How to Get Help for Postpartum OCD

You can start getting help by telling a health care professional what you’re experiencing and asking for a referral to someone familiar with OCD during the perinatal period. Therapy and medication are treatment options to discuss with a qualified clinician.

A new mother speaks with a therapist in a calm office, describing distressing thoughts and asking for support.
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Getting help for postpartum OCD starts with telling a health care professional what you’re experiencing and asking for support. You can describe the thoughts that distress you or the routines that are taking up time, then ask to be referred to a mental health professional who understands OCD and postpartum care.

You don’t need to have the perfect words or a complete explanation before you reach out. For example, you might say, “I’m having thoughts that scare me, and I feel driven to repeat certain checks. Can you help me find someone to talk to?” Share what feels manageable; the goal is to let a professional know you need help.

Treatment may include cognitive behavioral therapy and medication, and a clinician can discuss which options fit your needs. [1][2] Asking about treatment is a reasonable first step, even if you’re not sure what kind of care you want yet.

What to look for in a provider

Look for a clinician who treats OCD and understands perinatal or postpartum concerns, then check whether their approach and availability fit your needs. You can ask about this before scheduling, so you have a clearer sense of whether the clinician is a good match for the care you’re seeking.

Questions to ask

Keep your questions simple and direct. For example, you might ask, “Do you treat OCD?” and “Do you have experience working with people during pregnancy or after having a baby?” You can also ask how the clinician typically works with someone who is seeking help for postpartum OCD.

If the answers are unclear, it’s reasonable to ask for more detail about the clinician’s experience. You don’t need to decide from one conversation; use what you learn to judge whether you feel comfortable taking the next step with that provider.

Explore perinatal OCD resources

A perinatal OCD resource center can help you explore information and support for patients and providers. [3] You can use it to learn more about the topic and consider what questions you want to bring to a clinician.

It’s also okay to contact more than one clinician if you need to check fit or availability. For example, if one person is not taking new clients or their experience does not seem like the right match, you can reach out to another provider. Finding a suitable option may take a few conversations, and you can take those one at a time.

How to find care and start the conversation

  1. Write down what has been troubling you. Before you call, jot down a few examples of thoughts, routines, or moments that feel hard to manage, along with how they affect sleep, feeding, or other daily tasks. You can bring the notes to an appointment, and you only need to share what you feel ready to discuss.

  2. Contact a health care provider. Reach out to your obstetric or primary care provider, or a mental health clinician, and ask for an OCD-informed referral. If talking feels difficult, you can read from your notes or ask whether you can send them ahead.

  3. Ask about OCD treatment experience. When you speak with a potential therapist, ask whether they treat OCD and provide exposure and response prevention (ERP), a treatment for OCD that includes postpartum OCD. [4] You might say, “Do you offer ERP, and how would we decide whether it fits my needs?”

  4. Bring treatment questions to a qualified clinician. Ask about therapy and medication options, and mention any concerns about treatment during postpartum care. Therapy and medication can both be part of treatment for postpartum OCD. [1] A clinician can discuss what may be appropriate for your situation.

  5. Make the logistics easier if you can. If it would help, ask someone you trust to sit with you while you make a call, help track appointment details, or take on a practical task while you arrange care.

A new mother calls a mental health clinic from home, seated near her baby's crib as she begins seeking care.

How to ask someone close to you for support

You can ask someone close to you for support by saying plainly that you’re struggling and would like help arranging professional care. You don’t need to explain everything at once; a simple sentence can open the conversation.

For example, you might say, “I’m having a hard time, and I’d like help getting professional support. Could you sit with me while I make a call?” If saying it out loud feels difficult, send a text or write a note instead. Choose the person who is most likely to listen without judgment, such as a partner, friend, or family member.

Make your request specific so the person knows what would help. You could ask them to make a call with you, help schedule an appointment, or sit nearby while you contact a provider. If you already have a time set, you might ask for help with a practical detail, like arranging a ride or taking care of a household task while you go.

Loved ones can also learn about perinatal OCD and find guidance through the Perinatal OCD Resource Center, which includes information for loved ones as well as patients and providers. [3] Sharing a resource can give you and the person supporting you a starting point for learning together. You can say, “Could you read this with me so we have a better way to talk about what I’m going through?”

Take one manageable next step

Choose one person or health care professional to contact today; you do not have to sort out every part of care before taking that step. You might send a short message to your clinician, ask a trusted person to sit with you while you make a call, or request help setting up an appointment. Keep the goal small: start a conversation, not solve everything at once.

When you connect with a clinician, ask for an OCD-informed referral and talk through treatment choices together. Postpartum OCD treatment may involve medication and cognitive-behavioral therapy, and a clinician can discuss which options fit your situation. [1] Early treatment can include therapy and medication. [2] If you need a place to learn more while you arrange care, the Perinatal OCD Resource Center includes information about treatment and support for loved ones. [3] Getting support is a practical step toward care, and you can take it one manageable action at a time.

Sources

  1. Diagnosis and Treatment of Postpartum Obsessions … – PMC

  2. Understanding Postpartum OCD and the Mother/Baby …

  3. Perinatal OCD Resource Center To Help People Find Relief

  4. Postpartum OCD: It’s More Than Intrusive Thoughts