Kids and teens with OCD experience obsessions - distressing, unwanted, and intrusive thoughts, images, or urges - that lead to engaging in compulsions in an attempt to feel relief. Children with OCD often feel ashamed, guilty, fearful and helpless. They engage in compulsive behaviors - repetitive behaviors that provide short-term relief from distressing obsessions - even when they are aware that the behavior may be silly, unproductive, or ineffective.