It's turning out to be postpartum OCD/Intrusive Thoughts Week here at Postpartum Progress. This wasn't planned, it's just that I'm hearing from so many of you who are going through this illness, so I'm sharing just a few of the stories I have received. This one is from Tina …
I am a horrible person. I don't deserve to be a mother.
This was the thought I tortured myself with when I starting having fears that I would hurt my daughter early last year. Once I finally gave in and told my doctor about my fears, I learned that this awful experience had a name: intrusive thoughts, or overwhelming fears that I found impossible to ignore. I was sure I was a danger to my daughter and should be immediately hospitalized. My doctor (and everyone else I told) completely disagreed. They never for a moment worried about the welfare of my daughter; the primary concern was always my suffering and how to help me alleviate it. That made no sense to me. Couldn’t they see that I was a ticking time bomb that could go off any minute?! I did everything I could to avoid being alone with my beautiful new baby, as her safety was my only priority.
I so badly wanted to crawl under my bed and never come out. In those early days, I would have given anything to be a “normal” mother with “normal” concerns like sleep deprivation and not showering for two days. Instead, I had been catapulted into a nightmare that I never saw coming. The shame was a physical presence that I carried with me everywhere I went. After my medication started working and the overt anxiety decreased, I looked happy and well-adjusted to other people. I felt like I was playing a role: the “perfect” mother who had never had terrible thoughts of harming her daughter. I would shudder when I would think of how horrified other mothers would be if they knew the truth, and how they would hurry to keep their children away from me.
I later learned that this disorder had strong roots in the anxiety I had before I got pregnant. I had always been a “worrier”, battling fears of certain doom hiding in every corner. I didn’t recognize these thoughts as irrational worries fueled by anxiety; I thought I was the “normal” one, and that those people that didn’t obsessively worry about every little thing were the ones taking their life in their hands. It was the terrifying experience of being afraid I might hurt my daughter that forced me to look at my thinking pattern and investigate ways I could change it. That was quite a revelation — I can change the way I think and then I can feel better? You would think that a therapist with ten years of experience treating anxiety in other people would have had this concept down, but it was my strange belief that it applied to everyone but me.
Determined to find a way to out of this nightmare, I stayed on my prescribed medication, and set about reading everything I could about this disorder. I especially craved stories of recovery from postpartum OCD that would give me hope that the nightmare would end one day. Having identified that my fears of hurting my daughter were actually a symptom of a bigger issue, I also started doing self-help work designed to change my reaction to these horrible thoughts. After all, they were just thoughts. I was the one giving them power by assuming that thoughts and actions are the same thing. Coming to understand this reality gave me an amazing insight: I was not a defective mother; I was a person with anxiety that could learn to control it and move on with my life.
I can obsess later.
This is my new way of thinking. Just over a year later, I have gained control over my intrusive thoughts, and they no longer run my life. I still have moments of uncertainty when the old fears creep in, but I give myself permission to put those thoughts away for the time being and get back to what I was doing. I can always go back to obsessing later on if I feel the need. The very act of acknowledging my obsessions puts me back in the driver’s seat of my own mind.
The energy I used to expend being terrified and making sure any time I was alone with my daughter was as limited as possible is now being used to teach her about the world. I marvel at her curiosity and revel in her love of life. Surviving this experience has made me appreciate just how blessed I am to be her mother. The shame that used to plague me has been turned into an inner strength that I have vowed to use to help other women find their way out of the darkness of postpartum OCD and into the light of recovery.













Wow. Reading these stories is like looking in the mirror. Amazing how similar the thoughts and feelings are with this illness! And all the while we think we are freaks, the only ones to have had such horrible thoughts that we can’t ignore. I recently read that over 50% of women with PPD also have intrusive thoughts. That’s a lot of women which means a lot of women are NOT talking about that symptom. THANK YOU for shedding more light on this illness that so many women suffer in silence with. My prayer is that they find this blog and realize that they are not alone and they will get better. And Katherine, thank you for dedicating yourself to helping women like us, who without this blog may have never had the support they needed. I know that where I live there are no PPD support groups.
I’m so glad it’s postpartum OCD week. If just one mom reads about intrusive thoughts, learns that’s what has been plaguing her, and she gets help, it’s all worth it. Thank you, Katherine. You rock.
What I want to know is *how*. How do you start getting a handle on the condition and decreasing the severity and frequency of the intrusive thoughts? My daughter is now 21 months old, I have been in treatment since she was 5 days old. Meds, CBT, you name it.
Not to be a downer, but I’m getting sick of being told it will improve, and I’ll get better, that there will be recovery if I get help, if I look after myself etc etc. It has been almost two years. My gorgeous girl is not the helpless newborn of my intrusions, but a funny, precious, boisterous wee person who speaks in full sentences, jumps off things, and pours her own drinks. And there has been no recovery, there is no ‘better’. I am aware that I have atypical ppOCD (no anxiety involved, abstraction of the child in intrusive thoughts, a few other things that mean I haven’t been able to find anyone with a similar experience), and I am wondering if in some cases you don’t get better, you just get used to it. I hope I’m not someone who can get used to that much blood and violence.
Hi. My name is Beth. I would like to say that I find your article very relevant and informative. Readers will surely appreciate what you have said and it will definitely be a great help to them. Thank you for your helpful information.
First, I love the way you right about your daughter. It made me smile.
It took 3 hospitalizations for me as my OCD led to psychosis 3 times. The last was just after my daughter turned two. I’m in a good place now that she is three and I feel the worst is behind me. (I had no history of mental health issues, unlike many psychosis victims.) It took many medication switches and lifestyle changes to help me get to where I am and here’s what helped me the most…
-finding the right meds
-not drinking alcohol at all on meds (I did not drink much before but even a glass of wine or two a week doesn’t mix with meds.)
-reading and understanding it… The best read I found was Brain Lock by Schwartz
- reality therapy
-watching carefully what I “feed my brain”- Limit watching, listening to or reading about violence (including/ especially the news) or whatever is plaguing your thoughts. I recommend sticking with comedy and lighthearted stuff for a while.
-yoga
-exercise
-art
-I’m working on retraining my brain. My mind always goes to worst case scenario. I practice combatting thoughts by flipping them… When my mind goes to worst case scenario, I recognize it, challenge it and make myself thing best case scenario.
I’ll keep you in my thoughts. Good luck.
Della,
I am really sympathetic to your worries and I do wish you will feel a lot better soon. I can honestly say that the “recovery” from intrusive thoughts can be long, (Its almost as if there is a post traumatic stress feature to it)and OCD can be a chronic condition. But, having been through it I can tell you that you WILL get better. It IS possible to retrain your brain, with help of course. Accepting that you have the condition is key.From what I know in most cases of post partum OCD the condition is temporary, that is, it doesn’t last forever. HOWEVER… I think its sort of like having an addiction, the triggers will always be there, you just have to learn to deal with them. while I felt a lot better after 3 months I was far from recovered– for me, it DID take a long time to get to a position where I felt I had mastery over the fear of the intrusive thoughts. Because thats what it is, FEAR of your own thoughts. Fear and resistance breed ore of the same. In fact, it wasn’t until 6 months pregnant my second child and suddenly feeling terribly anxious and OCDing, I found the right short term therapist combined with daily meditation and a wonderful Doctor who specialized in perinatal and postnatal mood diorders, and prescribed 200 mg. Zoloft. For me, mindfulness meditation helped immensely. I can’t say enough good about it. If there is a therapist that uses this in his or her practice, I recommend it for you. Also a Doctor who specializes in these disorders.
Really, only by giving the thoughts less power can they lose their grip on you, it becomes a sort of mental martial arts but in the end its about accepting that they are just thoughts. At least for me, acceptance was what de-fused them and made them go away. You should also see if maybe your medication might be changed or adjusted. OCD usually requires a high dose. Hope this helps in some small way.
Oops I sent my last replay to Della instead of Kate. Sorry!
Wonderful advice about feeding the brain. I agree wholeheartedly. For me what was worst was worrying about the thoughts coming back and having “flashbacks’ to how it had been. That was what took me a while to recover from, but I did. That IS anxiety and no form of OCD is without it— Oh, also wanted to add: fish oil supplement, healthy diet, exercise and lots and lots of self compassion.
Hi Kate, I am so sorry for the length of your suffering.
keep on the track you are heading on. one suggestion if you have not done it is to try alternative therapies as well.. Stay on your meds and see your doctors. I have done some cranial sacral therapy and acupuncture. Cranial Sacral massage is non invasive and you keep your clothes on. It works with the connective tissue in our central nervous system and our cerebral fluid. It can really influence our brains as that connective tissue is everywhere in our bodies. It may not be for everyone but it has helped me. Acupuncture can too,,,be sure you find someone who is sympathetic and not judgmental and honors a multi-system approach ( combining east and west). Also, I highliy recommend looking into Homeopathy…expecially, Constitutional Homeopathy. Nutrition can make a huge difference too.
These are just suggestions but do what you are comfortable with. I am a very conservative person and have found a lot of success with combined therapies.
Hang in there…
Hi Kate, I am so sorry for the length of your suffering.
keep on the track you are heading on. one suggestion if you have not done it is to try alternative therapies as well.. Stay on your meds and see your doctors. I have done some cranial sacral therapy and acupuncture. Cranial Sacral massage is non invasive and you keep your clothes on. It works with the connective tissue in our central nervous system and our cerebral fluid. It can really influence our brains as that connective tissue is everywhere in our bodies. It may not be for everyone but it has helped me. Acupuncture can too,,,be sure you find someone who is sympathetic and not judgmental and honors a multi-system approach ( combining east and west). Also, I highliy recommend looking into Homeopathy…expecially, Constitutional Homeopathy. Nutrition can make a huge difference too.
These are just suggestions but do what you are comfortable with. I am a very conservative person and have found a lot of success with combined therapies.
Hang in there…
Thank you for the article. I had Post Partum OCD too and had awful visions of harming my child. The thoughts slowly declined over time but one thing that helped me is something my husband said to me….he told me those thoughts were not “my heart.” I say this as an encouragement to anyone who experiences this: do not judge yourself based on those thoughts, they are not your heart. As they fly in your head, let them fly on out.
I never had those intrusive thoughts and I can’t imagine how extremely terrifying they are. I am so glad that you were able to reach out and get help.
I too suffered from intrusive thoughts to harm my son and have found a combination of Therapy (was fortunate to find a someone that specializes in Postpartum mood disorders) medication, and knowledge on anxiety has been working for me. The book Hope and help for your nerves by Dr. Claire Weekes has been a godsend. Learning to “accept” and not fight the thoughts/ anxiety has really helped me. I still get them occasionally but I don’t obsess on them as much as I used to. I let them float in and float out. Thanks for sharing your story!