Your Complete Guide to Pedophilia OCD (POCD) (2023)

All types of OCD include obsessions and compulsions. Obsessions are unwanted and intrusive thoughts, feelings, urges and doubts, while compulsions are repetitive physical or mental actions performed in an attempt to relieve distress and anxiety.

Pedophilia OCD (P-OCD) is a subtype of obsessive-compulsive disorder (OCD) characterized by obsessive thoughts, images, and impulses and compulsive behaviors around unwanted sexual thoughts about children. A person with P-OCD may be obsessively concerned with proving to themselves they are not a pedophile. For someone with P-OCD, the idea of potentially harming a child is terrifying, and this fear causes them to engage in compulsive behavior aimed at alleviating this fear (e.g., excessive online research about what makes someone a pedophile).

OCD tends to fixate on what is most important to the individual, and when children’s well-being and safety is one of a person’s core values, OCD will often latch on and cause a person to have obsessions and compulsions centered around this value. The fact that the obsession is centered on something so important to the individual makes the doubting thoughts all the more anxiety-provoking (e.g., “How can I be absolutely sure I won’t hurt a child?”).

(Video) What is pedophilia OCD (POCD)?

Pedophilia OCD symptoms

People with P-OCD generally experience this disorder in two ways. They are either excessively afraid of acting like a pedophile (“What if I accidently touch this child in an inappropriate way when I’m alone with them?”) or they are concerned that their thoughts will make them a pedophile (“I can’t believe I found a teenager attractive. It must mean I’m a pedophile.”) For people with P-OCD, these concerns and fears feel impossible to let go of. They feel terrifying and all-consuming, and they won’t leave a person’s mind until they have found temporary relief, either internally or externally, to dismiss these concerns.

It is important to emphasize that the intrusive thoughts people with P-OCD experience revolve around being afraid of being a pedophile or doing something that could characterize them as a pedophile, but the experience is entirely separate from actual pedophilia. While a pedophile takes pleasure in their sexual thoughts about children, someone with P-OCD is horrified by them and will spend a huge amount of energy trying to make these thoughts go away. They might stop seeing their family and find themselves isolated and consumed with fear. The shame, guilt, and isolation people with P-OCD experience can make this subtype of OCD particularly difficult to endure.

Examples of pedophilia OCD obsessions

People with P-OCD experience obsessive thoughts focused around fear of being a pedophile. Here are some examples of common themes:

(Video) OCD3: What is Pedophilia OCD (POCD)?

  • Is it possible I would hurt this child?
  • I just thought this teenager is attractive/beautiful/handsome. Does this make me a pedophile?
  • I’m not allowed to find my student attractive. She’s my student, after all! I am a horrible person. I should be fired from my job.
  • What could happen if I’m alone with a child? I couldn’t bear the idea of ever hurting a child, but what if I did and it wasn’t in my control?
  • I shouldn’t be left alone with children. I can’t be trusted.
  • If anyone knew the kind of thoughts I had about children, I would go to jail.
  • Just the fact that I’m thinking about a child sexually makes me an evil person.
  • I shouldn’t think someone who is younger than 18 is attractive. That’s disgusting. I must be a pedophile.
  • What if I’m manipulating and seducing my child because I’m secretly a pedophile and I just haven’t found out yet?
  • Am I being manipulative when I’m affectionate to my child? How can I know for sure?

Examples of pedophilia OCD compulsions

In response to their obsessive thoughts, a person with P-OCD will engage in compulsive actions as an attempt to alleviate their anxiety. Here are some examples of what that might look like:

  • Avoidance: People with P-OCD may avoid certain situations where children may be present. For example, they may decline babysitting jobs because they can’t stand the idea of being in the same room as a child and what they might do. They may stop visiting certain family members, or even their entire family, in order to avoid being in the same room with children. They may even feel compelled to neglect basic childcare responsibilities, such as changing an infant’s diaper or helping a small child bathe.
  • Excessive research: A person with P-OCD may spend hours excessively researching articles about pedophiles. Because this subject is so heavily stigmatized, people with P-OCD will often turn to the internet for reassurance, rather than consulting family and loved ones. They may compare themselves to pedophiles in the news in an effort to reassure themselves (“See? Everything’s fine. I’m nothing like her.”) They may try and compare different facts of known pedophiles with their own life. (“This man was shy as a child, and I am a shy person. Maybe this is proof I really am a pedophile.”) A person may post about their experience in chat forums asking for reassurance that they are not going to hurt a child. If a person with P-OCD is already aware of their condition, they may continually seek out information about P-OCD in order to reassure themselves they actually have P-OCD (“I know these thoughts are usually my POCD, but what if they aren’t this time?”)
  • Mental review: An individual may excessively engage in mental reviews of past experiences to make sure their behaviors do not make them a pedophile. For example, they might think, “I was very affectionate with my nephew five years ago on his birthday. Was that inappropriate?” That incident may stick in a person’s mind, and they will replay it continually and obsessively for years. Every time they experience intrusive thoughts, they may turn to this memory and replay it to try and gain relief from their fears of being a pedophile.

Pedophilia OCD ERP therapy

The best course of treatment for P-OCD, like all types of OCD, is exposure and response prevention (ERP) therapy. ERP is considered the gold standard for OCD treatment and has been found effective for 80% of patients with OCD. The majority of patients experience results within 12-25 sessions. As part of ERP therapy, you will track your obsessions and compulsions, and make a list of how distressing each thought is. You’ll work with your therapist to slowly put yourself into situations that bring on your obsessions. This has to be carefully planned to ensure it’s effective, and so that you’re gradually building toward your goal rather than moving too quickly and getting completely overwhelmed.

The idea behind ERP therapy is that exposure to these thoughts is the most effective way to treat OCD. When you continually reach out for the compulsions, it only strengthens your need to engage them. On the other hand, when you prevent yourself from engaging in your compulsions, you teach yourself a new way to respond and will very likely experience a noticeable reduction in your anxiety.

(Video) Pedophilia OCD | Overcoming POCD | Intrusive thoughts

One barrier to treatment for people with P-OCD is reaching out for support. The shame and disgust a person feels about their condition can make it very difficult to seek help. There is research to suggest that P-OCD is actually a fairly common subtype of OCD. Yet, it’s difficult to know just how many people live with this condition because many people do not share these thoughts, even with their therapist, for fear of being judged on such a taboo topic. The condition often goes undiagnosed or misdiagnosed. However, it’s worth remembering that mental health professionals who have been trained in dealing with P-OCD are used to hearing these thoughts and will be able to help you treat your condition effectively and without judgment.

Examples of pedophilia OCD exposures

Rather than trying to make unwanted sexual thoughts, images, and urges about children go away with compulsive behavior, ERP therapy works to help a person become more accepting and tolerant of them. As a patient becomes more familiar with these unwanted thoughts, they will begin to loosen their grip on their mind.

Let’s use a specific example. A person may experience an intrusive and unwanted sexual thought about their friend’s teenage daughter or son. Each time this happens, the guilt and shame they experience about finding someone under 18 attractive is so great that they feel they must leave the room immediately. When working with an ERP-trained therapist, this patient might practice being in the vicinity of teenagers, at a beach for example, and resisting the urge to leave. With a therapist, the person will work to overcome their compulsions. At first, staying at the beach may feel unbearable in the face of the patient’s guilt, shame, and fear. In order to avoid becoming overwhelmed, the patient will work with a therapist to come up with a hierarchy of anxieties and related exposures and gradually work your way through them.

(Video) Pedophilia OCD

Instead of leaving the beach or searching online for reassurance, a therapist may have the patient think to themselves, “Maybe these thoughts I have are wrong. Maybe they’re not. It’s impossible to know for sure.” This teaches the brain a new response to the uncertainty, fear, and shame fueling these obsessions and compulsions. Eventually, the patient may find their P-OCD thoughts subside and they are able to be around teenagers without being overwhelmed with fear and guilt.

How to get help

It’s an unfortunate reality that people with P-OCD are often misdiagnosed as potential pedophiles. The condition of P-OCD is terrifying and painful, but fundamentally different from pedophilia: It is driven by a concern to keep children protected rather than a desire to hurt them.

If you’re interested in learning about P-OCD and how it’s treated with ERP, you can schedule a free call with the NOCD clinical team to find out how this type of treatment can help you. All of our therapists specialize in OCD and receive ERP-specific training and ongoing guidance from our clinical leadership team. Many of them have dealt with OCD themselves and understand how crucial ERP therapy is. NOCD offers live face-to-face video therapy sessions with OCD therapists, in addition to ongoing support on the NOCD telehealth app, so that you’re fully supported during the course of your treatment. You can also join our Pedophilic Obsessions OCD community and get 24/7 access to personalized self-management tools built by people who have been through OCD and successfully recovered.

(Video) OCD Real Talk: POCD Shame

Learn more about pedophilia OCD

  • Why POCD Arousal is Not A Sign of Real Desire
  • POCD: Am I a pedophile? Living with Pedophilia OCD


Does Pocd ever go away? ›

The good news is that POCD is treatable just like any other subtype of OCD.

How do I get rid of Pocd myself? ›

The most effective treatment for obsessive compulsive disorder is cognitive behavioral therapy (CBT). Though there are multiple forms and variations on CBT, the ones that are most likely to help with OCD use a combination of cognitive, behavioral, and mindfulness-based interventions.

How bad can Pocd get? ›

Pedophilia obsessive-compulsive disorder (POCD) is a subtype of OCD with intrusive thoughts — or obsessions — based on fears that you might be or become a pedophile. These obsessive thoughts can lead to anxiety and compulsions, which can cause serious disruptions to your life.

Can a 13 year old have Pocd? ›

Different authorities disagree about the specifics, but pedophiles are generally thought to be over the age of 16 and at least five years older than the subject of their thoughts. The child they fantasize about is prepubescent—age 13 or younger, according to DSM-5 and a number of other resources.

What are Pocd urges? ›

What is POCD? While pedophilia itself is defined as sexual attraction to children, pedophilia OCD or POCD is a subtype of OCD that causes fears or worries that one might be a pedophile. It often involves intrusive, sexual thoughts around prepubescent children.

How did your pocd start? ›

What Causes POCD? Because POCD is a subtype of OCD, POCD is likely caused by the same as the same factors that cause other types of OCD. These include a combination of environmental, genetic, and neurochemical factors. A burning desire to know the answer to this question is characteristic of those who suffer with POCD.

Can pOCD feel like urges? ›

An individual suffering with pOCD will experience intrusive thoughts or images (spikes) accompanied by terrorizing anxiety. The OCD has the ability to produce doubt or question memories, real or imagined. Additionally, OCD encourages you to monitor sexual urges as part of the evidence-gathering process.

Is pOCD painful? ›

Pedophilia Obsessive Compulsive Disorder, also known as pOCD, is an extremely painful and shame-inducing form of OCD.

Can Pocd make you attracted? ›

Clients with P-OCD (or POCD) typically fear that they are sexually attracted to children, including their own, if they have any.
Difference Between Pedophilic Disorder and P-OCD.
Pedophilic DisorderP-OCD
Sexual attraction to childrenFear of sexual attraction toward children
3 more rows

How I got over pocd? ›

POCD Treatment

The most effective treatment for POCD is exposure and response prevention therapy (ERP). ERP is a form of cognitive-behavioral therapy typically delivered once a week for several months. During this therapy, patients learn about OCD, how OCD works in general, and how it works for them in particular.

Why does my Pocd feel real? ›

Your mind is sending you signals that you need to do something, even though there is no real risk. It is yelling at you that you need to take action. This is why OCD feels so real. There is a very real process taking place in your brain.

Can a 14 year old have Pocd? ›

The onset of OCD occurs by age 14 in approximately 25% of cases. An estimated 1% of the population has OCD. Between 1% and 3% of children and teens have OCD, making it one of the more common psychiatric disorders in that age group.

Can a 15 year old have Pocd? ›

The onset of symptoms can begin at any time, sometimes as early as three years old. Parents and teachers need to understand the risk factors to make sure that children and teenagers who are at risk of developing OCD receive appropriate attention. When treated properly, OCD can be controlled.

Can Pocd cause false urges? ›

POCD sufferers do not experience genuine attraction to children, but experience fear founded in unwanted physical sensations and thoughts that are at odds with their expressed attractions and values.

Should I tell my therapist about Pocd? ›

It's the only way to start getting proper treatment

Whatever your therapist doesn't know about, they can't help you with. Unless you go rogue and start treating yourself, you're not going to be doing exposures to one of your obsessions unless you work your therapist to come up with them.

Can pOCD make you attracted? ›

Clients with P-OCD (or POCD) typically fear that they are sexually attracted to children, including their own, if they have any.
Difference Between Pedophilic Disorder and P-OCD.
Pedophilic DisorderP-OCD
Sexual attraction to childrenFear of sexual attraction toward children
3 more rows

What makes someone a Pediphile? ›

DSM-IV and DSM-IV-TR define pedophilia as “recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving activity with a prepubescent child or children (generally 13 years or younger).” These feelings, urges, or behaviors must persist for at least 6 months.

At what age does OCD peak? ›

OCD has peaks of onset at two different life phases: pre-adolescence and early adulthood. Around the ages of 10 to 12 years, the first peak of OCD cases occur. This time frequently coincides with increasing school and performance pressures, in addition to biologic changes of brain and body that accompany puberty.


1. 12 STEPS CBT and ACT for Recovering from OCD and POCD, OCD and Health Anxiety
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2. How do you know if you're a Paedophile?
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3. A Complete Guide to Sex Related OCD || Sexual OCDs ke baare mai complete information
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4. OCD Q&A | SOOCD, POCD, TMS, False memory OCD, OCPD, Schizo OCD, Depression
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5. Pedophile and Harm OCD - Q & A video with Patrick - OCD awareness week 10/12/2021
(The Anxiety & OCD Treatment Center of Central PA)
6. OCD: Yes, it traumatizes us.
(Chrissie Hodges)
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