Obsessive compulsive disorder - OCD treatment and therapy from NOCD

How to Stay One Step Ahead of OCD During the Holiday Season

By NOCD Staff

Dec 18, 20246 minute read

Reviewed byPatrick McGrath, PhD

It’s probably fair to say that many of us can relate to the holidays being both a time of joy—and stress. 

We pin so much on this multi-week period of merry-making that things are almost bound to go awry from time to time. There are just so many unknowns! It’s bound to make even the most stoic among us think about the possibility of thrills and spills.

What if a special dish we’ve prepared doesn’t turn out as we’d hoped? 

What if a fraught political discussion erupts around the dinner table?  

What if a well-intentioned gift isn’t received in the way we’d planned? 

These kinds of worries are universal. But if you’re also living with obsessive-compulsive disorder (OCD), facing these unknowns can feel that much more complicated. In addition to the usual holiday pressures, you could find yourself stuck in a vicious cycle where you’re facing taboo intrusive thoughts and urges to do compulsions.

The good news? There are things you can do in the lead-up and during the holiday season to better manage your OCD and enjoy being around the people you love (and who love you back)!

OCD feeds on the anticipation of uncertainty

As mentioned above, the lead-up to the holidays tends to cause many people’s anxiety and intrusive thought frequency to spike. Our bodies know a lot of stuff is about to happen and with that comes a fair amount of uncertainty. That’s because as humans, we try to anticipate exactly what may or may not occur at any given moment. Our brains are primed to seek out what could go wrong more than right, no matter what is happening in our lives.

Earlier in human history, this sort of fretting played a role in keeping our forebears alive. Nowadays, being incredibly good at imagining all kinds of plausible and not-so-plausible possibilities means that we’re not that great at predicting future events.

The upside? Recognizing how your anticipatory thoughts are evolving can help you get ahead of OCD and its manipulative tactics. So how do you do that exactly?

Building awareness to catch OCD early

Well, there are a variety of things you can do to keep a couple of steps ahead of your OCD at a potentially stressful time. One of the simplest is practicing self-monitoring techniques in the days or weeks leading up to the holidays.

Take a few moments throughout your day to pause and reflect on where your thinking might have gotten a little sticky. What kind of mood did it cause you to fall into? And what kind of distorted future was anticipated in the midst of it? Self-monitoring like this can help build awareness and with greater awareness, you can gain perspective about what’s sticking and when.

From here, you can use this awareness to better employ skills for managing OCD, such as talking back to intrusive thoughts:

“Hey, that thought is an OCD fear—my attention isn’t needed there.”

This self-monitoring technique can also help you recognize when you are catastrophizing about a future scenario. In this case, you can return your focus to the present moment and the events that genuinely need your attention.

When it comes to anticipation, a recommended practice for OCD is trying your very best to remain present. OCD wants your focus to be on the fear of what may or may not happen in the future, rather than on the peace to be found in the now.

Knowing your limits and strengths

Something else to remain thoughtful about is the amount of new or unfamiliar stimuli you may face during the holidays. What do I mean by stimulus? Anything that can trigger a physical or behavioral change (or in this case, a spike in OCD symptoms). That can include the amount of energy you’re expending, interactions, sounds, smells, later bedtimes—anything that isn’t a part of your typical routine or what you’re accustomed to.

If you’re more familiar with early bedtimes and peaceful evenings and then find yourself at holiday parties three days in a row, eating food you don’t normally eat, staying up late, and talking with more people than you’ve spoken to in a month, your body and brain are facing more stimulation than they’re familiar with.

This stimulation isn’t necessarily a bad thing! It’s good for us to have variety in our lives; it helps us not become rigid and guarded against new experiences. But as you may already know, OCD loves when we’re a bit off-kilter. It often tries to seize this opportunity to seek our attention and grasp our focus. So, how do we navigate this unfamiliar territory? By knowing our limits and strengths.

If you’re reading this, there’s a pretty good chance that you’ve heard about exposure and response prevention therapy, or ERP, the most effective treatment for OCD.

At its core, ERP is about gaining an awareness of the fact that the distress you feel as a result of OCD can be reimagined as a tool to learn from, rather than something to fear. You can use that to your advantage during the often-stressful holiday season.

For instance, let’s say you’ve had a long day at work and now you’re off to spend time with friends at a party, and you can tell your stress level is somewhat elevated. You’ll want to acknowledge that signal your body is giving you and reflect on what that means for your limits so you can employ your strengths.

Maybe you’re at a stress level of two on a scale of ten, but you know you can handle a stress level of seven out of ten. This means you have plenty of runway and are not up against a threat!

Yes, you’re feeling some stress, but if you use your coping skills and communicate your needs to your support system, you may find that you can either maintain that stress level, decrease it, or, at minimum, remain aware of it so you can make appropriate choices for yourself if it escalates.

Setting boundaries that challenge you to try new things and knowing when to rest and reset are skills that can be massive assets in times of stress and change. By recognizing your stress as a barometer and not a threat, you give yourself room to be creative and flexible in the ways that you respond to OCD.

OCD hates when we take the driver’s seat in how we react to or view our stress, so why not give it a go this holiday season?

Holiday presence

Lastly, trying your best to be present to the moments occurring around you is an excellent mindfulness skill. When we live in our minds, we live in a world colored by our thoughts at that moment. When we choose to acquaint ourselves with the world around us, we get the opportunity to learn, feel moved, and allow for beautiful moments to occur. Remaining attached to OCD’s narration in your mind won’t get you any closer to knowing with certainty if the holidays will be perfect or not.  

Leaning into the uncertainty of each moment is also the equivalent of being present in each moment. Notice how your loved ones laugh, what smells bring you joy, get curious about a conversation going on nearby you. There’s so much more to give our attention to. Allow yourself to be curious about it all. You could come away from this holiday season with some beautiful memories.

With all these tips and thoughts, it’s important to remember that perfection is not an option. Just keep up the efforts and willingness to keep on trying. And be kind to yourself as you do. Every moment is a new moment to get better at these skills.

We hope you have an enjoyable and kind holiday season. NOCD is open throughout the holiday season to help as many people as possible, so please reach out if you’re in need of care and support.

Book a free 15-minute call with our team to learn more about getting matched with one of our available therapists and starting treatment that can help you this holiday season and year-round.

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