How does OCD affect relationships?

Obsessive-Compulsive Disorder (OCD) can have a significant impact on romantic relationships, friendships, and family dynamics. Because OCD often involves time-consuming rituals and intrusive thoughts, it can create stress and misunderstanding between people. The effects on relationships can include:

• Increased tension — Partners or family members may become frustrated with the time spent on compulsions or the need to avoid triggers.
• Reduced intimacy — OCD-related anxiety, especially with intrusive thoughts about harm or contamination, can make closeness and affection more difficult.
• Emotional strain — Constant reassurance-seeking or fears about certain situations can lead to emotional fatigue for both parties.
• Conflict over routines — When OCD rituals disrupt shared activities, such as leaving the house or eating meals, disagreements can arise.
• Caregiver burnout — Loved ones may take on a supportive or monitoring role, which can be exhausting over time if professional help is not in place.

Importantly, OCD does not mean a relationship cannot thrive. With education, open communication, and professional support such as Cognitive Behaviour Therapy (CBT) or family-inclusive therapy, couples and families can develop strategies to maintain connection while managing symptoms. In Australia, relationship counselling that includes an understanding of OCD can be highly beneficial.

If OCD is placing stress on your relationship, early intervention can help restore balance — contact us now.