Symptoms of Compulsive Relationship Disorder and Strategies for Management
### Navigating Relationship Obsessive-Compulsive Disorder (ROCD): A Comprehensive Guide
Relationship Obsessive-Compulsive Disorder (ROCD) is a subtype of Obsessive-Compulsive Disorder (OCD) that revolves around intimate relationships, marked by intrusive thoughts and compulsive behaviors related to romantic partners and the relationship itself [1][3]. Although not formally recognised in the DSM-5-TR, it is a unique form of OCD that significantly impacts individuals' perceptions and interactions within romantic relationships.
Unlike other forms of OCD, which may focus on cleanliness, orderliness, or specific themes, ROCD centres on relationship dynamics and the partner [1][3]. The intensity and persistence of these doubts in ROCD make them distressing and persistent, unlike typical OCD themes which may vary significantly [5]. Furthermore, ROCD can have a profound impact on relationship quality, emotional well-being, and social interactions, distinct from other OCD types [5].
Common signs and symptoms of ROCD include persistent doubts about the correctness of the relationship or the partner's feelings, fixation on perceived flaws in the partner, and doubts about loving the partner, whether the partner truly loves them, or whether the relationship is the right one [1][3]. Compulsions may involve constantly seeking reassurance from the partner or others about the relationship or the partner's qualities, comparing the partner to others or mentally analysing the relationship extensively, and engaging in excessive behaviours to verify the partner's love or commitment [1].
Being in a relationship with someone who has ROCD can be challenging, but understanding the disorder and setting boundaries can help both partners navigate it. Dr. Susan Albers, PsyD, emphasises that giving ROCD a name makes it easier to understand for partners and individuals struggling with it [7]. Education about ROCD can help partners recognise that their partner's fears are less about them and more about the OCD [8].
Social media use can exacerbate symptoms of relationship OCD, as it provides ample opportunities for comparison and analysis [4]. ROCD can impact a person's day-to-day functioning, causing them to become paralysed by intrusive thoughts [5]. In severe cases, it can even affect a person's ability to enjoy sexual intimacy [5].
However, it is important to note that ROCD is not usually the first sign of a mental health concern and almost never happens in isolation. It can emerge in response to trauma [6]. The process of getting help for ROCD can deepen the relationship, as both partners learn to communicate effectively and work together towards a healthier, happier relationship [9].
Treatment for ROCD often involves therapy techniques such as Cognitive Behavioural Therapy (CBT) and Exposure and Response Prevention (ERP), medication, keeping a journal, and setting boundaries around reassurance [2]. With the right support and treatment, ROCD is manageable, and relationships can thrive. It is crucial to remember that getting help could make a relationship better than it's ever been [9].
- Navigating 'mental-health' issues, such as Relationship Obsessive-Compulsive Disorder (ROCD), is essential for maintaining healthy 'relationships'.
- 'Education' about ROCD can help individuals and their partners understand that the concerns are more related to OCD rather than personal flaws in the relationship.
- The 'health-and-wellness' of an individual with ROCD can be impacted as the disorder can affect their day-to-day functioning and even their ability to enjoy 'lifestyle' activities like sexual intimacy.
- 'News' about treatment options, such as Cognitive Behavioural Therapy (CBT) and Exposure and Response Prevention (ERP), can provide hope for individuals struggling with ROCD and promote relationships' 'improvement'.
