ROCD stands for Relationship Obsessive Compulsive Disorder. If you have ROCD, you will have both obsessions and compulsions about your relationship.  This simply means that you frequently analyse your relationship and partner, (obsess) and feel compelled to spend a large amount of checking the quality of your relationship, (compulsions).

If you have arrived on this page, I am guessing you have been searching for information on ROCD. This would suggest that you already suspect that your current difficulties might be something other than problems with your partner or relationship.

This page is to help you understand the thoughts you have in your head about your relationship. Specifically, this page aims to answer



What is ROCD?

ROCD stands for Relationship Obsessive Compulsive Disorder, and it occurs when you have obsessive, unwanted thoughts and doubts about your relationship.
Read more

What causes ROCD?

Habitual, unwanted thoughts about your relationship that create anxiety can be the basis for ROCD. This type of OCD is maintained by the compulsions that you carry out to reduce the stress the feel about your relationship.
Read more

How do I know if I have ROCD?

ROCD is made up of both obsessions and compulsions.
Do you obsess about your relationship? For example, do you keep analysing your relationship or questioning whether or not you love, or should be with your partner?
Read more on obsessions

Do you
do things when you are obsessing about your relationship? For example, do you compare your relationship to other people’s?
Read more on compulsions

How do I get over ROCD?

Once you recognise that your difficulties are with obsessions and compulsions, and not a problem with your relationship itself, there are therapies available to help you overcome ROCD.
Find our more about self-help and therapies


What is Relationship OCD?

RELATIONSHIP Obsessive Compulsive Disorder; ROCD falls under the umbrella of Obsessive Compulsive Disorder (OCD.) It can be strange at first, to think of your current difficulties in terms of OCD, but see if you can recognise yourself in the following examples of the typical obsessions and compulsions that can occur in ROCD. 

Video taken from my online course

How do I know if I have ROCD?

ROCD is made up of both obsessions and compulsions

Obsessions

OBSESSIONS ARE ALL THOSE THOUGHTS THAT ARE IN YOUR HEAD ABOUT YOUR RELATIONSHIP AND YOUR PARTNER. THESE ARE DIFFERENT FROM OTHER THOUGHTS YOU MIGHT HAVE IN THAT THEY ARE

Compulsions

Compulsions are the things that you do, for example

There are two types of ROCD, and you may have one or both;

Relationship Focused

Relationship Focused is where you focus on the relationship itself.

These type of obsessions can lead to many doubts about your relationship, even though, objectively, your relationship may be excellent.

Partner Focused

Partner Focused is where you focus on your partner

You might find that you obsess about your partner’s appearance, how intelligent they are, or what they are like with other people.

Finding flaws in their appearance

Finding flaws in how intelligent they are

and the list goes on

Finding flaws in how they interact with other people

What causes ROCD?

Recent research2 suggests that people with OCD that ‘the brain responds too much to errors’. Applying this finding to people with ROCD, it might give some understanding as to why you spend so much time focusing on the flaws in your relationship.

ROCD is caused by frequent thoughts about your relationship, that creates anxiety, and is maintained by the compulsions that you carry out to reduce your anxiety.  

Or put another way, all the analysing you do, inside your head, can make you feel anxious about your relationship or partner. Checking up on them, for example, or comparing your relationship to other people’s is your way to try and make sense of the thoughts, and reduce the anxiety caused by all the unwelcome thoughts.

Your relationship does not cause ROCD. It is caused by how you think about your relationship and the things that you do.

Dr Elaine Ryan

I shall explain what I mean by taking you through an example, discussing;

Habitual thoughts

If you think, for example, “what if I am in the wrong relationship?” The first time this happens, it is just a thought, in that no habit has been formed in your brain. However, if you analyse the thought repeatedly and keep returning to it, you are likely to develop a ‘habit.’ Your brain learns from past experience if you keep repeating the thought (or have similar thoughts), your brain learns, and you develop a habit (so to speak.)

Thoughts create anxiety about your relationship

These thoughts, understandably make you feel anxious about your relationship. You may even feel it in your body; nervous, feeling or edge.

Maintained by compulsions

When you have these thoughts about your relationship and are feeling anxious, you more than likely ‘do ‘things to help you ‘check out ‘that you are meant to be with your partner. The things that you do also help to reduce the anxiety that you are experiencing temporarily.

The problem is, the anxiety returns, and you start obsessing about your relationship again.

Break the ROCD loop

How to get over ROCD


People have been asking me about therapy, and I now have an online course that I designed to cover everything that you would do in a session with myself. If you want to find out more about it, you can watch the video below; read about the course or skip on ahead to continue learning about ROCD.


Many people, when they come to see me for therapy, want to focus on all the doubts they have about their relationship. The problem with doing this, is that I become a ‘sounding board’ for the cycle of obsessive thoughts, and you would probably leave the session feeling just as anxious as when you came in.

Rather than wanting to ask about;  how do I know if I really love my partner, is this really ROCD or am I in the wrong relationship, I would encourage you to focus on another question.

Ask yourself what can I do to get rid of obsessions and compulsions?   

If you have ROCD, you will be placing too much emphasis on your thought processes (your obsessions).  I must call them obsessions as I want to help you to see them for what they are; they part of OCD, as opposed to representing any ‘truth’ about your relationship.

When you start to identify the worries you have about your relationship as obsessions, you can begin to distance yourself from them and get down to working on overcoming ROCD.

You suffer, not because of a problem in your relationship, but rather, you suffer because of obsessions and compulsions.

The suffering caused by obsessions and compulsions, in itself, if you think about it can start to bring some relief if you can see your difficulty in terms of OCD, as opposed to having a bad relationship.

If you see your thoughts (obsessions) as being ‘the truth’, of course, you will want to investigate this further and get some reassurance or answers to questions you have about your relationship, and this is where your compulsions can start.

Let me explain. If you have a good enough relationship, and you start to obsess over it, you might begin to change how you interact with your partner; you begin to see them differently. If you are always asking them questions about your relationship, or become distant as you are analysing everything in your head, you are started to affect your good enough relationship.

If you have ROCD, once you start to see your difficulty in terms of obsessions and compulsions, rather than a problem with your relationship, then you get down to fixing the OCD, as opposed to repairing your relationship.

Therapy and Treatment

If you have been searching for treatment for ROCD, I would advise you to undertake Cognitive Behavioural Therapy (CBT), Mindfulness and also anxiety management training and I shall explain my reasons behind this now.

CBT for ROCD

Cognitive Behavioural Therapy helps with both the obsessions and compulsions that you experience.

The ‘cognitive’ part helps with your obsessions by working with your thought processes, and the ‘behavioural’ part helps with things such as reassurance seeking.

How does this help?

The problem is not your relationship, the problem is to do with how you think about yourself, and the things you do, such as the constant analysis and reassurance seeking. CBT helps to change your thought processes into more balanced, realistic thoughts rather than the thoughts you have at the moment that are fuelled by Relationship OCD.

CBT also teaches you to manage the things that you are doing that keep ROCD going, such as seeking reassurance about your relationship.

Mindfulness for ROCD

Mindfulness helps you to ‘let go’ of your thought processes. Having the ability to ‘let go’ is why I recommend that people also have a fundamental practice of mindfulness as I have said above, it is the thought processes that keep the problem going.

 

The need to manage anxiety in ROCD

Anxiety management is core to your recovery from ROCD, as we do not like change! Learning to change how to relate to the thoughts in your head might make you feel anxious, and you need to be shown how to manage this.

Also, when you start to reduce the behaviours (such as seeking reassurance or analysing your relationship), you might find that this makes you feel more anxious.

All of the above methods are included in my course, which is available for you to start right away.

Further Reading

References

  1. Doron, G., Derby, D. S., & Szepsenwol, O. (2014). Relationship obsessive compulsive disorder (ROCD): A conceptual framework. Journal of Obsessive-Compulsive and Related Disorders, 3(2), 169-180.DOI: doi.org/10.1016/j.jocrd.2013.12.005
  2. Luke Norman, Stephan Taylor, Yanni Liu, Joaquim Radua, James Abelson, Mike Angstadt, Yann Chye, Stella de Wit, Joseph Himle, Chaim Huyser, Isik Karahanoglu, Tracy Luks, Dara Manoach, Carol Mathews, Katya Rubia, Chao Suo, Odile van den Heuvel, Murat Yücel, Kate Fitzgerald. S20. Error-Processing in OCD: A Meta-Analysis of fMRI Studies and Investigation of Changes Following CBTBiological Psychiatry, 2018; 83 (9): S354 DOI: 10.1016/j.biopsych.2018.02.911