets your family’s needs, you will leave with a clear understanding of your options and practical next steps.

Investment

90-Minute Evaluation + Comprehensive Written Report: $475

90-Minute Evaluation (No Written Report): $375

👉 Use my booking link here to schedule a diagnostic consultation:


Let’s start a conversation.

Please submit all therapy inquiries using the form below. I make every effort to respond to all messages within two business days. If my schedule is full, I’m happy to help connect you with another therapist who can support you. Before submitting your inquiry, please take a moment to review my FAQ page so you have a clear understanding of the services I offer and the associated fees.
I look forward to supporting you!

Additional resources for pediatric OCD (handouts, books, podcasts, etc.)

Barb’s monthly OCD & Anxiety Blog