Managing OCD during the holidays isn’t about perfection—it’s about support and self-compassion.
The holidays are often portrayed as a joyful, lighthearted time filled with togetherness and celebration. But for individuals living with Obsessive-Compulsive Disorder (OCD), this time of year can bring a unique set of challenges. Disrupted routines, travel, social pressure, and heightened expectations can all intensify OCD symptoms, making the season feel overwhelming instead of enjoyable.
Whether your OCD centers around intrusive thoughts, contamination fears, compulsive checking, perfectionism, or other patterns, it’s possible to navigate the holidays with more peace and support. Here are ten strategies we use with our clients to help manage OCD during the season:
1. Anticipate Triggers in Advance
Before the season kicks into high gear, take some time to reflect on what typically feels hard during the holidays. Is it large family gatherings? Gift exchanges? Being out of your normal environment? Identifying common triggers ahead of time can help you create a plan instead of being caught off guard.
2. Support Your Nervous System with Gentle Structure
The holidays can throw off familiar rhythms, which often increases stress and makes it harder to manage OCD symptoms. While strict routines can sometimes feed into compulsive patterns, having a flexible structure to your day—like regular meals, rest, or time outdoors—can help you feel more grounded without reinforcing rigid rules. The goal is to create stability that supports you, not your OCD.
3. Say No to Perfectionism
Whether it’s decorating the house or choosing the right gift, the pressure to make everything “just right” can be intense. Perfectionism is a common part of OCD, especially during high-pressure events. Remind yourself that “good enough” is often more than enough, and that connection matters more than presentation.
4. Use Exposure and Response Prevention (ERP) Tools
ERP is the gold standard for OCD treatment, and holiday stress doesn't mean pausing your progress. In fact, the holidays may offer opportunities to practice ERP in real time. If you're working with a therapist, talk about creating exposures tied to seasonal triggers so you can approach them with intention.
5. Limit Reassurance Seeking
It’s natural to want comfort when anxiety spikes, but repeatedly asking others to confirm everything is okay can actually reinforce OCD. Try to notice when you're seeking reassurance and practice sitting with the discomfort instead. It’s tough—but it builds resilience and is the path to long-term, durable anxiety reduction.
6. Prepare for Travel Disruptions
Travel often means shared spaces, unfamiliar bathrooms, disrupted sleep, and unpredictable schedules—all potential stress points. While you don’t need to eliminate discomfort, you can plan for it. Bring grounding tools like headphones, journaling materials, or reminders of coping strategies you’ve practiced. If you're working with a therapist, consider using imaginal exposures ahead of time to rehearse feared situations—like being unable to wash your hands after touching public surfaces or not being able to complete a bedtime ritual. Practicing your response in advance can make real-world exposures feel more manageable.
7. Use Environment Shifts to Support Regulation
High-stimulation settings—like large gatherings, crowded spaces, or emotionally charged family dynamics—can be overwhelming, especially when managing OCD. If you start to feel dysregulated, changing your environment can help you reset without avoiding what’s difficult. Step outside for fresh air, move into a quieter room, or take a moment to stretch or breathe. These small shifts can remind you of your agency and help you return to the moment with more clarity and steadiness.
8. Don’t Skip Sessions if You're in Therapy
With packed schedules and holiday travel, therapy can sometimes fall to the side. But this is often the time when support is needed most. Prioritize your appointments, or talk with your therapist about virtual options if you're traveling.
9. Stay Mindful of Unhelpful Coping Mechanisms
Holiday events can include alcohol or other substances, and for some, these become a way to quiet anxiety or uncomfortable thoughts. If you notice yourself leaning on numbing strategies, pause and check in with yourself. There’s no need for shame—just curiosity and care. Reach out for help if it feels like you need support.
10. Offer Yourself Compassion
The holidays can stir up a lot—memories, grief, loneliness, sensory overload. OCD adds another layer. Speak to yourself with the same compassion you’d offer a loved one. You're doing the best you can, and that’s enough.
Living with OCD during the holidays can be difficult, but it’s crucial to remember that it is also manageable. With thoughtful preparation, evidence-based tools, and compassionate support, it’s possible to move through the season with more peace, flexibility, and connection.
If you're looking for extra support, our team offers both in-person sessions in Westport, Connecticut, and virtual therapy across Connecticut and Virginia. We're here to help—this season and beyond.