You know that nagging feeling of doubt that creeps in after a seemingly perfect date? Or that intrusive thought that maybe, just maybe, you don't actually love your partner as much as you think? 💭

Well, if those moments spiral into endless rumination loops and compulsive reassurance-seeking, you might be caught in the grips of Relationship OCD, a condition where your own brain becomes obsessively determined to sabotage your happiness.

What is Relationship OCD?

Relationship OCD (R-OCD) is a form of Obsessive Compulsive Disorder (OCD) that causes persistent intrusive thoughts and anxieties centered around the individual's romantic relationship. Despite caring deeply for their partner, those with R-OCD become consumed by doubts, worries, and hyperfixation on their partner's flaws or the "rightness" of the relationship.

Some key characteristics of R-OCD include:

- Intrusive thoughts about not truly loving or being compatible with your partner

- Obsessive reassurance-seeking from your partner about the quality of the relationship

- Compulsive behaviors like reviewing past memories/interactions for threats

- Feeling trapped in indecisiveness about committing further

- An inability to "let go" of things that bother you about your partner

Ultimately, it causes extreme anxiety by convincing the sufferer that the relationship isn't "right" or "good enough," despite evidence to the contrary.

7 Signs of Relationship OCD

Here are some common signs that may indicate someone is struggling with Relationship OCD (R-OCD):

1. Persistent Intrusive Thoughts

• Frequent intrusive thoughts about not truly loving or being compatible with their partner

• Excessive "what if" scenarios about the relationship failing or being the wrong choice

• Obsessive analyzing and overthinking of small incidents or offhand comments by their partner

2. Compulsive Reassurance Seeking  

• Constantly asking their partner for validation of feelings and commitment level

• Needing excessive reassurance that small issues or arguments don't threaten the relationship

• Unable to self-soothe doubts without their partner's input and comfort

3. Difficulty Tolerating Uncertainty

• Unable to accept normal uncertainty that exists in any relationship

• Preoccupation with needing to be 100% sure about their partner and the future

• Perceiving any doubts as unacceptable and intolerable

4. Hyper-Focus on Partner's Flaws

• Fixating on small quirks or imperfections in their partner

• Magnifying the importance of these perceived flaws

• Using the flaws as evidence of incompatibility despite past ability to accept them

5. Emotional Distancing/Avoidance

• Pulling away from partner when thoughts/feelings feel out of control

• Using distancing as an attempt to reduceanxiety and obsessive thoughts  

• May appear cold, withdrawn, or create concerns about their commitment

6. Compulsive Review of Relationship Memories

• Relentlessly reviewing and reanalyzing past memories with partner

• Scouring memories for evidence that could justify doubts

• Unable to feel settled or reassured by positive relationship recollections

7. Impaired Decision Making

• Struggling to make decisive steps that imply greater commitment

• Getting "stuck" in a transitional period due to doubts and uncertainty

• Inability to feel confident about big relationship decisions

While doubts are normal, the inability to not get consumed by intrusive thoughts is the hallmark of R-OCD. The obsessions and compulsions take an exhausting mental toll.

What does Relationship OCD feel like?

In a word - torture. Imagine finally finding someone amazing—someone who makes you laugh and fills your heart with sunshine. Then picture a dark cloud forming right above your head. It starts with a tiny worry, a replayed conversation, and a seed of doubt planted by your own mind.  Suddenly, you're stuck in a mental maze, overanalyzing every detail, replaying every criticism on repeat. Your deepest insecurities scream through a bullhorn, drowning out the joy.

You care for them deeply, but your brain is on a mission to prove incompatibility. It's a relentless search for a certainty that seems to always be just out of reach, leaving you feeling emotionally tortured.

Does Relationship OCD ever go away?  

The double-whammy of Relationship OCD is that the more you obsess over uncertain thoughts, the stickier those obsessions become, feeding into a vicious cycle of doubt. However, with the proper treatment plan, countless couples have been able to overcome R-OCD.

A multi-pronged approach of Cognitive-Behavioral Therapy(learning to identify unhelpful thought patterns), mindfulness practices, and Family-Based Therapy can give you the tools to dismiss those intrusive thoughts and reinvest fully in your relationship. With time, consistent work, and self-compassion, partners can break OCD's tight grip and rediscover their love without constant interrogation.

How do you fix Relationship OCD?

While R-OCD can make someone feel hopelessly trapped in doubt, there are effective treatment methods available:

1. Cognitive Behavioral Therapy (CBT) - Learning to identify intrusive thoughts and replace them with more rational responses.

2. Mindfulness Practices - Using grounding techniques and meditation to remain present when anxious thoughts arise.

3. Exposure and Response Prevention (ERP) - Gradually facing relationship uncertainties without engaging in compulsive behaviors.

4. Medication - Sometimes combined with therapy, medication can help regulate serotonin levels and reduce OCD symptoms.

The key is developing mental skills to disempower those obsessive, irrational doubts - accepting the presence of thoughts without getting consumed by them.

6 Impacts of Relationship OCD

Relationship OCD can have a profoundly damaging impact on both the individual suffering from it and the overall relationship dynamic. Some of the key ways R-OCD takes a toll include:

1. Emotional Turmoil

The constant barrage of intrusive thoughts creates severe anxiety, distress, and mental exhaustion for the person with OCD. They feel trapped in a cycle of doubt about their feelings.

2. Impaired Intimacy

The compulsions and avoidance behaviors often push the partner away, damaging emotional and physical intimacy. The person with OCD struggles to be vulnerable and present.

3. Resentment and Hurt Feelings

For the partner, it can feel hurtful and confusing to have their love and commitment constantly questioned, breeding resentment over time.

4. Delayed Life Milestones

The obsessive doubt can prevent couples from taking steps like getting married, having children, or making future plans due to endless uncertainty.

5. Self-Doubt and Insecurities

Constant criticism from the OCD voice makes the sufferer question their self-worth and whether they are a good partner, fueling insecurities.  

6. Difficulty With Trust

The obsessive need for reassurance from the partner erodes trust and faith in the relationship's stability over time.

If left unaddressed, R-OCD can become an exhausting force that slowly chips away at the foundations of healthy love and partnership over time.

How do I know if my partner has OCD?

If you suspect your partner may be struggling with Relationship OCD (R-OCD) or other forms of OCD, look out for these potential signs:

- Excessive reassurance seeking about your feelings or the strength of the relationship

- Getting extremely anxious or distressed about small relationship issues

- Repeating checking behaviors like rereading old messages or reviewing past memories

- Struggling to feel satisfied in the relationship despite your efforts

- Having difficulty making decisions that would signify more commitment

However, only a qualified mental health professional can properly evaluate and diagnose OCD.

What causes Relationship OCD?

There is no single definitive cause, but R-OCD likely arises from a combination of genetic predisposition, brain chemistry, and life experiences.

Some potential contributing factors include:

- Chemical imbalances (e.g. low serotonin levels increasing intrusive thoughts)

- Genetics (OCD symptoms tend to run in families)  

- Childhood attachment issues or unstable family dynamics

- Heightened sensitivity to doubts and need for certainty

- Undeveloped emotional coping mechanisms for anxiety

- Cognitive patterns of catastrophizing and black-and-white thinking

For many, underlying relationship fears and anxieties can become an overwhelming target for their general OCD tendencies to latch onto. With proper treatment, the root causes can be better understood.

Difference between Relationship OCD and Normal Doubts

It's normal for everyone to experience passing doubts or "cold feet" in a relationship sometimes. The key difference with R-OCD is that the doubt becomes an obsession that takes on a destructive, irrational intensity.

Normal doubts are:

- Relatively Infrequent

- Based on concrete issues or differences

- Able to be talked through in a balanced way

- Don't enormously impair intimacy or commitment

With OCD, the doubts are:

- Frequent, intrusive and extremely hard to dismiss

- Triggered by excessive "what-ifs" and hyper-analyzing

- Accompanied by intense anxiety that isn't situation-appropriate

- Prompting compulsions that create distance and avoidance in the relationship

Normal doubts don't usually derail an otherwise satisfying partnership. With OCD, the doubts become debilitating obsessions despite evidence the relationship is essentially working. Seeking professional support is recommended for coping strategies.

Supporting Your Partner with Relationship OCD (R-OCD)?

Supporting a partner with Relationship OCD (R-OCD) can be challenging, but your patience and understanding go a long way. Here are some tips:

1. Educate yourself on R-OCD

Learning about the obsessions and compulsions of this condition helps you respond with empathy rather than frustration. Reassure them their thoughts don't define reality.

2. Avoid reassurance seeking

While the urge is to constantly reassure your partner, this can reinforce their compulsions. Gently refuse to enable reassurance-seeking behaviors.

3. Don't take it personally

The doubts and avoidance aren't about you - they're distortions arising from your partner's OCD. Detach from the irrational thoughts/behaviors.

4. Be supportive of treatment

Encourage your partner to work with an OCD specialist and stick to their treatment plan of ERP therapy, meditation, etc. Celebrate small wins.

5. Set boundaries when needed

If your partner's compulsions become too overwhelming, it's okay to create space and disengage for your own self-care.

6. Keep communicating

Have open discussions about how R-OCD impacts your relationship, making statements from your perspective using "I" language.

7. Be patient and consistent

Recovery isn't linear - anticipate setbacks. But continually responding with compassion rather than judgment is important.

8. Nurture quality time

Plan activities you enjoy together to counteract R-OCD's isolating effects and remember your connection.

9. Take care of yourself

Dealing with this issue can be draining. Enlist support, set boundaries, and continue self-care so you have energy to be supportive.

10. Offer realistic reassurance

You can reassure your commitment to the relationship without compulsively reassuring about specifics that trigger doubts.

With consistency, space for treatment, and open communication, you create an environment for R-OCD recovery as a team.

Relationship OCD creates an environment of pervasive doubt that prevents true intimacy from blooming. The obsessions become self-fulfilling prophecies that test the strength of any bond. By seeking evidence-based treatment and supporting each other's progress, couples can disarm R-OCD's intrusive voice and rediscover the ability to fully cherish their connection.

Disclaimer: The information provided about Relationship OCD (R-OCD) on this blog is for educational and awareness purposes only, not a substitute for professional diagnosis or treatment. If you suspect you or your partner may be struggling with R-OCD or other mental health issues, please consult a qualified therapist or mental health provider. This content should not replace individualized care or be used to self-diagnose. Seek support from medical professionals for appropriate evaluation and evidence-based treatment plans.