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Houston Relationship Therapy- Dr. Viviana Coles & Associates
Specializing in Couples and Sex Therapy
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What is “Relationship OCD (ROCD)”?

ROCD, or relationship OCD, is when obsessive doubts and worries focus on a romantic relationship. The person gets stuck on questions like whether they truly love their partner, whether the partner is right for them, whether they feel enough attraction, or whether a specific trait means the relationship is doomed. It is not a separate diagnosis from OCD, but a common theme or presentation. The difference from OCD in general is the subject matter, not the mechanism. The same OCD cycle is at play, meaning intrusive thoughts create anxiety and the person then feels compelled to do things that reduce the anxiety short term, like reassurance seeking, checking feelings, or mentally reviewing the relationship.
You can develop ROCD at different points in life and not only at the start of a relationship. It often intensifies during transitions and milestones, like becoming exclusive, moving in, engagement, or major stress. If someone already has OCD or a strong tendency toward OCD-style thinking, they are more prone to relationship-focused obsessions because OCD themes can shift over time.
ROCD most commonly shows up as relentless doubt and overanalysis. People may repeatedly test their feelings, monitor their attraction, compare their partner to others, search online for signs the relationship is right, or ask friends and their partner for reassurance. They may also ruminate for hours about small interactions and interpret normal relationship ambivalence as proof something is wrong. Social media and dating apps can intensify this because they encourage comparison and create the illusion of unlimited better options, which can feed compulsive checking and second-guessing. That said, it is hard to claim apps cause ROCD, but they can absolutely make the cycle worse for someone who is already vulnerable.
To tell the difference between ROCD and being in the wrong relationship, I look for the process and the pattern. ROCD tends to feel intrusive, repetitive, urgent, and driven by a need for certainty. The person feels they must figure it out right now, and even when they get reassurance, the relief is temporary and the doubt returns or shifts to a new concern. In a genuinely mismatched or unhealthy relationship, the concerns are usually more stable and grounded in concrete issues like disrespect, broken trust, ongoing incompatibility, or feeling chronically unsafe or unheard. Learning to trust your gut often means learning to distinguish values-based clarity from anxiety-based urgency. Anxiety tends to demand a guarantee. Gut-level knowing tends to show up as a consistent, calm recognition over time of what you can and cannot live with.
The most effective treatments mirror the gold standard care for OCD. Cognitive behavioral therapy with exposure and response prevention is typically the front-line approach. The goal is to reduce compulsions like reassurance seeking and checking, and to build tolerance for uncertainty without needing to solve the doubt. Medication, particularly SSRIs, can also be helpful, especially when symptoms are severe or impairing. Many people do best with a combination of therapy and medication, depending on intensity and how much daily life is affected.
When communicating ROCD to a partner, it helps to be direct and specific without turning the partner into a therapist. A useful message is that this is an anxiety pattern that targets the relationship, not a true measurement of their worth or the relationship’s future. It is also important to explain what support looks like. For many people, repeated reassurance actually fuels the cycle, so support might mean patience, warmth, and sticking to agreed-upon boundaries when reassurance seeking shows up. In early dating, you do not need to disclose everything right away, but once things move toward exclusivity, a simple explanation can prevent misunderstandings. Keep it brief, name that you take it seriously, and share that you are actively working on it with appropriate support.

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“I have more self worth and self confidence than ever before and I feel like I am on the right path to being the best version of myself with her guidance!”
“Dr. Coles is a true professional. She will provide you the tools to get on the right track to begin the healing process in your marriage.”
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  “Houston Relationship Therapy has provided me with an amazing resource to help me get through one of the hardest things I feel I will experience.”
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