What Is Postpartum OCD? A Guide to Understanding It

Welcoming a baby into your life is a monumental and emotional journey.

While it brings joy and love, it can also bring challenges, including those related to mental health.

One condition that many new mothers aren’t aware of is postpartum OCD (obsessive-compulsive disorder).

Let’s dive into what postpartum OCD is, how it presents, and the strategies for managing it—including answers to some frequently asked questions.

What is Postpartum OCD?

Postpartum OCD is a type of obsessive-compulsive disorder that occurs after childbirth. It’s marked by intrusive, unwanted thoughts (obsessions) and repetitive behaviors or mental rituals (compulsions) aimed at reducing distress caused by these thoughts.

For example, a mom with postpartum OCD might obsessively worry about harming her baby (even though she’d never act on it) and might check on the baby repeatedly to ensure they’re safe.

It’s important to note that postpartum OCD isn’t a reflection of a mother’s character or parenting ability. These intrusive thoughts are distressing precisely because they clash with the mother’s values and desires to protect and nurture her child.

How Long Does Postpartum OCD Last?

The duration of postpartum OCD can vary. For some, it may resolve within weeks or months, especially with appropriate treatment, such as therapy or medication. For others, symptoms might persist longer if left unaddressed.

The key to managing postpartum OCD is seeking help early. Cognitive-behavioral therapy (CBT), particularly a subtype called exposure and response prevention (ERP), is highly effective. Don’t hesitate to talk to your healthcare provider if you’re experiencing symptoms—there’s no need to struggle alone.

What Are the Symptoms of High-Functioning OCD?

High-functioning OCD is a term often used to describe individuals who manage to maintain their responsibilities and outward appearance of control while grappling with OCD internally.

Symptoms may include:

• Perfectionism: Constantly striving for flawlessness, often in ways that others might not notice.
• Intrusive Thoughts: Experiencing persistent, unwanted thoughts that create anxiety.
• Ritualistic Behaviors: Engaging in repetitive actions or mental routines, such as counting or organizing.
• Overplanning: Excessive preparation or checking to avoid potential mistakes or harm.
• Hyper-responsibility: Feeling overly accountable for things beyond one’s control.

While someone with high-functioning OCD may appear to “have it all together,” the internal toll can be significant. For postpartum moms, these tendencies might show up in hypervigilance around their baby’s safety or health.

What is the 555 Rule for Postpartum?

The “555 rule” is a helpful self-care guideline for new moms to encourage rest and recovery in the early weeks after giving birth:

• 5 days in bed: Focus on resting, bonding with your baby, and allowing your body to heal.
• 5 days on the bed: Gradually start light activities, like sitting up or walking short distances.
• 5 days around the bed: Continue taking it easy, extending your activity level slowly.

While the 555 rule is primarily about physical recovery, it’s equally important to apply this philosophy to your mental health. Recognize that healing takes time, and it’s okay to prioritize your well-being.

What Does an OCD Episode Look Like?

An OCD episode often involves a cycle of:

1. Trigger: Something sparks anxiety, such as reading a story about an accident or noticing a small potential risk.
2. Intrusive Thought: The individual experiences an unwanted, distressing thought (e.g., “What if I accidentally drop the baby?”).
3. Compulsion: To reduce anxiety, the person engages in a ritual or behavior, such as checking the baby’s crib repeatedly or seeking reassurance.
4. Temporary Relief: The compulsion may provide short-lived relief, but the intrusive thought often returns, perpetuating the cycle.

For postpartum moms, this might look like constantly sterilizing bottles even when they’re clean, checking the baby’s breathing obsessively, or avoiding activities they fear might harm the baby.

How to Seek Help for Postpartum OCD

If you’re experiencing symptoms of postpartum OCD, remember that help is available. Here are steps to take:

1. Talk to Your Doctor: Share your symptoms with your healthcare provider, who can guide you toward appropriate resources and treatment options.
2. Consider Therapy: CBT with ERP is a gold standard treatment for OCD. A therapist can help you challenge intrusive thoughts and break the cycle of compulsions.
3. Explore Medication: In some cases, medications like SSRIs can be beneficial, especially when symptoms are severe.
4. Practice Self-Compassion: Remind yourself that these thoughts are a symptom, not a reflection of your abilities or love as a parent.

Wrapping Up

Postpartum OCD can feel isolating, but you’re not alone. Many moms face this challenge, and with the right support, it’s possible to find relief and joy in your parenting journey. If any of this resonates with you, reach out to a trusted professional. Remember, seeking help is a sign of strength, and your mental health matters just as much as your physical health.

You’ve got this, and brighter days are ahead.