ROCD: Signs, Causes, And Treatment Options

ROCD: Signs, Causes, And Treatment Options

We all experience doubts and worries throughout our lives, but for some people, these thoughts can become obsessive, intrusive, and overwhelming. This type of anxiety is known as Relationship-Centered Obsessive-Compulsive Disorder (ROCD). ROCD can cause significant distress in relationships, impair social functioning, and lead to a decrease in quality of life. If you or someone you know is struggling with ROCD, it’s important to understand what this disorder entails and how to manage symptoms. In this blog post, we will provide an overview of ROCD and discuss strategies to manage the associated symptoms.

What is ROCD?

ROCD is short for relationship OCD. It’s a form of OCD that causes doubt and insecurity in relationships. People with ROCD obsess over their partner’s flaws, or whether they are truly compatible. They might question their sexual attraction, or worry that their partner doesn’t love them.

ROCD can be distressing and debilitating. It can lead to constant arguments and even breakups. If you have ROCD, you might feel like you’re never good enough for your partner. You might feel like you have to be perfect to keep them.

ROCD is treatable with therapy and medication. If you have ROCD, there is help available. You don’t have to suffer anymore.

Causes of ROCD

There are many possible causes of ROCD, but the most likely cause is a combination of genetic and environmental factors. Some people may be predisposed to developing ROCD due to their genes, while others may develop it due to environmental factors such as stress or trauma.

It’s believed that ROCD usually develops in adulthood after a person has experienced a significant romantic relationship. This suggests that past experiences can play a role in the development of ROCD. It’s also possible that ROCD may be triggered by certain life events, such as getting married or having a child.

Some of the other causes of ROCD are:

  • Perfectionism: People with ROCD often have high standards for themselves and their relationships. They may want their relationship to be perfect, which can lead to feelings of inadequacy.
  • Lack of self-awareness: People with ROCD may lack insight into their thoughts and emotions, which can make it difficult to manage their doubts and worries.
  • Trauma: People who have experienced trauma may be more likely to develop ROCD due to the lingering effects of their past.
  • Stress: Stress can worsen symptoms of ROCD, as it can make it difficult for people to think clearly or maintain a healthy perspective on their relationships. This stress also can be a trigger for obsessive thoughts.

Symptoms of ROCD

There are many different symptoms of ROCD, and they can vary from person to person. Some common symptoms include:

Constantly doubting your relationship

One of the most common symptoms of ROCD is constantly doubting your relationship. This may include questioning whether you truly love your partner or if they love you back, worrying that you’re not compatible with them, and having doubts about the longevity of the relationship.

Comparing yourself to others

People with ROCD often compare themselves to other couples and feel jealous of their relationships. This can lead to feelings of insecurity and low self-esteem.

Avoiding certain activities or people

People with ROCD might avoid certain activities or people to “protect” the relationship. For example, they may avoid going out with friends or engaging in meaningful conversations with their partner for fear of upsetting them.

Frequent arguing

People with ROCD may find themselves arguing more than usual with their partners. They might pick fights for no reason or feel like they have to “defend” their relationship from outside forces.

Obsessive thoughts and behaviors

ROCD can lead to obsessive thoughts and behaviors such as checking your partner’s social media accounts or going through their phone without permission. It can also lead to compulsive behaviors such as seeking reassurance from your partner or constantly calling them to check in.

If you are experiencing any of these symptoms, it is important to reach out to a mental health professional who can help you understand what is going on and how to deal with it.

Diagnosing ROCD

Some of the diagnosis methods for ROCD include:

Structured clinical interviews: One of the most common methods of diagnosing ROCD is through clinical interviews. This allows the clinician to assess symptom severity and better understand the individual’s experience with obsessions and compulsions related to relationship thoughts and behaviors.

Self-report measures: Self-report measures can help clinicians quickly identify individuals who are experiencing symptoms related to ROCD. These measures can also help assess symptom severity and better understand the individual’s experience with obsessions and compulsions related to relationship thoughts and behaviors.

Obsessive-Compulsive Inventory-Revised (OCI-R): The OCI-R is a widely used measure of OCD symptoms, including those related to ROCD. The OCI-R consists of 18 items that measure the frequency, distress, and interference associated with obsessions and compulsions related to relationship thoughts and behaviors.

Obsessional inventory measure: A newer measure of ROCD symptoms, the Obsessional Inventory Measure (OIM) was specifically designed to assess obsessions and compulsions related to relationship thoughts and behaviors. The OIM consists of 24 items that measure the frequency, distress, and interference associated with these symptoms.

Treating ROCD

There are several ways to treat ROCD, and the most effective approach depends on the individual. Some people may benefit from therapy, while others may find relief through medication. Several self-help strategies can be useful in managing ROCD symptoms.

The first step in treating ROCD is to seek professional help. This can be in the form of therapy, medication, or both. If you are struggling with ROCD, it is important to find a mental health professional who you feel comfortable with and who has experience treating OCD.

Therapy for ROCD typically focuses on helping the individual to understand and accept their thoughts and feelings about their relationship. Cognitive behavioral therapy (CBT) is often used to help people with ROCD to change their thinking patterns and learn new ways of coping with their obsessions and doubts. Exposure and response prevention (ERP) is another common type of therapy used to treat ROCD. With ERP, individuals are exposed to their fears and learn how to resist the urge to engage in compulsive behaviors.

Medication can also be an effective treatment for ROCD. The most common type of medication used to treat OCD is a class of drugs called serotonin reuptake inhibitors (SSRIs). SSRIs work by increasing levels of serotonin in the brain, which can help reduce OCD symptoms. Other medications that help treat OCD include tricyclic antidepressants and antipsychotics.

In addition to professional treatment, it is also important to practice self-help strategies for managing ROCD symptoms. This includes finding ways to reduce stress and anxiety, such as yoga or meditation, and learning cognitive behavioral techniques to help control obsessive thoughts. It can also be helpful to focus on developing a healthy relationship with your partner and finding ways to build mutual trust and understanding. Keeping a journal can be a helpful tool for understanding and managing ROCD symptoms.

With the right treatment, it is possible to manage ROCD symptoms and lead a healthy and fulfilling life. With the help of a mental health professional, you can find the best approach.

How To Cope With It?

If you suffer from ROCD, it is important to remember that you are not alone. Many people deal with this condition daily. There are several things that you can do to cope with your ROCD.

Here are some tips:

Understand what ROCD is and how it affects you: One of the most important things to do is to understand your ROCD. This will help you recognize the symptoms and learn how to manage them. Those with ROCD may find it helpful to keep a journal to help them track their thoughts and feelings.

Practice acceptance: It is important to accept that you have ROCD and learn how to live with it. Accepting your condition does not mean that you are giving up or giving in – it simply means that you are acknowledging it

Practice self-care: Make sure that you take care of yourself by eating well, exercising regularly, and getting enough sleep. Taking time for yourself can help reduce stress and anxiety. This will also help you to better manage your ROCD.

Seek professional help: Professional help is often necessary for those who are struggling with ROCD. A mental health professional can provide support and guidance as well as information about effective treatments such as cognitive behavioral therapy (CBT) and exposure response prevention (ERP).

Practice mindfulness: Mindfulness is a helpful tool for managing ROCD. It involves being aware of your thoughts and feelings without judgment and learning to accept them without reacting.

Reach out for support: Reaching out to friends and family can be beneficial for those with ROCD. Talking about your experiences can help reduce isolation and provide a sense of understanding.

With the right support and treatment, it is possible to manage ROCD and live a happier, healthier life. By following these tips, you can start on your path toward recovery.


ROCD or Relationship Obsessive Compulsive Disorder is an increasingly common mental health condition that can wreak havoc on relationships. These are obsessive thoughts and behaviors involving one’s partner, as well as feelings of insecurity, doubt, fear, and anxiety. While there is no known cure for ROCD, understanding the disorder and receiving professional help are essential for managing symptoms.

For more information and guidance, please contact MantraCare. OCD is a mental health disorder characterized by obsessions and compulsions. If you have any queries regarding Online OCD Counseling experienced therapists at MantraCare can help: Book a trial OCD therapy session

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