Postpartum Obsessive-Compulsive Disorder (OCD)

Postpartum obsessive-compulsive disorder (OCD) involves intrusive, unwanted thoughts (obsessions) and repetitive behaviors or mental rituals (compulsions) to try to neutralize the fear.

What does it feel like?

It can feel terrifying. You might picture something awful happening to your baby and feel guilty just for having the thought. But here’s the key: these thoughts are unwanted. Moms with postpartum OCD are not dangerous—the thoughts go against who you are.

What are the symptoms?

• Intrusive, upsetting thoughts about your baby (e.g., “What if I drop the baby?”)

• Compulsions like checking locks, washing hands, or avoiding holding the baby

• Extreme distress about the thoughts

• Feeling like you have to “neutralize” or undo the thought with rituals

How common is it?

Postpartum OCD is estimated to affect 3–5% of moms. Because many women feel ashamed, it’s likely underreported.

What causes it?

• Hormonal changes

• Sleep disruption

• A history of anxiety or OCD

• The heightened sense of responsibility that comes with caring for a newborn
  

If this sounds familiar, please know: having a thought is not the same as acting on it. You are not broken—you’re experiencing a common, treatable condition.