Abstract
Adequately addressing OCD is important to developmentally appropriate functioning for children and adolescents. Research has demonstrated that moderate to severe pediatric OCD is amenable to treatment combining exposure response prevention in combination with SSRIs. Although outpatient treatment may be sufficient, several variables play a role in determining whether children require higher levels of care to address OCD symptoms, including specific symptoms, symptom severity, availability of evidence-based treatment, family accommodation, impact on activities of daily living, and comorbid disorders. Equally important in these higher levels of care is addressing family accommodation, which has been identified as a predictor of treatment-refractory OCD in children.
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