A Compulsive Need to Confess

One rarely discussed symptom of OCD is an overwhelming urge to confess “sins,” even when the transgressions are very slight.  Typically this will arise in the context of a marriage or romantic relationship.  At first, what is confessed may not seem so minor.  However if this problem is not addressed, the confessed acts often become quite trivial.  For example, let’s say that a man with OCD feels attracted to a co-worker.  If he suffers from this form of OCD, he might feel very anxious, telling himself that he has to tell his girlfriend about this situation so as not to risk damage their relationship. If he does, in fact, tell his girlfriend, she might react by saying, “Oh, okay.  Just don’t act on it — no big deal.”  Then, the man with OCD will feel relieved.  This completes a cycle of anxiety for this man — he engages in the compulsion, and immediately feels relief from anxiety.  Doesn’t sound too terrible, right?  However, the problem is that this pattern often does not stop.  Next week he might be confessing more minor things, like having wondered whether a female acquaintance likes him, or even having thought his 9th grade homeroom teacher was attractive (many years ago).  While these latter two situations might seem less important to most observers, they provoke just as much anxiety for the OCD sufferer.  It is often a downward spiral that can reach the point where spouses/boyfriends/girlfriends can become frustrated at having to listen to meaningless confessions every day.  Ironically, this can strain a relationship more than if the OCD sufferer had not mentioned anything.

The key for people suffering from this symptom of OCD is the recognition of the role anxiety plays.  Do they want to confess because it’s the right thing to do, or because they’ll feel relieved?  Do they want to confess despite having been told by their partner that it is not necessary or helpful? Working with a therapist trained in exposure and response prevention can be a helpful way to change the way one deals with anxiety in these situations.