Perinatal Obsessive-Compulsive Disorder (OCD)

Individuals who experience these obsessions often feel shame, thinking, “If I am thinking about it, I just want to do it” or “I am going to act on it.” However, experiencing these thoughts does not mean that one desires to act on them or will make them a reality.

Compulsions are actions or behaviors that a person feels compelled to perform – physically or mentally (e.g., “in their mind”) – after being consumed by an obsession.

Examples of compulsions during the perinatal period:

• Avoid holding the baby, bathing the baby, or using sharp objects near the baby.
• Repeatedly checking on the baby (e.g., checking the baby’s heart rate or breathing), constant communication with doctors to confirm the baby’s health, or excessive online research about the baby’s health.
• Seeking reassurance about one’s parenting abilities (e.g., asking if they are caring for the baby well).
• Repeating behaviors, either physical or mental (e.g., counting to a specific number), to relieve anxiety caused by an obsession.
• Excessive cleaning or disinfecting of the baby’s toys, clothes, or belongings.

How common is Perinatal Obsessive-Compulsive Disorder?

According to research, individuals are more likely to experience OCD symptoms during the perinatal period. These symptoms may either resurface if the person has had obsessions and compulsions in the past or may emerge for the first time during this period.

What causes Perinatal Obsessive-Compulsive Disorder?

Research suggests that Perinatal Obsessive-Compulsive Disorder is linked to hormonal changes that affect brain function. For example, elevated levels of oxytocin are thought to cause changes that are associated with obsessions and compulsions. Additionally, the perinatal period is associated with a heightened sense of responsibility, which can trigger related obsessions and compulsions.

Psychotherapy for Perinatal Obsessive-Compulsive Disorder

Cognitive Behavioral Therapy (CBT) has been scientifically proven to be the most effective treatment method for managing Perinatal Obsessive-Compulsive Disorder. Additionally, Acceptance and Commitment Therapy (ACT) is an empirically supported method for treating OCD.

In our therapy sessions, we will explore the obsessive-compulsive symptoms you may be experiencing, whether they are new or have intensified during the perinatal period. Using evidence-based therapeutic approaches, we will create a tailored treatment plan to address these obsessions and compulsions and meet your overall needs. For more information about my therapeutic approach, you can refer to the relevant section.

In some cases, treatment for Perinatal Obsessive-Compulsive Disorder may include psychotherapy combined with medication-psychiatric monitoring.

Finally, our approach includes collaboration with your obstetrician to ensure that your physical needs are addressed during therapy, providing you with optimal and holistic support.

Information for partners of those with Perinatal Obsessive-Compulsive Disorder

Supporting a loved one who is struggling with Perinatal Obsessive-Compulsive Disorder can be quite demanding. A partner unfamiliar with the nature of obsessions may be frightened by them. At the same time, observing compulsions may feel uncomfortable and challenging to understand.

Perinatal Obsessive-Compulsive Disorder can impact both the individual affected and the dynamic of the couple, who must also care for the baby.

Here are a few steps partners can take to support someone with Perinatal Obsessive-Compulsive Disorder:

• Educate yourself about Perinatal Obsessive-Compulsive Disorder to better understand the nature of the condition. This information can be found through mental health professionals or trusted resources.
• Discuss with your partner whether they would be open to seeking help from a mental health professional.
• Support them in finding a suitable mental health professional.
• Engage in self-care (e.g., talking to loved ones, seeking individual therapy).

Resources on Perinatal Obsessive-Compulsive Disorder
Greek Resources:
Greek OCD Community

International Resources:
• International OCD Foundation
• Maternal OCD