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Understanding Obsessive Compulsive Disorder (OCD) & Childhood Trauma.

Updated: Jul 19, 2023


Obsessive-compulsive disorder (OCD) is a mental health condition that affects people of all ages, genders, & backgrounds. While OCD can have various causes, including genetic & environmental factors, research suggests that childhood trauma can be a significant trigger for this disorder.

In this article, we will explore how childhood trauma can contribute to the development of OCD & how this condition can be effectively treated.


Understanding OCD & Its Symptoms

OCD is a mental health disorder that is characterized by the presence of obsessive & compulsive behaviors that interfere with an individual’s daily life. Obsessions are recurrent & intrusive thoughts, images, or impulses that cause significant distress or anxiety. Compulsions are repetitive behaviors or mental acts that an individual feels compelled to perform in response to their obsessions, usually to reduce their anxiety.

Common symptoms of OCD include:

  1. Repeatedly checking things (e.g., locks, appliances, switches)

  2. Counting objects or performing tasks a specific number of times

  3. Excessive hand washing or cleaning

  4. Hoarding or collecting unnecessary items

  5. Arranging items in a specific order or pattern

  6. Repeating phrases or words

OCD & Childhood Trauma

Childhood trauma, such as physical, emotional, or sexual abuse, neglect, or the death of a parent, can have a profound impact on an individual’s mental health. Research has shown that people who have experienced childhood trauma are more likely to develop anxiety disorders, including OCD.

Studies have found that traumatic experiences can alter the brain’s structure & function, leading to changes in the regions of the brain that are responsible for regulating emotions, including the amygdala, hippocampus, & prefrontal cortex. These changes can make individuals more susceptible to developing anxiety disorders, including OCD.


Furthermore, childhood trauma can create a sense of unpredictability & lack of control, leading to a heightened need for control & order in adulthood. This need for control can manifest in obsessive-compulsive behaviors, as individuals try to manage their anxiety by controlling their environment & behaviors.

Treating OCD Stemming from Childhood Trauma

Treatment for OCD stemming from childhood trauma typically involves psychotherapy, medication, or a combination of both. Cognitive-behavioral therapy (CBT) is a common treatment approach that focuses on identifying & changing negative thought patterns & behaviors associated with OCD.

Exposure & response prevention (ERP) is a type of CBT that involves exposing individuals to their obsessive thoughts or triggers while preventing them from engaging in compulsive behaviors. This type of therapy helps individuals learn to tolerate their anxiety without resorting to compulsive behaviors.

Medications such as selective serotonin reuptake inhibitors (SSRIs) can also be effective in treating OCD by regulating the levels of serotonin, a neurotransmitter that affects mood & anxiety.


OCD is a complex mental health disorder that can be triggered by a variety of factors, including childhood trauma. Understanding the link between childhood trauma & OCD can help individuals & mental health professionals develop effective treatment plans that address the root causes of the disorder.

If you or someone you know is struggling with OCD, seeking help from a mental health professional is essential. With the right treatment & support, it is possible to manage symptoms of OCD & improve your overall quality of life. We’ve also created another OCD article on nonmedication treatment options.



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