Relationship obsessive–compulsive disorder (ROCD) is a subtype of obsessive–compulsive disorder characterized by intrusive, unwanted thoughts, images, or urges focused on romantic relationships or intimate partners.
These obsessions often revolve around doubts about the "rightness" of the relationship, one's own feelings toward the partner, or the partner's feelings in return, and are typically ego-dystonic, meaning they contradict the individual's personal values and subjective experience of the relationship.
Common compulsive behaviors include reassurance seeking, repeatedly checking one's feelings, comparing the partner to others, and mental neutralizing strategies such as visualizing happy moments together.
ROCD can significantly impair relationship functioning, lead to distress, and negatively impact sexual and emotional intimacy, even when the relationship itself is healthy.
While not formally defined in the DSM-5, ROCD is increasingly recognized as a distinct clinical presentation with two primary subtypes: relationship-centered symptoms (doubts about the relationship's validity) and partner-focused symptoms (obsessions about perceived flaws in the partner).
The most effective treatment is Exposure and Response Prevention (ERP) therapy, which helps individuals confront intrusive thoughts without engaging in compulsive behaviors