09/26/2025
Perinatal OCD isnât just intrusive thoughts, feelings and urges âcompulsions are a big part of the cycle.
đĄ What Are Compulsions?
Repetitive behaviors or mental rituals done to reduce anxiety or âkeep the baby safe.â They can be obvious or hidden.
đź Common Perinatal Compulsions
⢠Checking: Constantly monitoring babyâs breathing, re-checking locks, or re-reading medical advice.
⢠Body Scanning: Repeatedly monitoring your own sensations or the babyâs signalsâcounting kicks, checking for movement, or mentally searching for proof that you feel enough love or connection.
⢠Cleaning & Washing: Excessive hand-washing, sanitizing bottles or surfaces far beyond medical guidance.
⢠Reassurance Seeking: Repeatedly asking a partner, family, or doctor if everything is okay.
⢠Avoidance: Refusing to be alone with the baby, hiding sharp objects, avoiding certain rooms or activities.
⢠Mental Rituals: Silently repeating phrases, counting, or âneutralizingâ scary images.
⥠Why They Feel Necessary
Compulsions give short-term reliefâa brief drop in anxiety that tricks the brain into thinking the ritual prevented harm.
đ How They Worsen the OCD Cycle
Each ritual sends the message: âThis thought is dangerous.â
âĄď¸ The brain keeps sounding the alarm.
âĄď¸ Intrusive thoughts return stronger and more frequent.
âĄď¸ Anxiety grows, feeding the need for more compulsions.
đą Breaking the Cycle
Evidence-based therapy like Exposure & Response Prevention (ERP) helps parents face fears without rituals, teaching the brain that the thought itself isnât dangerous.
You are not aloneâand needing support doesnât mean youâre a bad parent. Help is available, and recovery is possible. đ