How Dyadic Patterns in Intimate Relationships Can Maintain and Exacerbate Relationship Obsessive-Compulsive Disorder Symptoms

Relationship obsessive compulsive disorder (ROCD) is a form of OCD where obsessive thoughts focus on romantic partners and relationships. Past research has detailed the harmful effects of ROCD on affected individuals and their relationships. However, no work to date has identified relationship mechanisms that may play a pivotal role in affecting the course and severity of ROCD. In the present article, we outline how dyadic patterns of interaction can contribute to ROCD via (a) dyadic reinforcement of cognitive distortions (e.g., by promoting the overvaluation of thoughts) and (b) dyadic avoidance patterns (e.g., accommodation, demand-withdrawal). Further, we provide recommendations for clinicians regarding how to identify and intervene upon maladaptive relationship dynamics in ROCD cases.