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Can OCD Come Back Again?

By Sarah Earles, MS, LPC, NCC | February 14, 2025

Overcoming obsessive-compulsive disorder (OCD) requires some serious commitment, determination, grit, and perseverance. The return of OCD symptoms can cause serious distress and disruption in life. The return of OCD symptoms does not mean that the controlling nature of OCD must come back, too, however. Managing OCD relapse is possible!

Obsessive-compulsive disorder is a serious diagnosis. The condition is considered to be chronic (Dideriksen, 2023; Langham, 2022; Quick 2022). While treatment can help symptoms go into remission and greatly improve quality of life, symptoms may return at any time. Being watchful for OCD relapse, therefore, is crucial.

OCD relapse means the return of OCD symptoms. This can often happen around stressful life events (Quick, 2022). Recognizing triggers for OCD and using skills to manage them is crucial to preventing OCD from once again taking over one’s life (Langham, 2022). For this reason, many professionals recommend regular maintenance visits to an OCD therapist. This therapist can help monitor for signs and symptoms of OCD and help the client keep skills to manage OCD strong.

While the prognosis for complete and permanent remission of OCD is poor, the return of OCD symptoms does not need to end life as the client knows it. Adherence to treatment protocols prevents structural changes in the brain from repeated behaviors, and this makes managing the behaviors easier (Cleveland Clinic, 2022). Clients with strong self-care and deep wells of coping skills can live full and happy lives that are uninterrupted by regular engagement in obsessions and compulsions (Clearview Treatment Programs, 2022). Clients can successfully manage their OCD so that it does not control their lives (Quick, 2022). OCD management need not be obsessive, either.

Can obsessive-compulsive disorder “come back” after successful treatment? Yes. In fact, it probably will. Individuals who struggle with OCD should plan for the return of its symptoms so as to be prepared to manage them and not let OCD once again take over. A life with managed OCD can be full and happy, and that is what most individuals want.

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Overcoming obsessive-compulsive disorder (OCD) requires some serious commitment, determination, grit, and perseverance. The return of OCD symptoms can cause serious distress and disruption in life. The return of OCD symptoms does not mean that the controlling nature of OCD must come back, too, however. Managing OCD relapse is possible!

Obsessive-compulsive disorder is a serious diagnosis. The condition is considered to be chronic (Dideriksen, 2023; Langham, 2022; Quick 2022). While treatment can help symptoms go into remission and greatly improve quality of life, symptoms may return at any time. Being watchful for OCD relapse, therefore, is crucial.

OCD relapse means the return of OCD symptoms. This can often happen around stressful life events (Quick, 2022). Recognizing triggers for OCD and using skills to manage them is crucial to preventing OCD from once again taking over one’s life (Langham, 2022). For this reason, many professionals recommend regular maintenance visits to an OCD therapist. This therapist can help monitor for signs and symptoms of OCD and help the client keep skills to manage OCD strong.

While the prognosis for complete and permanent remission of OCD is poor, the return of OCD symptoms does not need to end life as the client knows it. Adherence to treatment protocols prevents structural changes in the brain from repeated behaviors, and this makes managing the behaviors easier (Cleveland Clinic, 2022). Clients with strong self-care and deep wells of coping skills can live full and happy lives that are uninterrupted by regular engagement in obsessions and compulsions (Clearview Treatment Programs, 2022). Clients can successfully manage their OCD so that it does not control their lives (Quick, 2022). OCD management need not be obsessive, either.

Can obsessive-compulsive disorder “come back” after successful treatment? Yes. In fact, it probably will. Individuals who struggle with OCD should plan for the return of its symptoms so as to be prepared to manage them and not let OCD once again take over. A life with managed OCD can be full and happy, and that is what most individuals want.

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References

Clearview Treatment Programs (2022, September 30). Does OCD come and go? https://clearviewtreatment.com/resources/blog/does-ocd-come-and-go/

Cleveland Clinic. (2022, December 14). Obsessive-Compulsive Disorder (OCD). https://my.clevelandclinic.org/health/diseases/9490-ocd-obsessive-compulsive-disorder

Dideriksen, M. (2023, March 24). Can you “grow out of” OCD? NOCD. https://www.treatmyocd.com/what-is-ocd/info/ocd-stats-and-science/can-you-grow-out-of-ocd

Langham, R.Y. (2022, November 4). How to recover from an OCD relapse. Impulse. https://impulsetherapy.com/how-to-recover-from-an-ocd-relapse/

Quick, S. (2022, September 14). My symptoms come and go—is it still OCD? NOCD. https://www.treatmyocd.com/blog/my-symptoms-come-and-go-is-it-still-ocd

References

Clearview Treatment Programs (2022, September 30). Does OCD come and go? https://clearviewtreatment.com/resources
/blog/does-ocd-come-and-go/

Cleveland Clinic. (2022, December 14). Obsessive-Compulsive Disorder (OCD). https://my.clevelandclinic.org/health
/diseases/9490-ocd-obsessive-compulsive-disorder

Dideriksen, M. (2023, March 24). Can you “grow out of” OCD? NOCD. https://www.treatmyocd.com/what-is-ocd/info/ocd-stats-and-science/can-you-grow-out-of-ocd

Langham, R.Y. (2022, November 4). How to recover from an OCD relapse. Impulse. https://impulsetherapy.com/how-to-recover-from-an-ocd-relapse/

Quick, S. (2022, September 14). My symptoms come and go—is it still OCD? NOCD. https://www.treatmyocd.com/blog/my-symptoms-come-and-go-is-it-still-ocd

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