Understanding Postpartum OCD: Symptoms, Causes & Support

Postpartum obsessive-compulsive disorder (OCD) is a type of perinatal mental health condition that affects some new parents following childbirth. According to a 2021 study in the Journal of Clinical Psychiatry, women are at an increased risk for the onset/exacerbation of OCD during the perinatal period, and may experience perinatal-specific obsessions and compulsions. While it is less commonly discussed than postpartum depression, postpartum OCD can be equally distressing and disruptive. This article will explore the symptoms, potential causes, treatment options, and support available at Balanced Wellness for new parents experiencing postpartum OCD.

 

Key Takeaways on Postpartum OCD

  • Postpartum OCD involves intrusive thoughts and compulsive behaviors related to the baby’s safety.

  • It is treatable through therapy, medication, and support networks.

  • Balanced Wellness provides specialized counseling services to support healing and recovery.

 
A mother holding her child at the beach as the water reaches her feet.
 

Need help with Postpartum OCD?

If you or someone you love is struggling with postpartum OCD, consider reaching out to Balanced Wellness for evidence-based and empathetic mental health care. Call or email to schedule a consultation today.

What Is Postpartum OCD?

Postpartum OCD is a form of obsessive-compulsive disorder that emerges after childbirth. Individuals with postpartum OCD experience unwanted, intrusive thoughts, often focused on harm coming to their baby, followed by intense anxiety and efforts to neutralize these thoughts through compulsive behaviors. These intrusive thoughts are ego-dystonic, meaning that the thoughts are distressing and do not align with the person's values or intentions.

 
woman looking away frustrated about her postpartum ocd thoughts and not sure how to handle them alone.

Symptoms of Postpartum OCD

Symptoms may vary in severity and frequency, but they commonly include:

  • Unwanted thoughts of harming the baby (without desire or intention)

  • Compulsions like checking on the baby repeatedly, excessive cleaning, or ritualistic behavior

  • Avoidance of certain caregiving tasks out of fear

  • Heightened anxiety, guilt, or shame

Importantly, women experiencing postpartum OCD are aware of the irrationality of their thoughts and find them deeply upsetting, distinguishing this condition from postpartum psychosis.

Causes and Risk Factors

The causes of postpartum OCD are multifaceted and may include hormonal changes, genetic predisposition, a history of anxiety or OCD, sleep deprivation, and stressful life transitions. New parents, particularly those who feel overwhelmed or unsupported, may be at increased risk. A traumatic childbirth or complications during delivery may also contribute to its onset.

Treatment Options

Fortunately, postpartum OCD is treatable. The most effective approaches include:

  • Cognitive Behavioral Therapy (CBT), especially Exposure and Response Prevention (ERP), to address intrusive thoughts and reduce compulsions.

  • Medication, such as selective serotonin reuptake inhibitors (SSRIs), prescribed with caution for breastfeeding individuals.

  • Psychoeducation and partner involvement to support a safe and understanding environment.

  • Holistic support, including lifestyle modifications, mindfulness, and stress management techniques.

Seeking professional help early can significantly improve outcomes.

 
Pills lined up on an orange surface, indicating that sometimes mothers need medication to treat postpartum OCD.

Coping Strategies For New Parents

While professional treatment is essential, some strategies can help parents manage symptoms day to day:

  • Recognizing that thoughts are just thoughts—they do not reflect your character or intent.

  • Practicing grounding exercises, such as deep breathing and body scans.

  • Building a support network of trusted individuals.

  • Prioritizing rest, hydration, and small acts of self-care.

How Balanced Wellness Can Help

Balanced Wellness is committed to supporting individuals experiencing postpartum OCD and other perinatal mental health conditions. Our clinicians offer a warm, judgment-free environment where new parents can explore their experiences, learn coping strategies, and begin the healing process. Balanced Wellness utilizes evidence-based approaches, including CBT and ERP, tailored to the unique challenges of the postpartum period. Whether you're a new mother, father, or non-birthing partner, Balanced Wellness provides compassionate care that respects your journey. Contact Balanced Wellness to learn more or schedule an appointment.

Final Thoughts On Postpartum OCD

Postpartum OCD is a real and challenging condition, but with timely intervention, recovery is absolutely possible. Understanding the symptoms, knowing where to seek help, and accessing supportive care can make all the difference. If you are struggling, you are not alone! You do not have to navigate this experience by yourself, Balanced Wellness is here to walk alongside you on the path to healing.

 

Let’s Work Together

Contact Balanced Wellness today to take the first step toward reclaiming peace and confidence in your postpartum journey.

FAQs

  • It affects approximately 3–5% of new mothers, but the actual number may be higher due to underreporting and misdiagnosis.

  • Yes. While often associated with mothers, fathers and non-birthing partners can also experience postpartum OCD and should seek support.

  • No. While they can co-occur, postpartum OCD primarily involves anxiety and intrusive thoughts, whereas postpartum depression typically presents as low mood and lack of interest or energy.

  • Yes. Therapies like CBT and ERP are highly effective. Providers like Balanced Wellness specialize in perinatal mental health and can help clients navigate recovery. Meet our specialized staff here.

  • Not always, but medication can be helpful for some individuals, especially in moderate to severe cases. A perinatal psychiatrist can provide personalized guidance. Contact us to schedule a session with one of our specialized clinicians.

Amanda Mikulas

Clinical Mental Health Intern

Amanda is a graduate intern helping clients build adaptive habits utilizing a down to earth approach rooted in CBT. A recent transplant to South Carolina, she enjoys plants, spooky finds, and family time.

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