ROCD – Relationship OCD

Introduction to ROCD

Imagine being in a loving, supportive relationship, yet constantly doubting your feelings and your partner. This is the reality for those living with Relationship Obsessive-Compulsive Disorder (ROCD). While not officially recognized in the DSM-5, ROCD is a form of OCD that can significantly impact one’s life and relationships.

What is ROCD?

ROCD involves persistent, unwanted thoughts about your relationship. These intrusive thoughts can lead to compulsive behaviors, such as constantly seeking reassurance or testing your feelings. This can leave you feeling anxious, frustrated, and exhausted, while your partner may feel confused and helpless.

Although having ROCD can feel overwhelming, learning as much as you can about this mental health condition can help you cope with the symptoms.

Common Symptoms of ROCD

People with ROCD might experience:

• Intrusive Thoughts: Constantly questioning your partner’s feelings for you or your feelings for them.
• Compulsive Behaviors: Seeking reassurance, avoiding situations that trigger doubts, and constantly testing your feelings.
• Impact on Daily Life: These thoughts and behaviors can interfere with daily activities and overall well-being.

Causes and Triggers of ROCD

The exact cause of ROCD is unclear, but it often surfaces in individuals with undiagnosed OCD. Triggers can include significant life decisions, such as getting engaged or having children, and even everyday interactions with your partner.

Treatment Options for ROCD

Because ROCD is considered a theme in obsessive-compulsive disorder, OCD treatments can help, including:

• Cognitive Behavioral Therapy (CBT): Involves finding techniques to change how you think and behave.
• Exposure and Response Prevention (ERP): Focuses on slowly exposing yourself to situations that start obsessions while resisting the urge to perform compulsions. Over time, this can lessen anxiety and gradually reduce ROCD symptoms.
• Acceptance and Commitment Therapy (ACT): Helps you accept your thoughts and feelings rather than fighting them, and commit to actions that align with your values.

Communicating with Your Partner

It might also help to talk with your partner so they understand what you’re going through. Open and honest communication can help ease their worries and give them the ability to create a safe space for you within the relationship. It’s also important to balance your needs with those of your partner and seek professional help if the impact on your relationship becomes overwhelming.

When to Involve a Psychiatrist

If you find that your symptoms are so overwhelming that you cannot commit to your therapy process, it is a good time to consult a psychiatrist. A psychiatrist can provide a comprehensive evaluation and recommend appropriate treatment options, including medication and therapy.

ROCD – Conclusion

If you think you might have ROCD, know that your symptoms are real and manageable. Seeking help from a mental health professional can provide a path to relief and more security in your relationships. Remember, you’re not alone, and support is available.