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OCD in relationships: Understanding, coping, and supporting each other

OCD in relationships: Understanding, coping, and supporting each other

Blog Outline

People with OCD can find it challenging to have healthy relationships because OCD can cause anxious thoughts, compulsive behaviors, and misunderstandings. However, with the proper knowledge and support, people with OCD can build strong and loving relationships.

In this blog, we will look at the following: what exactly relationship OCD is, how it impacts relationships, and what can be done to help couples struggling with ROCD.

What is Relationship OCD?

Relationship OCD (ROCD) is a type of OCD where people have obsessive thoughts and compulsive behaviors about their relationships. These thoughts can make people doubt their feelings for their partner or question the legitimacy of their relationship. These thoughts can be distressing and intrusive.

What sets ROCD apart from usual relationship doubts? People with ROCD experience intrusive, persistent, and emotionally distressing doubts about their relationships. One common theme in ROCD is doubting whether you love your partner. People with ROCD may also focus on their partner’s minor flaws and worry that their partner doesn’t love them or will leave them. They often seek constant reassurance from their partner or friends.

These obsessive thoughts are often followed by compulsive behaviors, such as:

  • Affiliation (checking on the partner to confirm they still love or find him appealing)
  • They are more affected as compared to other relationships
  • To make sure they still feel the way they say they do or are still ‘in love.’
  • Staying away from anything likely to lead to uncertainties

These obsessive thoughts and compulsive behaviors can strain relationships, leading to misunderstandings and distance. For a person with OCD, ROCD can be overwhelming and confusing. It can also be difficult for their partner to understand.

Read More: Learning About The Connection Between OCD And Eating Disorders

General Relationship OCD Symptoms

Some of the common identifiers of OCD in relationships are as follows:

  • Perseverating Doubts and Questions

People with ROCD often doubt their feelings for their partner and question their compatibility. These doubts can be persistent and difficult to resolve, leading to a cycle of seeking reassurance and doubt.

  • Fear of Perfection

People with ROCD often have high standards for relationships and may focus on minor flaws in their partner or their relationship. This can lead to dissatisfaction and increased worry.

  • Seeking Reassurance

Sufferers of ROCD tend to seek complacency from their partner, family, or friends most of the time. They may ask questions such as, ‘Do you think we are right for each other?” or ‘Are you sure you love me?” This is done to decrease anxiety and depression, and most of the time, this action only provides some temporary relief. If the response is not desirable, it can also lead to mood disorder.

  • Comparing the Relationship

People with ROCD may compare their relationships to idealized versions of relationships, leading to feelings of inadequacy and doubt. This can make it difficult to appreciate their current relationship.

  • Self-Doubt and Guilt

What ROCD does to people is make them feel guilty for experiencing doubt in the first place, as though it is a sign that they lack dedication or are unconsciously abusive in their relationships. This guilt can be weighing on them and contribute to their stress as well as their anxiety.

The Effects Of Obsessive-compulsive disorder on interpersonal interaction

OCD also impacts the partner and the relationship since the person with OCD has a particular way of perceiving things. Some ways that OCD can impact relationships include:

Read More: Which Brain Region Is Believed to Play a Critical Role in OCD?

  • Stress experienced by both partners

Instead, ROCD creates a cycle of doubt and reassurance that can be exhausting for both partners. The person with OCD may constantly seek reassurance, while the partner may feel confused about how to help.

  • Loss of intimacy

Anxiety caused by ROCD can negatively impact intimacy in a relationship. Fear and avoidance of closeness can develop as the person with ROCD becomes preoccupied with their obsessive thoughts.

  • More disputes and conflicts

The constant need for reassurance and approval can lead to arguments and tension in relationships. Partners may feel criticized or controlled, which can strain the relationship.

  • Fear Of Judgement:

The person with OCD may also fear that the partner will not approve or disapprove of their thoughts or actions, causing the person with OCD to keep the illness a secret and experience loneliness.

  • Dependency On Reassurance

The partner may feel responsible for alleviating the anxiety of the person with ROCD. This can create a codependent relationship, where both partners rely on each other for reassurance.

Read More:

Ways To Cope With OCD in Relationships

Being in a relationship with OCD may not be easy, but where there are willing hearts, everything can be worked around to enhance the relationship. Here are some effective strategies that can help both the person with OCD and their partner cope:

  • Education about OCD:

Learning about OCD and ROCD can help partners understand what their loved ones are going through. This knowledge can help them provide support and empathy. Books, articles, and support groups are great resources for learning more about OCD.

  • Seek Professional Support:

A relationship ocd specialist in treating OCD can provide valuable support. Cognitive-behavioral therapy (CBT) and exposure and response prevention (ERP) are effective relationship OCD treatment. ERP involves exposing oneself to anxiety-provoking situations without engaging in compulsive behaviors. Couples therapy can also help partners learn how to support each other.

  • Practice Open Communication:

Both partners should feel comfortable sharing their feelings and needs without judgment. For example, if one partner finds the constant reassurance-seeking burdensome, they should express this calmly and respectfully. Similarly, the partner with OCD should be honest about their need for reassurance.

  • Delimitate Reassurance To Safe Levels:

One would wish to comfort their partner, especially when overstressed, but too much comforting is counterproductive since it leads to OCD. The couple needs to coordinate efforts when it comes to setting these standards. For instance, you may decide that to address the issue with reassurance, the spouse with OCD will only give reassurances five times a day, or the couple may decide on specific positive thoughts that may help the spouse with OCD when they feel anxious.

  • Change of source of Anxiety:

Promotes practices that bring about low stress and anxiety. Some activities include jogging and exercises like yoga, which can alter stress levels. Thus, anxiety can be managed through meditation, journaling, or other art forms, such as painting and listening to music. They can also enrich the relationship by practicing the activities together.

Read More: Understanding OCD Groinal Response: Unraveling the Misunderstood Symptoms

  • Building emotional resilience together:

OCD can be unpredictable, so it’s essential to be patient and understanding with each other. Practice empathy, offer support, and celebrate each other’s successes, no matter how small.

  • Caring for your partner with OCD: It’s normal to feel confused, frustrated, or helpless when you’re in a relationship with someone with OCD. Here are a few tips on how to support your partner:
  • Be patient: Getting over OCD takes time. Remember that every day is different, and you might face challenges, but you’ll also have good days.
  • Avoid Judgment: Attempt to distinguish between the individuals and the OCD. What they are thinking or doing and over cannot determine their worth or define them in any way.
  • Encourage Therapy: Encourage your partner to seek professional help and tell them you will accompany them if they would like to.
  • Take care of yourself: It can be tiring to support someone with OCD. It’s essential to take care of yourself too. Ensure you have people you can talk to, like friends or a relationship OCD therapist.

Moving Forward Together!

Having OCD in a relationship can be challenging, but it’s not impossible to have a healthy relationship. Open communication, empathy, and mutual support are essential. Both partners need to understand OCD and work together to manage it. Remember, it’s a process; there will be good and bad days. With time and effort, couples can learn to navigate the challenges of OCD and build a strong relationship.

If you or your partner suffers from OCD, you need to understand that there are Treatment options available to you. Help, harmony, hope, and a healing relationship can work wonders. Ultimately, love and acceptance clear the path for a vast and beautiful relationship wherever OCD is in the picture. If you are also searching for the best telehealth option to attain relief from OCD in relationships, then the best choice is Orange Coast Psychiatry.

Frequently Asked Questions

ROCD can strain relationships by causing constant doubt, anxiety, and a need for reassurance. It can lead to misunderstandings, arguments, and a sense of distance between partners.

To support a partner with ROCD, be patient and understanding, and avoid enabling their compulsive behaviors. Encourage them to seek professional help and offer emotional support.

In some cases, medication, such as selective serotonin reuptake inhibitors (SSRIs), may be used to manage signs of relationship OCD, including ROCD.

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Richard Samedra, PMHNP-BC, is a Board Certified Psychiatric-Mental Health Nurse Practitioner. He brings over 12 years of experience in the mental health field, working with clients facing a wide range of acute and chronic mental health conditions. His journey began as a Licensed Vocational Nurse and Charge Nurse at Westminster Therapeutic Residential Treatment, where he supported clients dealing with anxiety, depression, schizophrenia, bipolar disorder, and substance use disorders. Richard’s dedication was centered on helping these individuals improve their mental health and transition to a lower level of care, whether that meant returning to their families, a board and care facility, or a sober-living environment.

Motivated by a growing passion for mental health care, Richard pursued his Registered Nurse (RN) education at Saddleback Community College and later transitioned to La Palma Intercommunity Hospital Behavioral Health. In this role, he specialized in geriatric psychiatry, working with older adults experiencing conditions such as Parkinson’s disease, dementia, depression, and anxiety. This experience solidified his commitment to mental health, leading him to work at Bellflower Community Hospital, where he provided care for patients experiencing severe psychiatric crises, including suicidal ideation, manic and depressive episodes, substance use disorders, and exacerbated schizophrenia symptoms.

Inspired by the impactful work of PMHNPs at Bellflower, Richard enrolled in the Psychiatric-Mental Health Nurse Practitioner program at Azusa Pacific University. To broaden his expertise, he worked full-time at College Hospital Costa Mesa while completing his studies. There, he gained comprehensive experience across various units, including adolescent, acute men’s and women’s, stabilization, and detox/med-surg. Now, as a PMHNP, Richard is committed to leveraging his diverse background and knowledge to provide compassionate, comprehensive care to those in need.

Richard currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where he is supervised by Dr. Montgomery.

 

Shaheena Gazipura

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Shaheena Gazipura is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 9 years of dedicated experience in both inpatient and outpatient mental health care. She earned her Master of Science in Nursing from Western University of Health Sciences in Pomona, California.

Shaheena began her career working on an adult psychiatric inpatient unit before transitioning to the geriatric psychiatric inpatient unit at USC Verdugo Hills Hospital. In addition to her clinical work, Shaheena also serves as a Nursing Clinical Instructor, guiding the next generation of nurses through their mental health rotations at a large community college.

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Outside of her professional life, Shaheena enjoys exploring new culinary experiences, staying active through exercise, and planning her next travel adventures.

Shaheena currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where she is supervised by Dr. Barrios.

Clint Nacar

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Clint Nacar, PMHNP-BC is a Board Certified Psychiatric-Mental Health Nurse Practitioner. Mr. Nacar graduated from Charles R. Drew University of Medicine and Science. Currently Mr. Nacar works in an inpatient psychiatry unit at a leading academic medical center in Los Angeles, Renewed Mental Health Group, and Orange Coast Psychiatry

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Outside of his professional life, Dr Barrios is passionate about kettlebell training, which helps him maintain my physical and mental wellness. He cherishes visiting his family in Guatemala, to reconnecting with his cultural roots and rejuvenating his spirit. Dr Barrios is also deeply involved in transcendental meditation and rucking, practices that not only provide him with tranquility but also keep him grounded and connected to nature. These hobbies reflect his commitment to a holistic approach to health, both personally and professionally.