Coping with OCD during the COVID-19 outbreak

If you struggle with contamination fears:

• Give yourself permission to set a basic safety plan based on the recommendations of trusted health organizations, and do not add to it.

• If you want to do more than this, pick a person to help you figure out what might be a reasonable and rational safety measure to take.

If you struggle with perfectionism:

• Remind yourself that no one can protect themselves “perfectly” from COVID-19, and no one expects you to. Times like these call for using your common sense instead of going to perfectionistic extremes.

• Remember that trusted health organizations aren’t thinking about people with OCD and/or perfectionism when they set public health guidelines, and thus it might be helpful to talk to a trusted friend, family member, and/or your therapist to help figure out what “common sense” might mean. Your therapist can be especially helpful in figuring out how to apply these guidelines in a way that meets health standards without sending you deeper into your OCD.

If you struggle with thoughts of harming others:

• Be mindful that your OCD may take advantage of COVID-19 fears by telling you that you might have infected someone or that you are going to infect someone in the future, whether accidentally or on purpose.

• If you’re noticing these intrusive thoughts, or that you’re doing compulsions related to these thoughts, check in with your therapist and let them know how your symptoms might have changed. They can work with you to come up with new exposures and/or homework activities to help contain them.