You don’t know if it has a name - for you, it’s just a feeling. A feeling of unease, like something is about to go wrong, and you’re powerless to stop it. So you’re constantly on the lookout for what it might be - better make sure those bottles are sanitized! If the temperature in her bedroom isn’t exactly right, what will happen to her? All of his toys are spread out everywhere - I have to make sure they’re neat and organized, that dinner is on the table, that we both look presentable! If I don’t sing this lullaby or say our nighttime prayers in the exact right way, something bad might happen! Is she breathing?! I better go check again!
And on and on and on...
If there is a part of you that recognizes these thoughts and feelings, you may be thinking that you are experiencing Postpartum Anxiety - and you might be right! But, if these thoughts are cyclical, hard to shake, and all consuming, and they are accompanied by actions or behaviors that temporarily help to dispel the feeling, only to start right back again - you might be experiencing Postpartum OCD.
What is Postpartum OCD?
Postpartum OCD, or P-OCD, refers to distressing, upsetting, or disruptive thoughts or ruminations that occur in the mind, leading us to seek out behaviors, actions, or counter-thoughts to help alleviate the discomfort. We tend to think of OCD as compulsively checking to make sure the stove is off, but in the postpartum period, this usually looks more like extreme worries about baby’s health and safety, germs or sanitation concerns, or obsessive thoughts about baby’s overall emotional and/or physical well-being. This can be confusing to sort out, because all parents experience some level of concern regarding these topics. However, P-OCD creates a vortex of worry; once it has you in its grip, it won’t let go easily. In session, I often refer to these as “sticky” or “grippy” thoughts - ones that you just can’t seem to shake until you “fix” the concern.
Who gets Postpartum OCD?
Postpartum OCD affects up to 5% of women. Although there is a higher likelihood of experiencing P-OCD if you have been diagnosed with OCD prior to pregnancy or postpartum, it also can sometimes develop independently. In general, you are at a higher risk if you have a history of generalized anxiety, or experienced anxiety throughout your pregnancy. Because the postpartum period is such an intense time in general, sometimes our brains go overboard in protecting our child, seeking out every possible safety risk before it occurs.
How do I know it’s time to seek support?
If these obsessive thoughts are disruptive to your routine, it may be time to take care of your own needs. Are you…
Having trouble sleeping because you’re worried about baby?
Needing a partner to step in and take care of certain tasks because your fears are too intense?
Seeking constant reassurance from your partner that what you’re experiencing is ok?
Avoiding certain activities (giving baby a bath, walking near stairs, holding baby or letting others hold baby, diaper changes)?
Constantly obsessing or ruminating about baby’s needs (breastfeeding, sleep routine, thermostat temperature, bottle sanitizing)?
These are some, but not all, of the reasons you may seek support from a professional.
Is it treatable?
Yes! You don’t have to suffer in silence. Postpartum OCD is treatable with the right support. Together, we will identify when something is considered OCD vs. Anxiety, examine your common triggers, and work toward a plan to alleviate symptoms. There is relief, and there is a way forward. Contact me today to learn more.
