Young adults with OCD and their experiences of the school-to-work or university transition: an explorative qualitative study

Abstract Background The school-to-work or school-to-university transition (STWT) can be a challenging process for young adults, especially for those suffering from mental disorders such as obsessive-compulsive disorder (OCD). While OCD is a relatively common disorder, little is known about how young adults with OCD experience the STWT process. A better understanding of the conditions influencing STWT may deepen knowledge relevant to the development and implementation of interventions aiming at promoting labour market inclusion for this population. This study aimed to explore how young adults aged 19–29 years living with OCD experience the STWT and which factors they perceive as challenging or supportive during this process. Materials and methods The study employed an explorative qualitative design. Data were collected through semi-structured individual interviews with 21 participants (14 females and 7 males) diagnosed with OCD, with a mean age of 23.0 years at the time of the interviews. Data were analysed using reflexive thematic analysis. Findings Two themes were generated: (1) Navigating pathways into the labour market through studies or work while managing health and (2) Navigating pathways into the labour market through societal support. The analysis illustrates how OCD symptoms, as well as organisational and societal conditions, could create challenges that affected and, in some cases, delayed the STWT process. Participants struggled to manage these challenges while also prioritising their health. Throughout this process, they developed their own strategies and used various forms of support. Conclusion The findings suggest a potential interplay between OCD symptoms and engagement in education and employment during the STWT process. Increased OCD symptoms, worsening mental health, and unmet individual needs may contribute to delay or interrupt the transition. Individual coping strategies, pedagogical, workplace-related, social and societal support may help young adults overcome challenges while maintaining their mental health and well-being. The findings emphasise the need for flexible, individualised support and coordinated efforts among relevant stakeholders. Healthcare services may address both symptom management and the new contexts and challenges embedded in the transition. Increased awareness of OCD, together with sustainable and supportive study and work environments, is important for improving inclusion in working life among young adults with OCD.