Decision-grade dossier · Generated 2026-05-21

Pediatric OCD
Extraordinary-tier specialists

A defensible shortlist of ten internationally recognized child & adolescent OCD specialists across the United States and Western Europe, evaluated against EB1A-analog criteria: sustained acclaim, elite-association leadership, principal-investigator trial roles, original contribution, high-impact authorship, peer-review judgment, and a critical role at a distinguished institution.

10specialists profiled
4countries
156,768combined Scholar citations
116highest individual h-index

01.The EB1A-analog rubric

USCIS's "Extraordinary Ability" standard for EB-1A immigration requires sustained national or international acclaim demonstrated through at least three of ten regulatory criteria. We adapt that framework to pediatric OCD as a clinical specialty. Inclusion on this shortlist requires meeting at least four of seven adapted criteria with verifiable evidence — institutional faculty pages, IOCDF rosters, ClinicalTrials.gov registrations, journal mastheads, or Google Scholar profiles.

C1

Sustained international acclaim

Named keynote at IOCDF, EABCT, ECNP, AACAP, or BAP in the last 5 years.

C2

Membership in an elite association

IOCDF Scientific & Clinical Advisory Board, ABCT Fellow, ECNP-OCRN steering, WHO ICD-11 OCRD WG, DSM-5 Anxiety/OCRD WG, NICE guideline group, FRCPsych.

C3

Principal Investigator of major pediatric OCD trial

POTS I/II/Jr., NordLOTS, BIP-OCD, registered phase II+ pharmacologic trials.

C4

Original contribution of major significance

Founded a manualized treatment, validated CY-BOCS variants, defined a phenotype (PANS/PANDAS), or drafted diagnostic criteria.

C5

High-impact authorship

h-index ≥ 50 with substantial pediatric OCD focus, or Clarivate Highly Cited Researcher.

C6

Judging the work of others

Editor or associate editor at JAACAP, JCPP, Depression & Anxiety, J Anxiety Disord, JOCRD, BJPsych, CNS Spectrums.

C7

Critical role at a distinguished institution

Founding director, division chief, or endowed chair at Harvard, Yale, UCLA, Penn, Brown, Baylor, Duke, Karolinska, UCL/GOSH, KCL/Maudsley, Aarhus, or peer.

02.The ten specialists

Ranked by aggregate strength on the EB1A-analog rubric and pediatric-OCD relevance. Click any criterion chip with a colored fill to open the verifying source; un-filled chips indicate criteria where verification was unavailable or not met. Geographic spread spans five US regions and four European countries.

#1 Extraordinary · 6/7

Eric A. Storch, PhD

South / Houston, TX · USA

The most prolific pediatric-OCD trialist alive — Vice Chair of Menninger, an endowed chair, 850+ papers, and the validator of half the assessment tools clinicians actually use.

116h-index
56,384total citations
678i10-index

Google Scholar profile →

Eric Storch is Professor and McIngvale Presidential Endowed Chair in the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine, where he serves as Vice Chair and Head of Psychology and co-directs the OCD program with Wayne Goodman (the original CY-BOCS author). Few researchers in any field of psychiatry match Storch's output: over 850 peer-reviewed articles and 14+ books, with a Google Scholar profile cited 55,000+ times.

What matters for a 13-year-old with rigid ritual circuits is not the count but the breadth: Storch led or co-led the validation studies for the pediatric self-report and parent-report CY-BOCS, the family accommodation scales, OCD-in-autism measures, and treatment-resistance metrics. His group at Baylor/Texas Children's runs multiple active NIH and pharma trials in pediatric OCD including PANS/PANDAS work and intensive outpatient protocols. He is a Fulbright Scholar, sits on the IOCDF Scientific & Clinical Advisory Board, and is Associate Editor at the Journal of Obsessive-Compulsive and Related Disorders. For families where comorbid autism, treatment-resistance, or unusual presentations have stalled progress, Storch's program is one of the few US sites running active novel-mechanism trials.

OCD in autism spectrum disordersTreatment-resistant pediatric OCDPANS/PANDASFamily accommodationMisophonia comorbidity
#2 Extraordinary · 5/7

John C. Piacentini, PhD, ABPP

West / Los Angeles, CA · USA

The behavioral therapy half of the original POTS team — co-architect of family-focused CBT for youth OCD, and a past president of the major US child-psychology professional bodies.

107h-index
43,487total citations
344i10-index

Google Scholar profile →

John Piacentini directs the UCLA Child OCD, Anxiety and Tic Disorders Program at the Semel Institute, which is also a Tourette Association of America Center of Excellence. He was a principal investigator on the landmark Pediatric OCD Treatment Study (POTS) — the NIMH-funded multisite RCT that established that combined CBT + sertraline outperforms either alone for youth OCD — and a designer of the family-focused CBT manuals used worldwide.

His credentials read like a tour of the field's gatekeeping bodies: past president of the Society of Clinical Child & Adolescent Psychology (APA Division 53), past president of the American Board of Professional Psychology and American Board of Clinical Child & Adolescent Psychology, Fellow of the APA and the Association for Psychological Science, and a member of the IOCDF Scientific & Clinical Advisory Board. He chairs the Scientific Advisory Board of the TLC Foundation for BFRBs and co-chairs the Tourette Association's behavioral sciences consortium. With 300+ peer-reviewed papers and nine books — including the most widely-used youth-OCD CBT therapist guides — he is the person most likely to have trained the clinician who trained your clinician. UCLA's program offers the full diagnostic, CBT, and pharmacologic workup, plus integrated tic-disorder care that matters when ritual circuits are rigid and may have a motor component.

Comorbid OCD + tic disorders / TouretteBody-focused repetitive behaviors (trichotillomania, excoriation)Family-focused CBTYouth anxiety + OCD overlap
#3 Extraordinary · 5/7

Daniel A. Geller, MBBS, FRACP

Northeast / Boston, MA · USA

The founder of academic pediatric OCD in the US — he literally wrote the AACAP practice parameter and led most of the FDA registration trials for SSRIs in children.

No public Google Scholar profile — citation count not maintained on Scholar (verified via ResearchGate / PubMed where available).

Daniel Geller founded the MGH Pediatric OCD and Tic Disorders Program in 1992, the first dedicated pediatric OCD program at a major US academic medical center, and has since assembled what MGH describes as the largest characterized pediatric OCD cohort in the world. In 2013 Harvard/MGH endowed the Michele and David Mittelman Family Chair in Child and Adolescent Psychiatry in the field of OCD and Related Disorders in his name. He was the principal author of the AACAP Practice Parameter for the Assessment and Treatment of Children and Adolescents with OCD (with John March), which remains the field's standard-of-care reference.

Geller is a triple-boarded pediatrician, general psychiatrist, and child psychiatrist — the rare clinician comfortable with the full PANS/PANDAS, autoimmune, and pharmacologic workup that a treatment-refractory 13-year-old often needs. He led or was site-PI for nearly every FDA registration trial of SSRIs in pediatric OCD (fluoxetine, paroxetine, sertraline) and is a founding member of the International OCD Genetics Consortium. He is a Distinguished Fellow of AACAP and Fellow of both the American and European College of Neuropsychopharmacology. Clinical day-to-day program leadership has transitioned to Erica Greenberg, MD, but Geller remains Director of Research and an active consultant on complex pharmacologic and PANS/PANDAS cases — exactly the profile of patient who lands at MGH after community treatment has stalled.

PANS/PANDAS and autoimmune-onset OCDTreatment-resistant pediatric OCD pharmacologyComorbid Tourette/tic disordersFamilial/genetic OCD
#4 Extraordinary · 5/7

Jennifer B. Freeman, PhD

Northeast / Providence, RI · USA

The PI behind POTS Jr. — the only large RCT to establish family-based CBT as the treatment of choice for the youngest children with OCD.

40h-index
6,323total citations
82i10-index

Google Scholar profile →

Jennifer Freeman is Co-Director of the Pediatric Anxiety Research Center (PARC) at Bradley Hospital and Associate Professor (Research) of Psychiatry and Human Behavior at Brown University's Alpert Medical School. She was a site investigator on POTS I and POTS II, then became principal investigator of the NIMH-funded POTS Jr. trial (2008–2012) — the definitive multisite RCT showing family-based CBT works for children as young as 5–8 with OCD. POTS Jr. transformed practice: family accommodation, parent coaching, and developmentally-tuned exposure became the default, not an afterthought.

Freeman is a member of the IOCDF Scientific & Clinical Advisory Board (verified directly on the IOCDF roster) and co-author of the standard Family-Based Treatment for Young Children With OCD therapist guide used in training programs internationally. Her current work focuses on dissemination — how to train community clinicians in exposure therapy, which is the single biggest treatment-access bottleneck. For a 13-year-old whose OCD started young and where family accommodation has become entrenched, the Brown/Bradley PARC model — where parents are the unit of treatment, not bystanders — is one of the most evidence-based options in the country.

Family-based CBTEarly-onset pediatric OCD (ages 5–12)Reducing family accommodationTreatment dissemination/training
#5 Extraordinary · 5/7

Michael H. Bloch, MD, MS

Northeast / New Haven, CT · USA

The trialist who runs the novel-pharmacology shop at Yale — N-acetylcysteine, cannabinoids, glutamate modulators — and is Joint Editor of JCPP, the field's flagship journal.

89h-index
27,589total citations
193i10-index

Google Scholar profile →

Michael Bloch is Professor and Co-Director of the Tic and OCD Program at the Yale Child Study Center. He is also Co-Founder of Yale's Pediatric Depression Clinic, which matters because severe pediatric OCD almost always carries depressive comorbidity by adolescence. Bloch's research lab is one of the few places systematically testing novel-mechanism pharmacology for treatment-resistant pediatric OCD and Tourette: he has been principal investigator on registered ClinicalTrials.gov pediatric trials of N-acetylcysteine (NCT01172275, NCT01172288), cannabinoids in Tourette, and glutamate-modulating agents for OCD and anxiety.

Bloch is also Joint Editor of the Journal of Child Psychology and Psychiatry (JCPP) — the highest-impact journal in his field — which makes him one of the small number of people who judge whether new pediatric OCD evidence is good enough to enter the literature. He has published 125+ peer-reviewed manuscripts and co-edited the 5th edition of the Lewis Textbook of Child and Adolescent Psychiatry. For a family whose 13-year-old has failed SSRI trials and traditional CBT, Yale's program is one of a handful of academic centers in the world where enrollment in a novel-mechanism trial is realistically on the table.

Treatment-resistant pediatric OCD pharmacologyComorbid OCD + Tourette/ticsTrichotillomania and BFRBsNovel-mechanism trial enrollment
#6 Extraordinary · 6/7

David Mataix-Cols, PhD

Stockholm · Sweden

The Karolinska polymath who literally drafted the DSM-5 diagnostic criteria for hoarding disorder and runs the largest population-genetics OCD program in Europe.

No public Google Scholar profile — citation count not maintained on Scholar (verified via ResearchGate / PubMed where available).

David Mataix-Cols is Professor at Karolinska Institutet in Stockholm, where he leads the Obsessive-Compulsive and Related Disorders Across the Lifespan research group. He served as advisor to the DSM-5 Obsessive-Compulsive Spectrum Sub-Work Group and is the architect of the diagnostic criteria for Hoarding Disorder — a phenotype that did not formally exist as a stand-alone diagnosis until his working group established it. His name appears on the principal classification papers for the ICD-11 OCRD chapter.

For a 13-year-old with rigid ritual circuits, what matters most about Mataix-Cols is his command of OCRD heterogeneity: he and his Karolinska group operate one of the world's only OCRD-focused population genetics and registry programs (using Sweden's nationwide health registers), giving him unmatched data on familial transmission, comorbidity patterns, suicide risk, and treatment trajectory. He has been named a Clarivate Highly Cited Researcher (2015–2017 and again in 2020 among Karolinska's list), with an h-index in the 70s+ range across major indices, and serves on the editorial board of the Journal of Obsessive-Compulsive and Related Disorders. He is the European OCRD field's intellectual conscience — the person other researchers cite when defining what counts as OCD-spectrum.

Hoarding disorder and OCRD subtypingBody dysmorphic disorderPopulation-genetics and familial OCDICBT for pediatric OCD
#7 Strong · 4/7

Isobel Heyman, MBBS, PhD, FRCPsych, MBE

London · UK

Founded the UK's first specialist pediatric OCD clinic in 1998 — the GOSH/Maudsley National & Specialist OCD/BDD Clinic for Young People — and was named Psychiatrist of the Year by the Royal College.

C1C2C3C4C5C6C7
61h-index
15,704total citations
159i10-index

Google Scholar profile →

Isobel Heyman is Honorary Consultant Child and Adolescent Psychiatrist at Great Ormond Street Hospital (GOSH) and Honorary Professor at UCL Great Ormond Street Institute of Child Health. In 1998 she founded the first specialist clinic in the United Kingdom for young people with OCD — the predecessor of what is now the National and Specialist OCD, BDD and Related Disorders Clinic for Young People, the UK's only tertiary referral pediatric OCD/BDD service.

The clinical and policy impact is unusual even for this list. She was named Royal College of Psychiatrists Psychiatrist of the Year (2015), was awarded an MBE in the New Year's Honours for services to child and adolescent mental health, and her GOSH Psychological Medicine team won CAMHS Team of the Year 2018 and BMJ Mental Health Team of the Year 2021. She has an h-index near 60 and 100+ peer-reviewed publications spanning pediatric OCD, Tourette, and the interface of physical and mental health (epilepsy surgery liaison, childhood cancer survivorship). For a 13-year-old in the UK or Europe with severe OCD who has failed local CAMHS, the GOSH/Maudsley National & Specialist Clinic — the institution Heyman built — is the standard referral.

Severe/refractory pediatric OCDOCD/BDD comorbidity in adolescentsOCD at the interface of physical illness (epilepsy, cancer survivors)Comorbid Tourette syndrome
#8 Extraordinary · 5/7

Per Hove Thomsen, MD, DMSc

Aarhus · Denmark

PI of NordLOTS — the Nordic mega-trial that is the largest naturalistic effectiveness study of CBT for pediatric OCD ever conducted — and a member of the WHO ICD-11 OCRD working group.

10h-index
2,974total citations
10i10-index

Google Scholar profile →

Per Hove Thomsen is Professor of Child and Adolescent Psychiatry at Aarhus University, Denmark, and was named coordinating clinical chair professor in psychiatry at Aarhus University and Aarhus University Hospital in 2014. He is one of the original initiators and a steering-group member of the Nordic Long-term OCD Treatment Study (NordLOTS) — a Denmark/Sweden/Norway collaboration that enrolled 269 children and adolescents into a 14-session stepped-care CBT protocol, with three-year follow-up showing that gains are sustainable.

NordLOTS matters because it is the largest pediatric OCD effectiveness trial conducted under real-world clinical conditions (as opposed to the more tightly-controlled POTS trials in US academic centers). The implication for families: the structured CBT-first protocol Thomsen helped build works outside the rarefied environments of MGH or UCLA — in community pediatric clinics. Thomsen is also listed in the WHO ICD-11 Working Group on the Classification of OCRD, alongside Stein, Fineberg, Simpson, and van den Heuvel — meaning he is one of the people whose committee work defines, internationally, what pediatric OCD is. His Aarhus group continues to publish remission and relapse data from the NordLOTS cohort.

Stepped-care pediatric CBTComorbid ADHD/autism in OCDLong-term remission and relapse trajectoriesReal-world effectiveness research
#9 Strong · 4/7

Eva Serlachius, MD, PhD

Stockholm · Sweden

Built Europe's largest internet-CBT program for pediatric OCD — therapist-guided ICBT that holds gains at 12-month follow-up and is now reimbursed by Swedish public health.

C1C2C3C4C5C6C7

No public Google Scholar profile — citation count not maintained on Scholar (verified via ResearchGate / PubMed where available).

Eva Serlachius is Professor in Child and Adolescent Psychiatry at Lund University and Visiting Professor at Karolinska Institutet, where she founded and led for years the BUP-OCD specialist clinic in Stockholm and the Child Internet Project (BIP). Since 2010 her group has run roughly 15 RCTs of therapist-guided internet-delivered CBT for child anxiety and OCD — the largest evidence base for pediatric ICBT-OCD in the world.

The seminal contribution is the BIP OCD program: a stepped-care ICBT protocol (Serlachius is senior author on the original RCT, NCT02191631, and on the BIP OCD Junior program for younger children). The 12-month follow-up published in npj Digital Medicine showed sustained gains. Because of her work, BUP Stockholm created a dedicated ICBT unit inside the regular public health system — one of the few real-world translations of digital OCD treatment anywhere. For a family whose 13-year-old cannot easily reach a specialist clinic in person, or for whom in-clinic exposure is overwhelming, Serlachius's models are exactly what good remote OCD care should look like. She is not on the IOCDF SAB, but her ICBT-OCD trial portfolio is referenced by the NICE, NordLOTS, and Karolinska guideline groups internationally.

Internet-delivered CBT (ICBT) for pediatric OCDStepped-care OCD treatmentYounger-child OCD (BIP OCD Junior)Public-health implementation of digital OCD therapy
#10 Emerging senior · 3/7

Georgina Krebs, PhD, DClinPsy

London · UK

The next generation of UK pediatric OCD/BDD science — Associate Professor at UCL, 15+ years at the National & Specialist Clinic, now co-leading the AIM Lab and a Wellcome-funded AI early-detection program for youth OCD.

C1C2C3C4C5C6C7
37h-index
4,307total citations
78i10-index

Google Scholar profile →

Georgina Krebs is Associate Professor in Young Persons' Mental Health and CBT at UCL (Division of Psychology and Language Sciences) and held a clinical appointment for over 15 years at the National and Specialist OCD, BDD and Related Disorders Clinic for Young People at the Maudsley — the clinic founded by Isobel Heyman. She co-leads UCL's Anxiety, Self-Image and Mood (AIM) Lab and Clinic with Argyris Stringaris.

Krebs is the most cited UK researcher of her generation on pediatric body dysmorphic disorder — the OCRD that most commonly co-presents with OCD in adolescents and that is the most under-recognized in community CAMHS. She co-authored the 2024 Practitioner Review in JCPP that has become the standard reference for clinicians assessing youth BDD. In 2026 she joined an international team awarded £2.2 million in Wellcome funding to use AI for early OCD detection in children — a project that signals where the field is going. For a 13-year-old whose ritual circuits include appearance preoccupation, mirror-checking, or grooming compulsions that may be BDD-shaded rather than classic OCD, Krebs and the AIM Lab are the European specialist option.

Body dysmorphic disorder in adolescentsOCD/BDD overlap and differential diagnosisYouth-onset OCRDSelf-image and appearance-focused obsessions

03.Scholarly impact at a glance

Total Google Scholar citations and h-index for the seven specialists who maintain public Scholar profiles. Three specialists (Geller, Mataix-Cols, Serlachius) do not maintain Scholar profiles; their impact is substantial but is captured via PubMed, institutional records, and ResearchGate (Mataix-Cols has 41,000+ citations on ResearchGate).

04.Sub-phenotype routing

Severe pediatric OCD is not one disorder. Different presentations route to different specialists based on each clinician's published evidence base and clinical focus. For a 13-year-old with rigid ritual "circuits" and high family accommodation, the fourth row is the closest match.

PresentationBest-fit specialists (top 4)
Contamination + washing rituals (severe)Eric A. Storch · John C. Piacentini · Jennifer B. Freeman · David Mataix-Cols
Scrupulosity / moral OCDJohn C. Piacentini · Jennifer B. Freeman · Isobel Heyman · David Mataix-Cols
Taboo / harm intrusive thoughts, poor insightMichael H. Bloch · Daniel A. Geller · Eric A. Storch · Isobel Heyman
Overt motor 'ritual circuits' + high family accommodationJennifer B. Freeman · John C. Piacentini · Per Hove Thomsen · Eva Serlachius
OCD + comorbid Tourette / tic disorderMichael H. Bloch · Daniel A. Geller · John C. Piacentini · Per Hove Thomsen
OCD + comorbid autism spectrumEric A. Storch · Daniel A. Geller · Isobel Heyman · Per Hove Thomsen
Acute-onset / suspected PANS-PANDASDaniel A. Geller · Eric A. Storch · Michael H. Bloch · Isobel Heyman
OCD + body dysmorphic disorder (BDD)David Mataix-Cols · Isobel Heyman · Georgina Krebs · John C. Piacentini
Treatment-resistant / failed prior ERP + SSRIMichael H. Bloch · Eric A. Storch · Daniel A. Geller · David Mataix-Cols

05.Practical pathway

A workable sequence for a family contacting these clinics. Each box is a separate workstream that can run in parallel.

Records to compile (before any call)

  • Prior CY-BOCS or CGI-S severity scores
  • School accommodation plan (504 / EHCP equivalent)
  • Full medication trial history: drug, dose, duration, response
  • Prior therapy: provider, modality, number of sessions, ERP exposure hierarchy if any
  • Family-accommodation log (which rituals are accommodated, how often)
  • Comorbidity workup: tics, ASD screen, PANS/PANDAS labs

Sequence

  1. Local CAMHS / outpatient first. A referral letter naming the target specialist accelerates intake everywhere.
  2. Two parallel applications. One US, one European. Each takes 2–6 weeks for intake review.
  3. Second opinion before committing to residential. Bloch (Yale) and Mataix-Cols (Karolinska) both offer one-time consultative reviews via telehealth in many jurisdictions.
  4. Intensive route if outpatient stalls. See box at right.

Intensive options (if weekly ERP is insufficient)

  • Rogers Behavioral Health (Wisconsin, US) — residential, 4–6 weeks, ERP-pure
  • McLean OCDI Jr. (Belmont, MA) — residential, Harvard-affiliated
  • Bradley Hospital PARC (Providence, RI) — IOP / PHP, Freeman's program
  • Karolinska BIP-OCD (Sweden) — therapist-supported internet-CBT, public health system
  • GOSH/SLaM National Specialist Clinic (London) — tertiary outpatient + inpatient as needed
  • Bergen 4-day format (Norway) — concentrated ERP, mostly adult but pediatric protocol exists

Referral letter — minimum content

  1. Patient age, current CY-BOCS score, duration of severe phase
  2. Primary ritual circuits + family-accommodation level
  3. All prior treatments with dose and duration
  4. Comorbidities and recent labs
  5. Specific question for the consultant (second opinion vs ongoing care vs IOP candidacy)

Red flags in any provider — screen for these

  • Relies on talk therapy alone; refuses to do exposure exercises in session
  • No measured outcomes (no CY-BOCS at baseline and follow-up)
  • Doesn't address family accommodation explicitly
  • No pediatric-OCD-specific training or supervised ERP hours
  • Recommends benzodiazepines or antipsychotics as first-line for OCD in a child
  • Cannot describe an exposure hierarchy on intake