If you look back on a timeline of your life, did you have OCD symptoms and not know it?

Looking back, I realize I’ve had OCD since I was 7. though I wasn’t diagnosed until I was 30. As a kid, I was consumed by fears I couldn’t explain: "What if God isn’t real? What happens when we die? How do I know I’m real?" These existential thoughts terrified me, and while everyone has them from time to time, I felt like they were consuming my life. By 12, I was having daily panic attacks about death and war, feeling untethered from reality as depersonalization and derealization set in. At 15, I turned to drinking, spending the next 15 years drunk, trying to escape my mind. I hated myself, struggled with my body, and my intrusive thoughts. Sobriety forced me to face it all head-on. In May 2022, I finally learned I had OCD. I remember the exact date: May 10th. Reading about it, I thought, "Oh my God, this is it. This explains everything." My main themes were existential OCD and self-harm intrusive thoughts. The self-harm fears were the hardest: "What if I kill myself? What if I lose control?" These thoughts terrified me because I didn’t want to die. ERP changed everything. At first, I thought, "You want me to confront my worst fears? Are you kidding me?" But ERP is gradual and done at your pace. My therapist taught me to lean into uncertainty instead of fighting it. She’d say, "Maybe you’ll kill yourself—who knows?" At first, it felt scary, but for OCD, it was freeing. Slowly, I realized my thoughts were just thoughts. ERP gave me my life back. I’m working again, I’m sober, and for the first time, I can imagine a future. If you’re scared to try ERP, I get it. But if you’re already living in fear, why not try a set of tools that can give you hope?

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.

Looking back, my introverted nature and struggles to find belonging in high school may have set the stage for how OCD would later impact my relationships. I had my first relationship in high school, but OCD wasn’t a major factor then. It wasn’t until my longest relationship—six years from age 18 to 24—that OCD really took hold. The relationship itself wasn’t the issue; it was what happened after. When it ended, I became obsessed with confessing past mistakes, convinced I had to be completely transparent. Even when my partner was willing to work past them, I couldn’t let go of the intrusive thoughts, and that obsession landed me in the hospital. From there, my struggle with ROCD (Relationship OCD) fully emerged. For years, every time I tried to move forward in dating, doubts consumed me. I would start seeing someone and feel fine, but then the questions would creep in: Do I really like her? Do I find her attractive? Is she getting on my nerves? What if I’m with the wrong person? I’d break things off, thinking I was following my true feelings. But then I’d question: Was that really how I felt, or was it just OCD? I tried again and again, each time hoping I could “withstand it this time,” only to fall back into the same cycle. The back and forth hurt both me and the person I was with. By the time I realized it was ROCD, the damage had been done, and I still hadn’t built the tools to manage it. Now, at 28, I know I need to approach dating differently. I recently talked to someone from a dating app, and my OCD still showed up—questioning my every move, making me doubt my own decisions. I haven’t yet done ERP specifically for ROCD, but I know that’s my next step. Just like I’ve learned tools for managing my other OCD subtypes, I need a set of strategies for when intrusive doubts hit in relationships. My goal this year is to stop letting uncertainty control me—to learn how to sit with doubt instead of trying to “figure it out.” I want to break the cycle and be able to build something healthy without my OCD sabotaging it. I know I’m not alone in this, and I know healing is possible. I’m hopeful that working with a therapist will help me develop exposures and thought loops to practice. I don’t expect to eliminate doubt entirely—after all, doubt is a part of every relationship—but I want to reach a place where it doesn’t paralyze me. Where I can move forward without constantly questioning whether I should. And where I can be in a relationship without feeling like OCD is pulling the strings. I would appreciate hearing about your experiences with ROCD. Please share your thoughts or any questions in the comments below. I’d love to connect and offer my perspective. Thanks!