Relationship OCD: What exposures have worked well for you from an ERP perspective if you struggle with this subtype of OCD? I tend to feel the most distress/anxiety when I am in the presence of my girlfriend, as I become super aware of my thoughts and have trouble dissociating from them. With this being said, it is hard for me to find exposures that replicate this when I am on my own so I can practice response prevention. Ideas would be much appreciated. Thanks!

Specifically how can my fiance best support me without offering reassurance? I'm trying to encourage myself to grow and keep trying ERP, but I'm not sure how I can include my partner in a healthy way. I plan on talking to my therapist about it soon, but I wanted to hear thoughts from people who have been dealing with it themselves.

I'm struggling really hard with relationship obsessions. Do I really love my partner? How can I know? Am I really just faking it? That kind of thing. It's making my life and relationship a lot harder than they need to be. I could use a few helpful coping mechanisms, trying to move away from less helpful ones like chasing reassurance.

Valentine’s Day is a day to celebrate love, however if you are living with Relationship OCD (ROCD) this can be a very triggering day. Relationship OCD is essentially, the fear of being in the wrong relationship, not truly loving your partner, or not being loved by your partner. This makes you doubt the true nature of your relationship and makes you believe that your entire relationship is based on lies. It can make you feel like a bad person and not worthy of love. ROCD will make you believe that you need to leave the relationship just to find some peace. When we think about ROCD we often think that this only applies to romantic relationships, however ROCD can impact friendships and family relationships as well. ROCD will attack whatever relationship is most important to you. As an ERP therapist some of the most common obsessions that I have seen include “Is my partner ‘The One’”? “Maybe I am meant to be with someone else”. “What if my partner cheats on me or worse I cheat on him/her”? “I find X attractive. Should I break up with my partner and be with X”? “Do I even love my partner? What if they don’t love me?” This list could go on and on. The basis of all of these intrusive thoughts is fear and doubt. The compulsions associated with ROCD are vast. The most common include checking feelings to make sure you really love your partner, avoidance behaviors, reassurance seeking behaviors both from your partner and from others and ruminating on the relationship in the hopes of figuring out if this is the “right” relationship for you. ROCD, as in most theses in OCD, wants 100% uncertainty that this relationship will work out with no conflict or compromise. The problem is this is unrealistic. All relationships will have some level of conflict and compromise in them. There is no “perfect relationship”. Most of us have grown up with fairy tales where one true love will come and sweep up off our feet. Life and relationships can be messy and complicated, but they are worth it and are a key aspect of what makes us human. The fact is ROCD makes you doubt everything and will take the joy, excitement and contentment out of the relationship. The good news is that treatment is available, and it is possible to have a long, happy, fulfilling relationship despite ROCD fears. It does take time, perseverance and patience. Treatment using Exposure Response Prevention has been proven to lessen intrusive thoughts. You will learn to manage your expectations of the relationships while leaning into your fears and learning to accept the uncomfortable feelings. By doing this, you can bring joy and contentment back into you life and your relationships. I'd love to hear about how ROCD is showing up for you. Share your experiences in the comments below or ask your questions about ROCD and I will respond to them.