Obsessive compulsive disorder - OCD treatment and therapy from NOCD

Why is OCD worse when I’m traveling or on vacation?

9 min read
Stacy Quick, LPC

As we approach the summer, many people with OCD may be planning to travel. Vacation can be a time of great anticipation and joy for many people, a time to unwind and relax. A time to forget about your day-to-day worries. A time for a much-needed recharge from the struggles of everyday life and work. 

But for many who suffer from OCD, time away from our surroundings can be less of a time to relax and more of a time to ruminate. Intrusive thoughts related to traveling may arise: What if something bad happens on the trip? What if I get sick from trying new foods? Am I excited enough to be on vacation with my partner?

OCD may be the unwanted baggage on your trip

OCD is opportunistic, so it’s no surprise that it will try to sneak up during the most inconvenient moments when you’d otherwise be having the time of your life. I have worked with many people with OCD who dread vacations. The idea of going somewhere outside of their comfort zone is scary, and the shift in routine can trigger obsessions and compulsions. Often, they experience anxiety attacks when away from home—this anticipatory anxiety can flare up at even the mention of being gone for any period of time.

People with OCD may ask themselves, is all this really worth it? Traveling can already be stressful, between planning, packing, making arrangements for pets or a house sitter, and a whole host of other things. If you are traveling with family or friends, you may need to take into account their desires about how to spend the trip and include all the things they wish to do. Or you may not be in control of planning at all. All of these things can feel overwhelming to many people, and these anxieties may be heightened if you have OCD.

On the other end of the spectrum, the excitement and carefree attitudes others have about traveling may make you feel guilty or even angry. You may wonder, why do they get to live a life where these things don’t seem to bother them? Why aren’t they worried about the same things? Why does their life seem so easy? 

Your vacation and travel experiences are your own

When you have OCD, it can feel like doing the things that most people take for granted is a huge obstacle. Living in recovery from OCD, I confront these obstacles with a “challenge accepted” attitude. If OCD confronts me, then I make it my goal to do what I want to do, challenging OCD directly. This is the same mindset I take with me when I travel. If OCD tries to tell me not to go, that I won’t enjoy it, or that my symptoms will worsen, then I ask myself: do I want to go? If my answer is yes, then I do it. I have made the decision that OCD will not dictate my plans or my journey any longer—I hope you will, too. 

I also make it a point to remember that vacations will look different for different people, so I try not to compare my experiences to the experiences of others. I have frequently heard sayings like “don’t compare your life to someone else’s highlight reel.” I like this because it speaks to the importance of living your best life, not someone else’s.

Remember that the goal of any vacation is to relax, unwind, and find peace—your way of achieving this is your own and no one else’s. It doesn’t matter what kind of beautiful images of life someone can post or dream up; nothing beats your reality. Know that your feelings and experiences are valid, and try to give yourself compassion. 

If you’re experiencing difficulties due to future travel or find yourself dreading an upcoming trip, there is still hope to turn things around. When OCD is effectively managed, anxieties from OCD related to your vacation or unexpected episodes that may arise due to traveling can become less problematic. 

The best way to prepare for a trip is to seek help for OCD before you travel

The truth is that since OCD doesn’t simply go away, OCD episodes will happen, even on vacation—but by building a toolbox of strategies to help you deal with your obsessions and not give in to your compulsions before you leave, you’ll be able to handle unexpected episodes when they arise. 

Managing OCD effectively starts with seeing a licensed therapist who is trained in exposure and response prevention (ERP), the gold standard, evidence-based therapy for OCD. They will help you become equipped to respond in effective ways no matter when OCD strikes, including before or during travel. 

Having a plan in place with your ERP therapist can help you prepare for a successful trip. People with OCD may wonder, how do I know if this is an OCD worry or not? Your ERP therapist can help you to identify what anxieties likely come from OCD and which ones don’t, so that you can feel more confident about how to respond. That is why it can be beneficial to have these conversations with your ERP therapist ahead of time. Identifying when to practice response prevention and when to seek answers can be very helpful. 

Your ERP therapist can also help you develop intentional exposures that are manageable for you to do even while on vacation, maybe even ones that are intended to be done specifically when you are away from home. 

While you cannot change that you have OCD, ERP can help you learn ways to manage it effectively while traveling. Through ERP, you will learn to effectively self-manage OCD episodes when you’re away from home and on your own. 

Additional tips for traveling when you have OCD

The skills you learn from ERP will be critical in helping you manage OCD when you’re traveling, and there are additional things that may be helpful as well. Here are some tips you may find helpful in preparing for an upcoming trip:

  1. Understand your needs. Do you do better when you have a schedule to follow? Or do you struggle with the pressure of following an itinerary? Do you need frequent breaks? Do you often experience sensory or emotional overload? Remember, it’s okay to be true to yourself and do what is right for you, like taking a break when you need to. 
  1. Talk to your treatment providers before you leave. Let them know that you are planning to travel and ask what you can do if you need extra support. At NOCD, we know that when people with OCD are on their own, that’s when they need the most help. That’s why NOCD Therapy includes self-help tools, support groups, and other services for members to manage between sessions. If you are on medications and your prescriber is still in the process of making changes to them, have a plan ahead of time and make sure you have the appropriate amount of medication for the entire trip.  
  1. Have a list of local resources available. This may include a mental health support chat line or an after-hours line you can call if you need extra support. 
  1. Ask for help from your family, friends, or loved ones. You don’t have to share anything you are uncomfortable sharing, but it’s okay to ask for help. People aren’t mind readers, so you can’t expect them to know when and if you are struggling if you don’t tell them. 
  1. Respect your own limits and boundaries. If an activity is too much for you, it’s okay to stay behind. Too often, people feel pressured to do what everyone else is doing or what others want them to do. Don’t be afraid to do your own thing.
  1. Commit to taking care of your health, even while on vacation. It’s common to have a disruption in your sleep schedule or to do things you may not normally do, like eat or drink more than usual, but do your best to stay on track with your health goals. We know that physical health and mental health go hand-in-hand.
  1. Be prepared for new intrusive thoughts, images, or urges to arise. OCD is creative and will sneak in at the most inopportune times. Whenever you are in new surroundings, around new people, or in new situations, it is highly likely that OCD will find you. Expect this so that when it happens, you are prepared and can use your skills to counter it. Your ERP therapist can help you have a plan in place.
  1. Pack comfort items. This may sound silly, but you might have specific items that bring you peace. It can be a trinket, a piece of jewelry, or really anything that brings a sense of grounding. These comfort items can help you remember that you are safe and that anxiety and discomfort will pass. It can be helpful to be reminded that you won’t always feel the distress you feel at any particular moment. 

Starting treatment now to help you in the future 

I hope you can apply the recommendations in this article as a start. But remember, proper treatment is the best way to minimize the impact of OCD when you’re traveling or on vacation and manage the condition long-term. 

Personally, ERP helped me recognize that avoiding travel actually increases my anxiety about being away from home. I learned that just because I feel anxious doesn’t mean that I have to respond with compulsive avoidance; I can feel uncomfortable at first and still do the things that I enjoy. 

I also learned that whether I am at home or somewhere else, OCD may show up. And it doesn’t really matter where I am physically when it does pop up—I can still use the same skills I learned through ERP. By taking the focus off of the themes or content of the OCD, I was able to recognize that no matter what intrusive thought or feeling I am experiencing, it will not last forever, and I can still live the life that I want to live. Even if the thoughts and feelings want to hang around, they do not need to be in the driver’s seat.

For me, managing OCD means doing things that I never would have dreamed of. Managing OCD means facing fears and finding freedom through my choices on a daily basis. It is doing things while afraid and knowing that those feelings will eventually pass and become less and less. 

If you haven’t already sought out ERP treatment for this debilitating disorder, I recommend that you do so today. Our team at NOCD is here to help you. At NOCD, you can work with a licensed therapist who is specialty-trained to treat OCD using ERP therapy, and who will begin to teach you to manage OCD on your own, such as while you’re traveling. You will also receive always-on support between sessions through the NOCD platform by messaging with your therapist, accessing self-help tools, connecting with peer communities, and more. This is especially useful when you’re away from home and may have heightened OCD fears or unexpected episodes. 

To learn more about working with a licensed, specialty-trained NOCD therapist, book a free 15-minute call with our team today. 

Stacy Quick, LPC

Stacy Quick LPC, is a therapist at NOCD, specializing in the treatment of OCD. She has been working in the mental health field for nearly 20 years. Her goal is to help members achieve skills to help them live a more fulfilling life without letting OCD be in control. Ms. Quick uses ERP and her lived experiences to help her members understand it is possible to live a life in recovery. She is a mother of 3 children, 2 of whom are also diagnosed with OCD. Ms. Quick is also a writer and content creator. Learn more about Stacy Quick on Instagram: @stacyquick.undone

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Taylor Newendorp

Taylor Newendorp

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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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