Decision-grade dossier · v2 · Updated 2026-05-23

Pediatric OCD
Extraordinary-tier specialists

A defensible shortlist of ten internationally recognized child & adolescent OCD specialists across the United States and Western Europe, plus ten Tier 2 names for specialized consultation. 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.

10Tier 1 specialists
10Tier 2 specialists
6countries
116highest h-index (Storch)
Most actionable insight

Start SPACE for the parents in parallel with any child intake

Severe pediatric OCD with rigid ritual circuits and high family accommodation is reinforced as much by parent behavior as by the child's anxiety. SPACE (Supportive Parenting for Anxious Childhood Emotions) is a parent-only treatment developed by Dr. Eli Lebowitz at the Yale Child Study Center that targets accommodation directly. A 2020 JAACAP trial showed SPACE matches the efficacy of CBT delivered to the child — without requiring the child's buy-in.

spacetreatment.net · Yale Child Study Center · Find a SPACE-trained provider →

What changed in this update (2026-05-23)

  • Added to Tier 1: Adam B. Lewin (USF Rothman), Gerd Kvale (Bergen 4-Day Treatment), Susanne Walitza (Zurich) — gives Switzerland and Norway coverage that v1 lacked.
  • Moved to Tier 2: Daniel Geller (Erica Greenberg is the actual MGH clinical lead), Isobel Heyman (has moved from GOSH/UCL to Cambridge), Eva Serlachius (has moved from Karolinska to Lund University).
  • Added 10-person Tier 2 list including Eli Lebowitz (SPACE), Tanya Murphy (PANS expert), Lisa Coyne (McLean OCDI Jr.), and Erica Greenberg as the MGH primary contact.
  • Updated intensive-pathway section with verified phone numbers and the SoCal OCD Program as a US-accessible delivery route for the Bergen 4-Day Treatment.

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 in Tier 1 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, ICOCS executive.

C3

Principal Investigator of a major pediatric OCD trial

POTS I/II/Jr., NordLOTS, BIP-OCD, Bergen 4-Day Treatment, registered phase II+ pharmacologic trials.

C4

Original contribution of major significance

Founded a manualized treatment, validated CY-BOCS variants, defined a phenotype (PANS/PANDAS), drafted diagnostic criteria, or developed a novel format (B4DT, SPACE, ICBT).

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, USF Rothman, Penn, Brown, Baylor, Duke, Karolinska, UCL/GOSH, KCL/Maudsley, Aarhus, Bergen, Zurich KJPD, or peer.

02.Tier 1 — the ten specialists

Click any filled criterion chip to open its verifying source. Use the dropdowns to filter by country or re-sort.

#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

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
#4 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
#5 Extraordinary · 5/7

Adam B. Lewin, PhD, ABPP

South / Tampa, FL · USA

Division Chief at USF's Rothman Center — runs the intensive daily-format OCD program that takes the cases everyone else has stalled on.

76h-index
17,720total citations
213i10-index

Google Scholar profile →

Adam Lewin is Professor and Division Chief of Pediatric Neuropsychiatry at the University of South Florida and directs the behavioral treatment program at the Rothman Center, one of the few US sites running daily intensive ERP for severe and complex pediatric OCD. The Rothman Center has built its reputation on the cases other clinics decline: comorbid autism, suspected PANS/PANDAS, profound family accommodation, and prior treatment failures.

Lewin sits on the IOCDF Scientific & Clinical Advisory Board, has a Google Scholar h-index of 76 with 17,000+ citations, and is a prolific author on intensive ERP delivery for youth with severe OCD. His clinical practice routinely accepts out-of-state and international families for short-stay intensive blocks — a workable option when waitlists at Rogers or McLean OCDI Jr. stretch past 6 months.

Treatment-resistant pediatric OCDPANS / PANDASOCD + autismSevere family accommodation
#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 — impact captured via PubMed and ResearchGate.

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 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
#8 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
#9 Extraordinary · 5/7

Gerd Kvale, DrPsychol

Bergen · Norway

Co-invented the Bergen 4-Day Treatment — the most concentrated evidence-based ERP protocol on earth, now delivered for adolescents at a certified US partner site.

51h-index
9,604total citations
112i10-index

Google Scholar profile →

Gerd Kvale, with Dr. Bjarne Hansen, developed the Bergen 4-Day Treatment (B4DT) — four consecutive days of group-format, 1:1 therapist-assisted concentrated ERP that delivers outcomes comparable to months of weekly therapy. The innovation earned Kvale and Hansen a spot on TIME Magazine's Health Care 50 in 2018. The 2024 Skjold et al. open trial in BMC Psychiatry demonstrated effectiveness specifically for adolescents with OCD.

Kvale is Professor at the University of Bergen and clinical director at Haukeland University Hospital, with a Google Scholar h-index of 51. The Bergen clinic itself only accepts patients with Norwegian healthcare rights — but the protocol has been disseminated internationally, including to the SoCal OCD Program in Los Angeles, which is certified to deliver B4DT for adolescents. For a family that needs the fastest possible structural response to entrenched ritual circuits, this is the option with the shortest time-to-treatment.

Severe OCD requiring rapid concentrated responseTreatment-resistant pediatric OCD
#10 Extraordinary · 5/7

Susanne Walitza, MD, MSc

Zurich · Switzerland

Chair of Child & Adolescent Psychiatry at University of Zurich — Europe's leading authority on the neurobiology and genetics of pediatric OCD.

80h-index
27,689total citations
275i10-index

Google Scholar profile →

Susanne Walitza is Full Professor (Chair) and Medical Director of the Department of Child and Adolescent Psychiatry (KJPD) at the University of Zurich, one of continental Europe's largest pediatric mental-health services. She holds a prominent leadership role in the International College of Obsessive Compulsive Spectrum Disorders (ICOCS) and is internationally recognized for her work on the genetics, neurobiology, and pharmacological treatment of early-onset OCD.

With a Google Scholar h-index of 80 and 27,000+ citations, Walitza is the most clinically active senior OCD researcher in German-speaking Europe. Her department is the natural reference point for German-speaking families with treatment-resistant pediatric OCD, and the KJPD service accepts international referrals via Zurich's standard tertiary referral process. For families considering combined pharmacology + intensive ERP at an academic European center outside the UK or Scandinavia, this is the strongest option.

Early-onset pediatric OCDTreatment-resistant casesCombined pharmacology + ERPOCD + comorbid genetic conditions

03.Tier 2 — specialized consultants

Ten additional specialists with extraordinary specific expertise — family accommodation (Lebowitz/Peris), the primary clinical contact at MGH (Greenberg), PANS/PANDAS authority (Murphy), residential care leadership (Coyne), Bergen 4-Day co-development (Hansen), and emerging European leadership in Lund (Cervin, Serlachius).

Eli R. Lebowitz, PhD

Yale Child Study Center · New Haven, CT, USA

Developer of SPACE (Supportive Parenting for Anxious Childhood Emotions) — the parent-only treatment that targets family accommodation directly. Evidence (JAACAP 2020) shows SPACE is as efficacious as treating the child. Essential for this case.

Family accommodationParent-based treatmentSPACE

Tara S. Peris, PhD

UCLA Semel Institute · Los Angeles, CA, USA

Leading researcher on family accommodation and complex family dynamics in pediatric OCD. Co-directs the UCLA Child OCD program with Piacentini.

Family dynamicsComplex pediatric OCD

Erica Greenberg, MD

MGH / Harvard Medical School · Boston, MA, USA

Clinical Director of the MGH Pediatric OCD & Tic Disorders Program — the primary intake contact at MGH (Geller is the Research Director).

MGH primary clinical contactPediatric OCD + tics

Daniel A. Geller, MBBS, FRACP

MGH / Harvard Medical School · Boston, MA, USA

Mittelman Endowed Chair. Founded the MGH Pediatric OCD Program in 1992; now Director of Research. Foundational figure in pediatric OCD pharmacology and PANS/PANDAS — consult contact rather than primary clinical intake.

PharmacologyPANS/PANDASResearch consult

Tanya K. Murphy, MD

USF Rothman Center · St. Petersburg, FL, USA

Endowed Chair at USF and the world-leading expert on PANS/PANDAS and neuroimmune presentations of pediatric OCD. Essential consultant if acute-onset is suspected.

PANS / PANDASNeuroimmune OCD

Lisa W. Coyne, PhD

McLean Hospital / Harvard · Belmont, MA, USA

Founder and Senior Clinical Consultant of McLean OCD Institute for Children & Adolescents (OCDI Jr.) — the premier US pediatric OCD residential facility. Expert in ACT and residential care.

Residential treatmentACTOCDI Jr.

Isobel Heyman, MBBS, PhD, MBE

University of Cambridge · Cambridge, UK

Foundational UK figure (former Director of the GOSH National & Specialist OCD/BDD Clinic), awarded MBE. Has moved to Cambridge focused on the new Cambridge Children's Hospital build — best contacted for strategic UK referral advice rather than primary intake.

UK referral strategyPediatric OCD/BDD

Bjarne Hansen, PhD

Haukeland University Hospital / Bergen · Bergen, Norway

Co-developer of the Bergen 4-Day Treatment with Kvale. Same TIME Health Care 50 honor.

B4DT co-developerConcentrated ERP

Eva Serlachius, MD, PhD

Lund University · Lund, Sweden

Pioneer of therapist-guided Internet-CBT (BIP-OCD) for pediatric OCD. Recently moved from Karolinska to Lund — still active in BIP-OCD dissemination and Scandinavian referrals.

ICBTBIP-OCDDigital therapeutics

Matti Cervin, PhD

Lund University · Lund, Sweden

Emerging European leader focusing on the general psychopathology factor and long-term outcomes in pediatric OCD. Strong empirical-research perspective on prognosis.

Long-term outcomesEmpirical phenotyping

04.Scholarly impact at a glance

Total Google Scholar citations and h-index for Tier 1 specialists with public Scholar profiles. Mataix-Cols does not maintain a Scholar profile (his impact is captured via PubMed and ResearchGate — 41,000+ citations there).

05.Sub-phenotype routing

Different OCD presentations route to different specialists. For a 13-year-old with rigid ritual circuits and high family accommodation, rows 4 and 10 are the closest matches.

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 · David Mataix-Cols · Susanne Walitza
Taboo / harm intrusive thoughts, poor insightMichael H. Bloch · Eric A. Storch · Adam B. Lewin · Susanne Walitza
Overt motor 'ritual circuits' + high family accommodationJennifer B. Freeman · John C. Piacentini · Per Hove Thomsen · Gerd Kvale
OCD + comorbid Tourette / tic disorderMichael H. Bloch · John C. Piacentini · Per Hove Thomsen · Susanne Walitza
OCD + comorbid autism spectrumEric A. Storch · Adam B. Lewin · Per Hove Thomsen · Susanne Walitza
Acute-onset / suspected PANS-PANDASAdam B. Lewin · Eric A. Storch · Michael H. Bloch · Susanne Walitza
OCD + body dysmorphic disorder (BDD)David Mataix-Cols · Georgina Krebs · John C. Piacentini · I. Heyman
Treatment-resistant / failed prior ERP + SSRIMichael H. Bloch · Eric A. Storch · Gerd Kvale · David Mataix-Cols
Need fastest-possible structural responseGerd Kvale · Jennifer B. Freeman · Adam B. Lewin · John C. Piacentini

06.Practical pathway

For severe pediatric OCD with rigid ritual circuits, standard weekly outpatient ERP is highly likely to be insufficient. The family should pursue an intensive level of care while simultaneously starting SPACE for the parents (see banner at top).

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 hierarchy if any
  • Family-accommodation log (which rituals, how often)
  • Comorbidity workup: tics, ASD screen, PANS/PANDAS labs

Residential (highest acuity)

  • McLean OCDI Jr. (Belmont, MA) — ages 10–17, ERP + ACT, Harvard-affiliated. +1 617 855 4660
  • Rogers Behavioral Health (Oconomowoc, WI) — dedicated child (8–14) and adolescent (14–17) residential. +1 833 308 5887

IOP / Partial Hospitalization

  • UCLA Pediatric OCD IOP (Piacentini) — daily group + individual ERP. +1 310 825 0122
  • USF Rothman Center (Lewin) — daily intensive, strong for complex/neuroimmune. +1 727 828 6420
  • Bradley Hospital PARC (Freeman) — IOP/PHP, family-based. +1 401 432 1469
  • Rogers Behavioral Health — PHP/IOP at multiple US sites

Concentrated ERP — Bergen 4-Day

  • SoCal OCD Program (Los Angeles, US) — certified to deliver B4DT for adolescents. socalocdprogram.org
  • Bergen Center for Brain Plasticity (Norway) — Norwegian healthcare only, but consult possible.

Family accommodation — SPACE (must do)

  • Eli Lebowitz at Yale — protocol developer. Find a SPACE-trained provider
  • Parent-only protocol; can start immediately while the child's intake is pending elsewhere.

European options

  • Karolinska BUP-OCD (Mataix-Cols, Stockholm) — therapist-guided ICBT
  • Aarhus Centre for Child & Adolescent Psychiatry (Thomsen) — Scandinavian referral
  • SLaM / Maudsley (Krebs, London) — UK NHS national specialist clinic
  • KJPD Zurich (Walitza) — German-language pharmacology + ERP

Red flags in any provider — screen for these

  • Relies on talk therapy, play therapy, or general CBT without specific ERP
  • Refuses to do in-vivo or imaginal exposures
  • Does not involve parents (crucial for a 13-year-old with accommodation patterns)
  • No familiarity with SPACE or family-accommodation reduction strategies
  • No measured outcomes; no CY-BOCS at baseline and follow-up
  • Cannot describe an exposure hierarchy on intake
  • Recommends benzodiazepines or antipsychotics as first-line