Understanding OCD's Impact on Children with ADHD

Obsessive-Compulsive Disorder (OCD) is often misunderstood, especially in children with ADHD. Many believe it primarily involves fears of germs and rituals like excessive hand washing, but the reality is that it often manifests as avoidance behaviors, such as school refusal driven by anxiety about peer rejection. Studies show that approximately 25% of children with OCD also have ADHD, creating a complex overlap of symptoms that can confuse parents and educators alike. Recognizing the accurate presentation of OCD, which may include themes like harm, perfectionism, or social fears, is essential for targeted intervention.