371 | OCD Behaviors in Children: What We're Really Treating in CCPT
Thu Feb 05 2026
In this episode, I address a topic I've been getting more and more questions about: children who present with obsessive or compulsive behaviors that mirror OCD. I explain why I feel OCD is often not an appropriate childhood diagnosis and why these behaviors are best understood as manifestations of unmanageable anxiety combined with perfectionism and an intense need for control. When parents come in focused on eliminating specific behaviors, I walk through why that approach misses the heart of the issue and risks placing an agenda on the child that undermines the therapeutic process.
I outline how child-centered play therapy is uniquely suited to this presentation by addressing the underlying anxiety rather than the behaviors themselves. I discuss what these children often look like in the playroom, including rigid, imperative-driven thinking, and how elevating reflective responding—especially feelings—and gently contrasting wants versus reality helps children loosen their grip on control over time. The goal is never to "fix" the rituals, but to relieve the child of the burden of believing they must keep the world from falling apart. When anxiety decreases and emotional vocabulary grows, the behaviors no longer need to exist.
PlayTherapyNow.com is my HUB for everything I do! playtherapynow.com. Sign up for my email newsletter, stay ahead with the latest CCPT CEU courses, personalized coaching opportunities and other opportunities you need to thrive in your CCPT practice. If you click one link in these show notes, this is the one to click!
Topical Playlists! All of the podcasts are now grouped into topical playlists on YouTube. Please go to https://www.youtube.com/kidcounselorbrenna/playlists to view them.
If you would like to ask me questions directly, check out www.ccptcollective.com, where I host two weekly Zoom calls filled with advanced CCPT case studies and session reviews, as well as member Q&A. You can take advantage of the two-week free trial to see if the CCPT Collective is right for you.
Ask Me Questions: Call (813) 812-5525, or email: brenna@thekidcounselor.com
Brenna's CCPT Hub: https://www.playtherapynow.com
CCPT Collective (online community exclusively for CCPTs): https://www.ccptcollective.com
Podcast HQ: https://www.playtherapypodcast.com
APT Approved Play Therapy CE courses: https://childcenteredtraining.com
Facebook: https://facebook.com/playtherapypodcast
Common References:
Cochran, N., Nordling, W., & Cochran, J. (2010). Child-Centered Play Therapy (1st ed.). Wiley.
VanFleet, R., Sywulak, A. E., & Sniscak, C. C. (2010). Child-centered play therapy. Guilford Press.
Landreth, G.L. (2023). Play Therapy: The Art of the Relationship (4th ed.). Routledge.
Landreth, G.L., & Bratton, S.C. (2019). Child-Parent Relationship Therapy (CPRT): An Evidence-Based 10-Session Filial Therapy Model (2nd ed.). Routledge. https://doi.org/10.4324/9781315537948
Benedict, Helen. Themes in Play Therapy. Used with permission to Heartland Play Therapy Institute.
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In this episode, I address a topic I've been getting more and more questions about: children who present with obsessive or compulsive behaviors that mirror OCD. I explain why I feel OCD is often not an appropriate childhood diagnosis and why these behaviors are best understood as manifestations of unmanageable anxiety combined with perfectionism and an intense need for control. When parents come in focused on eliminating specific behaviors, I walk through why that approach misses the heart of the issue and risks placing an agenda on the child that undermines the therapeutic process. I outline how child-centered play therapy is uniquely suited to this presentation by addressing the underlying anxiety rather than the behaviors themselves. I discuss what these children often look like in the playroom, including rigid, imperative-driven thinking, and how elevating reflective responding—especially feelings—and gently contrasting wants versus reality helps children loosen their grip on control over time. The goal is never to "fix" the rituals, but to relieve the child of the burden of believing they must keep the world from falling apart. When anxiety decreases and emotional vocabulary grows, the behaviors no longer need to exist. PlayTherapyNow.com is my HUB for everything I do! playtherapynow.com. Sign up for my email newsletter, stay ahead with the latest CCPT CEU courses, personalized coaching opportunities and other opportunities you need to thrive in your CCPT practice. If you click one link in these show notes, this is the one to click! Topical Playlists! All of the podcasts are now grouped into topical playlists on YouTube. Please go to https://www.youtube.com/kidcounselorbrenna/playlists to view them. If you would like to ask me questions directly, check out www.ccptcollective.com, where I host two weekly Zoom calls filled with advanced CCPT case studies and session reviews, as well as member Q&A. You can take advantage of the two-week free trial to see if the CCPT Collective is right for you. Ask Me Questions: Call (813) 812-5525, or email: brenna@thekidcounselor.com Brenna's CCPT Hub: https://www.playtherapynow.com CCPT Collective (online community exclusively for CCPTs): https://www.ccptcollective.com Podcast HQ: https://www.playtherapypodcast.com APT Approved Play Therapy CE courses: https://childcenteredtraining.com Facebook: https://facebook.com/playtherapypodcast Common References: Cochran, N., Nordling, W., & Cochran, J. (2010). Child-Centered Play Therapy (1st ed.). Wiley. VanFleet, R., Sywulak, A. E., & Sniscak, C. C. (2010). Child-centered play therapy. Guilford Press. Landreth, G.L. (2023). Play Therapy: The Art of the Relationship (4th ed.). Routledge. Landreth, G.L., & Bratton, S.C. (2019). Child-Parent Relationship Therapy (CPRT): An Evidence-Based 10-Session Filial Therapy Model (2nd ed.). Routledge. https://doi.org/10.4324/9781315537948 Benedict, Helen. Themes in Play Therapy. Used with permission to Heartland Play Therapy Institute.