My daughter who has religious and contamination ocd is asking to be excused from a a family vacation because she will not be able to eat or sleep or do anything. Nor will she be able to sleep in her bed when we return. Should I let her stay with grandma while the rest of the family goes on the trip? Should I make her go with us even though she will be miserable and make her siblings miserable through her behavior? Such a difficult decision! She is 14 years old and refuses to actively participate in therapy. She said she like her life the way it is and is fine with the restrictions she has placed on herself. My thinking is that if she goes and sees how much fun everyone is having she might start to realize she has a problem and cooperate more with treatment. Any suggestions are greatly appreciate! Thank you!

My daughter was just diagnosed with OCD, and is in denial. Her brother is the source of contamination for her. Everything he does, triggers her. She will not be in the same room as him, and it's only getting worse. If you were a child in denial, refusing medication and therapy, what helped you to finally accept help?

My son has Pure O religious/scrupulosity with GAD and Bipolar. My son was diagnosed with Pure O religious OCD two years ago. He has to complete a task so that God doesn’t send him to hell if he doesn’t do it. These tasks are dangerous like doing multiple back flips on concrete, or jumping off balconies three times, doing MMA slams on his back three times. The thoughts are telling him if he doesn’t do this he will go to hell. Or he is so worried about blaspheming the holy spirt and loose his salvation. He knows this is his OCD. He knows the scripture and that God is one of peace and love. Been there and done that on quoting scripture and reminding him he is saved. I can see the torture he is going through and it is painful to watch. He also needs to be stuck next to me at all times cuz it makes him feel safe. This is impeding on my life as I feel I have a toddler again, he is 24 and a former 4 star football player. He wants this to stop, he is in therapy and working on it. He was free from these thoughts from November 2023 till April 2025. He is dealing with narcissistic trauma with his father and this triggers the OCD. My question is what can I do to support and help him through these episodes and not agitate him and to help him heal?

My little sister is 13 we’ve taken her to a child psychologist and she was diagnosed with OCD and social anxiety and I believe germaphobia. The psychologist said that he can’t properly diagnose her with autism until her anxiety symptoms are treated. But I am very positive that she is also autistic as I am autistic and know the symptoms vary well. She was given a medication at a low dose, I don’t remember what kind, she had been taking it even tho she did not want to for a couple of months. It seemed to be helping her anxiety immensely but I believe she is scared of how the medication changes how she feels and she doesn’t like the taste. So they switched medications and that one was even worse because the taste was too strong she didn’t even try it for more than a day so there’s no way of knowing if that one was better for her or not. These are both liquid medications btw we used juice for her to drink it. Since then she hasn’t taken any medication and she has said that she doesn’t want to. We can’t force her to take the medication as that would obviously be counter productive. But since then her ocd and germaphobia have gotten progressively worse. On top of not wanting medication she doesn’t like the idea of using any coping skills like deep breaths or breathing exercises to calm down and doesn’t like the idea when I talk about ERP or therapy or any kind of treatment that could help. It seems all the ideas either make her uncomfortable or scare her. I fear somewhat that my own ocd compulsions have made her think that this is normal and doesn’t need treatment and I don’t know what to do to help understand that treatment and change isn’t scary. I also fear that I’m not approaching this right and my mom doesn’t understand ocd like I do so I feel like it falls on me to help her through this and help my mom understand what we need to do to help her. I’m sorry this is so long. thank you for reading this. She’s really struggling and it’s affecting my own mental health too and I don’t know what to do. If anyone has any tips or advice please that’s all I’m asking for.