Skip to main content
OCD in Children & Young People
🔄
Parents & carers

OCD at school: support and accommodations

What schools can do to help pupils with OCD, and when to involve the SENCO or request an EHCP.

5 min read

How OCD affects school

Children with OCD may struggle with:

  • Getting to school – rituals before leaving, fear of contamination on transport
  • Writing – rewriting until it is "perfect", erasing holes in paper
  • Tests – checking answers excessively, unable to finish
  • Social situations – fear of germs from others, avoiding shared equipment
  • Uniform and appearance – changing clothes multiple times, checking the mirror
  • Asking for reassurance – "Did I do that right?" repeated many times

What teachers can do

  • Do not rush – allow extra time for tasks that trigger compulsions
  • Reduce triggers where possible – e.g. individual equipment rather than shared supplies
  • Gentle redirection – "I can see you are checking. Let's move on together."
  • Avoid punishment – OCD behaviours are not naughtiness
  • Provide a safe person – a trusted adult to go to when anxious

Exam access arrangements

Pupils with OCD may qualify for:

  • Extra time (for checking and rewriting)
  • A separate room (reduces contamination fears)
  • Supervised rest breaks
  • Use of a word processor (avoids handwriting rituals)

The should apply via JCQ.

When to ask for an

If OCD significantly affects learning or requires specialist support:

  • Section B – social, emotional, and mental health needs
  • Section C – communication and interaction (if reassurance-seeking is severe)
  • Section F – access to a mental health professional in school (e.g. MHST, counsellor)
  • Section F – exam access arrangements
  • Section F – transition support (OCD often spikes at change)

wording example

"[Child] has OCD and experiences contamination fears and checking compulsions. He needs:

  • A trusted adult to support during transitions
  • Access to a calm space when rituals are interrupted
  • Exam access arrangements including extra time and a separate room
  • Regular check-ins with the MHST or school counsellor"

Where to go next

More from OCD in Children & Young People

How we review this content