Obsessive compulsive disorder - OCD treatment and therapy from NOCD
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Relationship OCD

Why Do I Need Constant Reassurance in a Relationship?

4 min read
Patrick McGrath, PhD
Reviewed by Dr. Keara Valentine

Do you find yourself constantly seeking reassurance from your partner that they love you? That they even want to be with you? That they find you attractive?

why do i need constant reassurance in my relationship
why do i need constant reassurance in my relationship

You’re not alone — many people may experience doubt in a relationship and may occasionally need reassurance. Your need for reassurance could stem from general self-esteem issues or a history of toxic relationships. Maybe you found out that your ex-boyfriend was cheating on you the entire time you were dating — this would understandably make it hard to trust your current partner, and you may constantly need to be reassured that they’re not cheating on you. 

Feeling insecure in your relationship from time to time is completely normal. However, if you find yourself and your partner exhausted by your constant need for reassurance and your daily life impacted by it, you may have a condition known as relationship OCD (ROCD).

Before we dive into ROCD, let’s explore the diagnosis of obsessive-compulsive disorder (OCD).

What is OCD?

OCD is a commonly known mental health diagnosis that falls under the umbrella of anxiety disorders. It is characterized by a pattern of recurrent, intrusive thoughts and repetitive behaviors or mental acts. The thoughts are referred to as “obsessions.” For each individual with OCD, the obsessions can vary and often center on a certain theme. These themes are known as OCD subtypes.

For example, someone with checking OCD may experience obsessions over whether their door is actually locked or whether the stove is off.

No matter the subtype, people with OCD engage in ritualistic behavior in an attempt to relieve the distress and anxiety that their obsessions cause. These behaviors are the “compulsion” half of the OCD cycle. In the case of someone with checking OCD, the compulsion may look like nonstop checking that the door is locked.

While many people might like to double-check their door is actually locked, someone with OCD may fear that something bad will happen if they don’t keep checking repeatedly. Furthermore, the compulsions they engage in do little to alleviate their anxiety, leaving them feeling “stuck” in the cycle of obsessions and compulsions.

What is relationship OCD?

Relationship OCD, commonly referred to as ROCD, is a subtype of OCD that follows the same vicious obsessive-compulsive cycle. With ROCD, the obsessions focus on uncertainties in an intimate relationship. Similar to relationship anxiety, ROCD can encompass insecurities and worries that many people experience in a relationship. However, for someone with ROCD, these doubts feel intrusive and trigger compulsions.

If each time you feel uncertain in your relationship, you feel an intense and all-consuming urge to seek reassurance from your partner that they love you or from your friends that you’re in the right relationship, you may have ROCD. This can feel overwhelming and isolating, but knowing that you may have ROCD is the first step to getting treatment and feeling more secure in your relationship.

How do I treat my ROCD?

While it may be scary to learn that you have ROCD, the good news is that it is easily treatable. For any subtype of OCD, the gold standard of treatment is exposure and response prevention (ERP) therapy. ERP is a form of cognitive behavioral therapy (CBT) that works by exposing you to your triggers in a safe and controlled environment in order to help you better manage your compulsions. In other words, you’ll learn healthier ways of handling your relationship insecurities — and, ultimately, you’ll need less reassurance in your relationship.

ERP is most effective when the therapist conducting the treatment has experience with OCD and training in ERP. At NOCD, all therapists specialize in OCD and receive ERP-specific training. If you are ready to seek treatment for your ROCD, you can schedule a free call with the NOCD clinical team to learn more about how a licensed therapist can help you. You can also join our Relationship OCD community and get 24/7 access to personalized self-management tools built by people who have been through OCD and successfully recovered.

Patrick McGrath, PhD

Dr. McGrath is a Licensed Clinical Psychologist and the Chief Clinical Officer at NOCD. He is a member of the Scientific and Clinical Advisory Boards of the International OCD Foundation, a Fellow of the Association for Cognitive and Behavioral Therapies, and the author of "The OCD Answer Book" and "Don't Try Harder, Try Different."

Dr. Keara Valentine

Dr. Keara Valentine specializes in cognitive behavioral therapy and other evidence-based treatments for anxiety disorders, obsessive-compulsive disorder (OCD), social anxiety, panic, and depression. She is also a Clinical Assistant Professor within the Department of Psychiatry and Behavioral Sciences at Stanford University, providing psychotherapy in the mood, anxiety, and OCD clinics and participating in research on novel OCD and Hoarding Disorder treatments.

ERP Therapy
Obsessive compulsive disorder (OCD)
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NOCD Therapists specialize in treating Relationship OCD

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Taylor Newendorp

Taylor Newendorp

Network Clinical Training Director

I started as a therapist over 14 years ago, working in different mental health environments. Many people with OCD that weren't being treated for it crossed my path and weren't getting better. I decided that I wanted to help people with OCD, so I became an OCD therapist, and eventually, a clinical supervisor. I treated people using Exposure and Response Prevention (ERP) and saw people get better day in and day out. I continue to use ERP because nothing is more effective in treating OCD.

Madina Alam

Madina Alam

Director of Therapist Engagement

When I started treating OCD, I quickly realized how much this type of work means to me because I had to learn how to be okay with discomfort and uncertainty myself. I’ve been practicing as a licensed therapist since 2016. My graduate work is in mental health counseling, and I use Exposure and Response Prevention (ERP) therapy because it’s the gold standard of OCD treatment.

Andrew Moeller

Andrew Moeller

Licensed Therapy, LMHC

I've been a licensed counselor since 2013, having run my private practice with a steady influx of OCD cases for several years. Out of all the approaches to OCD treatment that I've used, I find Exposure and Response Prevention (ERP) therapy to be the most effective. ERP goes beyond other methods and tackles the problem head-on. By using ERP in our sessions, you can look forward to better days ahead.

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