Checking OCD is a common form of Obsessive-Compulsive Disorder (OCD), characterized by checking-based compulsive behavior.
People with Checking OCD fear that they will somehow cause something bad to happen to themselves or others, intentionally or not. This obsessive concern causes anxiety, which they respond to with checking rituals in an attempt to gain certainty that something terrible has not or will not happen.
Examples of Checking OCD
Example 1: A woman gets stuck trying to leave the apartment, checking for safety hazards.
For the third time this week, Jennifer is at risk of being embarrassingly late to work. Even though she got up early, got ready in time, and could have easily made it to the right bus – she was once again stuck in her apartment and bombarded with intrusive thoughts like:
● “Did I remember to turn off the stove?”
● “Did I really lock the windows and unplug the toaster?”
● “What if a fire starts? What if someone gets hurt?”
● “I couldn’t live with myself if it was my fault.”
Example 2: A man turns his short commute into a long drive, checking for accidents.
While driving to work, Tom feels his anxiety rise to uncomfortable levels as the familiar unwanted thoughts start:
Tom worries that his carelessness will result in tragedy for someone else – a thought that feels unbearable. He feels the need to be 100% certain that nothing bad happened, so he starts his checking rituals.
He ends up driving in circles, trying to retrace his route (sometimes several times). He excessively checks his rearview mirror to survey the stretch of road that he just traveled. At times he stops his truck, gets out, and walks all the way around it, checking for signs of a recent accident. What should be a short commute can take hours.
As can be seen from these examples, Jennifer and Tom are both struggling with something far beyond the “double-checking” that most people experience. Instead, they get stuck in a downward spiral of anxiety, doubt, and repetitive checking. The more they perform their compulsions, the more entrenched the cycle becomes.
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Obsessive thoughts in Checking OCD tend to center on the possibility of something bad happening to ourselves or others. When it comes to others getting hurt, the fear is that it would be our fault. Common obsessive concerns in Checking OCD include:
These obsessive concerns lead to distress (usually in the form of anxiety), and for this subtype of OCD, checking is the compulsive behavior utilized to reduce that anxiety. The purpose of the checking is to try to be certain that these feared outcomes have not, or will not happen. Common checking behaviors include:
We can’t say conclusively what causes OCD, although it seems to be a combination of neurobiological, genetic, cognitive, behavioral, and environmental factors. We can be more confident in identifying what maintains the OCD.
Compulsive behavior, like checking, is often temporarily effective because it reduces anxiety. Because of this, people with OCD are much more likely to do that checking behavior again the next time they find themselves feeling anxious about not being certain of something. This becomes a closed loop in which the person with OCD gets trapped, never learning that there is another way out.
The good news about Checking OCD, and every other form of OCD, is that it is treatable. Exposure and Response Prevention (ERP) therapy is considered the “gold standard” of treatment for OCD and is highly effective when done correctly.
It encourages people to face their fears about possibly causing harm or destruction by purposefully triggering these thoughts (exposure) and then learning that they do not have to give in to their urges (response prevention) in order for everything to be okay. Let’s look at an example of how this might work:
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Example of ERP Therapy:
Remember Jennifer, the woman from the first example, who was always late for work because she was repetitively checking her apartment for safety hazards?
An ERP assignment might have Jennifer leave her apartment without doing the checking routine that she normally does.
By avoiding her checking routine, Jennifer would learn that her compulsions are not necessary and that her anxiety will subside on its own. ERP would also teach Jennifer that she can handle uncertainty.
How to Find Treatment
There is hope for people struggling with Checking OCD. An important first step is finding the right help by seeking out an OCD provider trained in ERP.
NOCD therapists are trained ERP specialists who can work with you to reduce your OCD symptoms with just a few weeks of live one-on-one video therapy. You’ll also be welcomed into our supportive peer community, with 24/7 access to personalized self-management tools built by people who have struggled with OCD and successfully recovered using ERP.