My son started exhibiting symptoms at around 7 but we did not realize what it was until he was about 8. A great therapist did ERP with him and it made a world of difference. Night and day. He’s 11 now and he’s able to say things like “I had this thought that bothered me but I think it was just OCD talking” a therapist friend of ours said “Pay whatever you can for a good therapist,” which I recognize is not possible for all (and barely was for us) but she was able to immediately identify and start work with him (and she spoke with his teacher so she could be part of it) and in 8 weeks he graduated her program and has been great since. So we paid out of network but it was worth it. Obviously that’s just my experience. She did have us read this book with him each week: https://www.amazon.com/Talking-Back-OCD-Program-Parents/dp/1593853556
