How to Truly Support Someone With Severe OCD: What Works, What Doesn’t

Obsessive-Compulsive Disorder (OCD) is often misunderstood. It's not just about handwashing or liking things “neat.” Severe OCD can be debilitating, driven by intrusive thoughts and compulsions that feel impossible to ignore. If someone you care about has severe OCD, your support can make a powerful difference—if it's informed, intentional, and grounded in respect for their experience. Here’s how to help in a way that’s truly useful. Understand What OCD Really Is OCD is a chronic mental health condition involving obsessions (unwanted, intrusive thoughts) and compulsions (repetitive behaviors or mental acts to reduce distress). Not a preference or personality trait: It’s neurobiological and not something a person chooses or controls. Core features: Obsessions often focus on harm, contamination, morality, symmetry, or fear of losing control. Compulsions may be visible (washing, checking) or internal (mental rituals, reassuranc...