Relationship OCD: Understanding Its Impact on Individuals and Families

Relationship OCD: Understanding Its Impact on Individuals and Families

• Gurprit Ganda
• Oct 8, 2025
• 12 min read

What Is Relationship OCD?

Have you ever questioned whether you really love your partner? Most people have moments of doubt in their relationships. But what happens when these doubts become constant, overwhelming, and impossible to ignore? This might be Relationship OCD, also known as R-OCD.

Relationship OCD is a type of obsessive-compulsive disorder where a person experiences unwanted, intrusive thoughts about their romantic relationship. These thoughts create intense anxiety and lead to repetitive behaviours aimed at reducing that anxiety (Doron et al., 2012). Unlike normal relationship concerns, R-OCD thoughts feel urgent, distressing, and never-ending.

People with relationship OCD often feel trapped in a cycle of doubt. They might constantly question whether their partner is “the one,” whether they truly love them, or whether their relationship is “good enough.” These doubts aren’t based on real problems in the relationship but come from the anxiety disorder itself.

According to the American Psychological Association, OCD affects approximately 2-3% of the population, and relationship-focused obsessions are among the most common themes (American Psychiatric Association, 2022). In Australia, many people in Sydney’s northwest suburbs, including Bella Vista, Castle Hill, and Baulkham Hills, seek help from an

OCD psychologist in Bella Vista

for these distressing symptoms.

Common Signs and Symptoms of Relationship OCD

Relationship OCD shows up differently for different people, but there are common patterns that mental health professionals look for.

Intrusive Thoughts (Obsessions)

The obsessions in R-OCD are unwanted thoughts that pop into your mind repeatedly. These might include:

• Constant doubts about whether you love your partner enough

Constant doubts about whether you love your partner enough

• Worrying that you’re with the wrong person

Worrying that you’re with the wrong person

• Comparing your relationship to others constantly

Comparing your relationship to others constantly

• Fears about your partner’s appearance or personality

Fears about your partner’s appearance or personality

• Thoughts about whether your attraction to your partner is “real”

Thoughts about whether your attraction to your partner is “real”

• Concerns about whether the relationship feels “right”

Concerns about whether the relationship feels “right”

These thoughts can appear hundreds of times per day, making it difficult to focus on work, study, or daily activities (Williams & Zahka, 2017).

Compulsive Behaviours (Compulsions)

To cope with the anxiety from these thoughts, people with relationship OCD perform compulsions. These are repetitive behaviours or mental acts that temporarily reduce anxiety but actually make the problem worse over time. Common compulsions include:

• Constantly seeking reassurance from partners, friends, or family

Constantly seeking reassurance from partners, friends, or family

• Checking feelings by monitoring physical responses to the partner

Checking feelings by monitoring physical responses to the partner

• Comparing the current relationship to past relationships

Comparing the current relationship to past relationships

• Researching relationships online for hours

Researching relationships online for hours

• Testing the relationship by creating scenarios

Testing the relationship by creating scenarios

• Mentally reviewing past interactions to find “proof” of love

Mentally reviewing past interactions to find “proof” of love

• Avoiding situations that trigger doubts

Avoiding situations that trigger doubts

Research published in the Journal of Obsessive-Compulsive and Related Disorders found that reassurance-seeking is one of the most common compulsions in relationship OCD, but it provides only temporary relief (Doron et al., 2014).

How Relationship OCD Differs from Normal Relationship Doubts

Everyone has relationship doubts sometimes. So how do you know if what you’re experiencing is relationship OCD or just normal concerns?

Normal relationship doubts usually:

• Come and go naturally

Come and go naturally

• Are based on specific situations or behaviours

Are based on specific situations or behaviours

• Can be resolved through communication

Can be resolved through communication

• Don’t cause severe distress

Don’t cause severe distress

• Allow you to function normally

Allow you to function normally

Relationship OCD is different because:

• Doubts are constant and intrusive

Doubts are constant and intrusive

• Thoughts feel urgent and overwhelming

Thoughts feel urgent and overwhelming

• No amount of reassurance provides lasting relief

No amount of reassurance provides lasting relief

• The doubts significantly impact daily functioning

The doubts significantly impact daily functioning

• You spend hours each day dealing with these thoughts

You spend hours each day dealing with these thoughts

• The anxiety feels out of proportion to any real problems

The anxiety feels out of proportion to any real problems

As noted by Abramowitz et al. (2009) in their research on OCD subtypes, the key difference is that OCD-related thoughts are ego-dystonic, meaning they feel inconsistent with a person’s actual values and desires.

Many people experiencing R-OCD also struggle with other forms of anxiety. If you’re dealing with persistent worry beyond your relationship, you might benefit from seeing an

anxiety psychologist in Bella Vista

who can help address multiple anxiety concerns.

The Impact on Individuals Living with Relationship OCD

Living with relationship OCD affects nearly every aspect of a person’s life. The constant anxiety and doubt take a serious toll on mental health and wellbeing.

Emotional and Mental Health Effects

People with R-OCD often experience:

• Chronic anxiety and stress:

  The constant questioning creates a state of high alert that exhausts the nervous system

Chronic anxiety and stress:

The constant questioning creates a state of high alert that exhausts the nervous system

• Depression:

  Many people develop depressive symptoms from the ongoing distress (Abramowitz & Jacoby, 2015)

Depression:

Many people develop depressive symptoms from the ongoing distress (Abramowitz & Jacoby, 2015)

• Low self-esteem:

  Doubting your feelings can make you question your ability to trust yourself

Low self-esteem:

Doubting your feelings can make you question your ability to trust yourself

• Guilt and shame:

  Many people feel guilty about their doubts and worry they’re hurting their partner

Guilt and shame:

Many people feel guilty about their doubts and worry they’re hurting their partner

• Emotional numbness:

  Some people become so focused on analysing their feelings that they can’t actually feel them

Emotional numbness:

Some people become so focused on analysing their feelings that they can’t actually feel them

Studies show that OCD significantly impacts quality of life, with relationship obsessions causing particular distress because they affect intimate connections (Storch et al., 2007).

Impact on Daily Life

Beyond emotional effects, relationship OCD disrupts daily functioning:

• Difficulty concentrating:

  Intrusive thoughts make it hard to focus at work or study

Difficulty concentrating:

Intrusive thoughts make it hard to focus at work or study

• Sleep problems:

  Anxiety about the relationship keeps people awake at night

Sleep problems:

Anxiety about the relationship keeps people awake at night

• Social withdrawal:

  Some people avoid friends and family to prevent triggering questions about their relationship

Social withdrawal:

Some people avoid friends and family to prevent triggering questions about their relationship

• Decreased productivity:

  Hours spent researching or seeking reassurance reduce time for other activities

Decreased productivity:

Hours spent researching or seeking reassurance reduce time for other activities

• Physical symptoms:

  Chronic anxiety can cause headaches, muscle tension, stomach problems, and fatigue

Physical symptoms:

Chronic anxiety can cause headaches, muscle tension, stomach problems, and fatigue

For students, this might mean struggling to concentrate in class or complete homework. For adults, it could mean difficulty performing at work or managing household responsibilities. A

clinical psychologist in Bella Vista

can provide comprehensive assessment and treatment for these wide-ranging impacts.

How Relationship OCD Affects Romantic Relationships

Relationship OCD doesn’t just impact the person experiencing it—it significantly affects their partner and the relationship itself.

Effects on Partners

Partners of people with R-OCD often feel:

• Confused and hurt:

  They may not understand why their partner constantly needs reassurance

Confused and hurt:

They may not understand why their partner constantly needs reassurance

• Emotionally exhausted:

  Providing repeated reassurance becomes draining

Emotionally exhausted:

Providing repeated reassurance becomes draining

• Inadequate:

  They might feel like they’re not enough or doing something wrong

Inadequate:

They might feel like they’re not enough or doing something wrong

• Frustrated:

  The same conversations happening repeatedly can be frustrating

Frustrated:

The same conversations happening repeatedly can be frustrating

• Anxious themselves:

  The partner may start feeling insecure about the relationship

Anxious themselves:

The partner may start feeling insecure about the relationship

Research by Doron et al. (2012) found that partners often experience their own emotional distress and may develop symptoms of anxiety or depression in response to their partner’s R-OCD.

Relationship Patterns That Develop

R-OCD can create unhealthy patterns in relationships:

• Reassurance-seeking cycles:

  The person asks for reassurance, feels better briefly, then needs reassurance again

Reassurance-seeking cycles:

The person asks for reassurance, feels better briefly, then needs reassurance again

• Avoidance of intimacy:

  Some people avoid physical or emotional closeness to prevent triggering doubts

Avoidance of intimacy:

Some people avoid physical or emotional closeness to prevent triggering doubts

• Communication breakdown:

  The relationship becomes focused on managing OCD rather than genuine connection

Communication breakdown:

The relationship becomes focused on managing OCD rather than genuine connection

• Dependency:

  The person may become overly dependent on their partner for emotional regulation

Dependency:

The person may become overly dependent on their partner for emotional regulation

• Relationship testing:

  Creating situations to “test” the relationship can damage trust

Relationship testing:

Creating situations to “test” the relationship can damage trust

These patterns can eventually lead to relationship breakdown if the OCD remains untreated. However, with proper treatment from a qualified psychologist practicing

couples therapy in Bella Vista

, relationships can not only survive but become stronger. Many couples benefit from working together with a family and marriage therapist who understands both relationship dynamics and OCD.

The Impact on Families and Loved Ones

Relationship OCD extends beyond the couple to affect entire families.

Family Dynamics

Family members often experience:

• Confusion about the situation:

  They may not understand why the person seems unhappy in what appears to be a good relationship

Confusion about the situation:

They may not understand why the person seems unhappy in what appears to be a good relationship

• Stress from watching their loved one suffer:

  Seeing someone you care about in constant distress is painful

Stress from watching their loved one suffer:

Seeing someone you care about in constant distress is painful

• Involvement in reassurance-seeking:

  The person may turn to parents, siblings, or friends for reassurance

Involvement in reassurance-seeking:

The person may turn to parents, siblings, or friends for reassurance

• Changed family routines:

  Family activities may be avoided or modified to accommodate the OCD

Changed family routines:

Family activities may be avoided or modified to accommodate the OCD

• Tension between family members:

  Disagreements about how to help can create conflict

Tension between family members:

Disagreements about how to help can create conflict

Parents of young adults with R-OCD often feel particularly helpless, wanting to support their child but unsure how to help without enabling the compulsions.

Social Connections

R-OCD can affect friendships and social life:

• Friends may feel uncomfortable with constant relationship discussions

Friends may feel uncomfortable with constant relationship discussions

• Social gatherings might be avoided due to anxiety

Social gatherings might be avoided due to anxiety

• Friendships can become strained if the person constantly seeks reassurance

Friendships can become strained if the person constantly seeks reassurance

• Social isolation may develop as the person withdraws

Social isolation may develop as the person withdraws

According to the Australian Psychological Society, maintaining social connections is crucial for mental health, making this impact particularly concerning (Australian Psychological Society, 2023).

Understanding the Causes of Relationship OCD

Like other forms of OCD, relationship OCD doesn’t have a single cause. Research suggests it develops from a combination of factors.

Biological Factors

• Brain chemistry:

  Imbalances in neurotransmitters, particularly serotonin, play a role in OCD (Pauls et al., 2014)

Brain chemistry:

Imbalances in neurotransmitters, particularly serotonin, play a role in OCD (Pauls et al., 2014)

• Genetics:

  OCD tends to run in families, suggesting a genetic component

Genetics:

OCD tends to run in families, suggesting a genetic component

• Brain structure:

  Research shows differences in brain structure and function in people with OCD

Brain structure:

Research shows differences in brain structure and function in people with OCD

Psychological Factors

• Attachment style:

  People with anxious or avoidant attachment styles may be more vulnerable to R-OCD (Doron et al., 2012)

Attachment style:

People with anxious or avoidant attachment styles may be more vulnerable to R-OCD (Doron et al., 2012)

• Perfectionism:

  Unrealistic standards about what relationships “should” be like can fuel obsessions

Perfectionism:

Unrealistic standards about what relationships “should” be like can fuel obsessions

• Intolerance of uncertainty:

  Difficulty accepting that no one can be 100% certain about anything increases vulnerability

Intolerance of uncertainty:

Difficulty accepting that no one can be 100% certain about anything increases vulnerability

• Past experiences:

  Previous relationship trauma or watching parents’ relationship problems may contribute

Past experiences:

Previous relationship trauma or watching parents’ relationship problems may contribute

Environmental Factors

• Stress:

  Major life changes or stressful events can trigger OCD symptoms

Stress:

Major life changes or stressful events can trigger OCD symptoms

• Relationship transitions:

  Moving in together, engagement, or marriage can trigger R-OCD

Relationship transitions:

Moving in together, engagement, or marriage can trigger R-OCD

• Cultural messages:

  Social media and movies create unrealistic relationship expectations

Cultural messages:

Social media and movies create unrealistic relationship expectations

• Early experiences:

  Childhood experiences with attachment figures shape relationship patterns

Early experiences:

Childhood experiences with attachment figures shape relationship patterns

Understanding these factors helps reduce self-blame and guides treatment approaches.

Treatment Options for Relationship OCD in Sydney

The good news is that relationship OCD is treatable. Evidence-based therapies can significantly reduce symptoms and improve quality of life.

Cognitive Behavioural Therapy (CBT)

CBT psychologists in Bella Vista

use cognitive behavioural therapy to help people:

• Identify unhelpful thought patterns

Identify unhelpful thought patterns

• Challenge distorted thinking

Challenge distorted thinking

• Develop healthier coping strategies

Develop healthier coping strategies

• Reduce compulsive behaviours

Reduce compulsive behaviours

Research consistently shows CBT to be highly effective for OCD, with many people experiencing significant improvement (Öst et al., 2015).

Exposure and Response Prevention (ERP)

ERP is a specific type of CBT considered the gold standard for OCD treatment. It involves:

• Exposure:

  Gradually facing situations that trigger anxiety without performing compulsions

Exposure:

Gradually facing situations that trigger anxiety without performing compulsions

• Response Prevention:

  Resisting the urge to seek reassurance or perform other compulsive behaviours

Response Prevention:

Resisting the urge to seek reassurance or perform other compulsive behaviours

For example, someone with R-OCD might practice sitting with the thought “maybe I don’t love my partner” without immediately seeking reassurance. Over time, this reduces the anxiety associated with the thought.

Studies show that 60-80% of people with OCD who complete ERP treatment experience significant symptom reduction (Abramowitz, 2006).

EMDR Therapy

For people whose relationship OCD stems from past trauma or attachment issues,

EMDR psychologists in Bella Vista

can help process traumatic memories that may be contributing to current relationship anxiety. EMDR (Eye Movement Desensitization and Reprocessing) can be particularly effective when R-OCD is linked to previous relationship trauma.

Dialectical Behaviour Therapy (DBT)

DBT psychologists in Bella Vista

offer another evidence-based approach that teaches:

• Emotional regulation skills

Emotional regulation skills

• Distress tolerance techniques

Distress tolerance techniques

• Mindfulness practices

Mindfulness practices

• Interpersonal effectiveness strategies

Interpersonal effectiveness strategies

DBT can be especially helpful for people with R-OCD who experience intense emotional responses to their intrusive thoughts.

Acceptance and Commitment Therapy (ACT)

ACT is another evidence-based approach that helps people:

• Accept unwanted thoughts without fighting them

Accept unwanted thoughts without fighting them

• Recognise that thoughts are just thoughts, not facts

Recognise that thoughts are just thoughts, not facts

• Focus on values-based actions rather than eliminating discomfort

Focus on values-based actions rather than eliminating discomfort

• Develop psychological flexibility

Develop psychological flexibility

Research published in the Journal of Anxiety Disorders found ACT to be effective for OCD, particularly when combined with other approaches (Twohig et al., 2010).

Medication

For some people, medication can help manage OCD symptoms. Selective Serotonin Reuptake Inhibitors (SSRIs) are the most commonly prescribed medications for OCD. A psychiatrist can assess whether medication might be helpful as part of a comprehensive treatment plan.

Finding Treatment in Sydney’s Northwest

If you’re in Bella Vista, Castle Hill, Rouse Hill, Kellyville, or surrounding areas, accessing quality mental health care is important. Our practice offers comprehensive

psychology services in Bella Vista

including tailored OCD treatment. A registered psychologist experienced in treating OCD can provide evidence-based treatment tailored to your needs.

Ready to take the first step? You can easily

book a psychologist in Bella Vista

through our contact page. Our experienced team, led by

Dr Gurprit Ganda, clinical psychologist

with over 22 years of experience, is here to support your recovery journey.

Practical Strategies for Managing Relationship OCD

While professional treatment is essential, there are strategies you can use alongside therapy to manage symptoms.

For Individuals with R-OCD

• Limit reassurance-seeking:

  Set boundaries around how often you ask for reassurance

Limit reassurance-seeking:

Set boundaries around how often you ask for reassurance

• Practice mindfulness:

  Learn to observe thoughts without engaging with them

Practice mindfulness:

Learn to observe thoughts without engaging with them

• Reduce comparisons:

  Limit time on social media and avoid comparing relationships

Reduce comparisons:

Limit time on social media and avoid comparing relationships

• Focus on behaviour:

  Judge the relationship by actions and experiences, not feelings

Focus on behaviour:

Judge the relationship by actions and experiences, not feelings

• Self-compassion:

  Treat yourself with kindness rather than judgment

Self-compassion:

Treat yourself with kindness rather than judgment

• Maintain routines:

  Keep up with work, hobbies, and social activities

Maintain routines:

Keep up with work, hobbies, and social activities

• Education:

  Learn about OCD to understand what you’re experiencing

Education:

Learn about OCD to understand what you’re experiencing

For Partners

• Learn about R-OCD:

  Understanding the condition helps you support effectively

Learn about R-OCD:

Understanding the condition helps you support effectively

• Set healthy boundaries:

  Limit reassurance-giving as advised by the therapist

Set healthy boundaries:

Limit reassurance-giving as advised by the therapist

• Maintain self-care:

  Look after your own mental health

Maintain self-care:

Look after your own mental health

• Communicate openly:

  Share your feelings and needs

Communicate openly:

Share your feelings and needs

• Support treatment:

  Encourage and support professional help

Support treatment:

Encourage and support professional help

• Remember it’s not personal:

  The doubts are symptoms of OCD, not reality

Remember it’s not personal:

The doubts are symptoms of OCD, not reality

• Seek support:

  Consider counselling for yourself if needed

Seek support:

Consider counselling for yourself if needed

For Families

• Educate yourselves:

  Learn about R-OCD to understand what’s happening

Educate yourselves:

Learn about R-OCD to understand what’s happening

• Avoid enabling:

  Don’t participate in compulsions or excessive reassurance-giving

Avoid enabling:

Don’t participate in compulsions or excessive reassurance-giving

• Show compassion:

  Remember the person is struggling with an anxiety disorder

Show compassion:

Remember the person is struggling with an anxiety disorder

• Encourage treatment:

  Support professional help without forcing it

Encourage treatment:

Support professional help without forcing it

• Maintain normal routines:

  Continue family activities as much as possible

Maintain normal routines:

Continue family activities as much as possible

• Communicate:

  Talk openly about feelings and concerns

Communicate:

Talk openly about feelings and concerns

• Get support:

  Family therapy or support groups can help

Get support:

Family therapy or support groups can help

If you have questions about treatment or want to understand more about how we can help, visit our

frequently asked questions page

or explore the various

challenges we help

with at our practice.

The Importance of Early Intervention

Getting help early makes a significant difference in recovery from relationship OCD.

Early intervention can:

• Prevent symptoms from worsening

Prevent symptoms from worsening

• Reduce the impact on relationships

Reduce the impact on relationships

• Improve treatment outcomes

Improve treatment outcomes

• Prevent development of depression or other complications

Prevent development of depression or other complications

• Maintain quality of life and functioning

Maintain quality of life and functioning

Research shows that the earlier people receive appropriate treatment, the better their long-term outcomes (Dell’Osso et al., 2016).

If you recognise symptoms of relationship OCD in yourself or a loved one, reaching out to a psychologist is an important first step. In the Sydney northwest region, including Bella Vista and surrounding suburbs, qualified mental health professionals can provide assessment and evidence-based treatment. Learn more about the

evidence-based therapy approaches

we use at our practice.

Hope and Recovery

While relationship OCD can feel overwhelming, recovery is possible. Many people successfully manage their symptoms and build healthy, fulfilling relationships.

Recovery doesn’t mean never having intrusive thoughts again. Instead, it means:

• Thoughts have less power over you

Thoughts have less power over you

• You can respond to doubts in healthy ways

You can respond to doubts in healthy ways

• Anxiety decreases significantly

Anxiety decreases significantly

• You can trust your feelings and choices

You can trust your feelings and choices

• Your relationship is based on genuine connection, not compulsions

Your relationship is based on genuine connection, not compulsions

• You can function well in daily life

You can function well in daily life

Stories of recovery show that with proper treatment, people with R-OCD can:

• Develop strong, lasting relationships

Develop strong, lasting relationships

• Trust their feelings and judgments

Trust their feelings and judgments

• Support their partners effectively

Support their partners effectively

• Live fulfilling lives without constant anxiety

Live fulfilling lives without constant anxiety

The journey to recovery takes time, patience, and professional support, but it’s absolutely possible. Read more inspiring stories and helpful information on our

psychology blog in Bella Vista

.

Conclusion

Relationship OCD is a challenging condition that affects individuals, their partners, and entire families. The constant doubts and anxiety can feel overwhelming, but understanding R-OCD is the first step toward healing.

If you’re struggling with relationship OCD, remember:

• What you’re experiencing has a name and is treatable

What you’re experiencing has a name and is treatable

• Your thoughts don’t define reality

Your thoughts don’t define reality

• Professional help is available and effective

Professional help is available and effective

• Recovery is possible with proper treatment

Recovery is possible with proper treatment

• You don’t have to face this alone

You don’t have to face this alone

For those supporting someone with R-OCD, your compassion and understanding make a real difference. Learning about the condition and encouraging professional treatment can help your loved one on their recovery journey.

If you’re in Sydney’s northwest suburbs and need support, reaching out to a qualified psychologist is an important step. Evidence-based treatments like CBT and ERP can significantly improve symptoms and quality of life.

Test Your Knowledge

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  (pp. 720-737). Wiley Blackwell.

Williams, M. T., & Zahka, S. (2017).

Relationship OCD

. In J. S. Abramowitz, D. McKay, & E. A. Storch (Eds.),

The Wiley handbook of obsessive compulsive disorders

(pp. 720-737). Wiley Blackwell.

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