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OCD & ERP

Maternal OCD: When Intrusive Thoughts Feel Terrifying

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Julie Hingsbergen

LMFT, CBT & ERP Specialist

February 18, 2025
1 min read

Motherhood is often described as joyful, but for some, it’s accompanied by distressing thoughts that feel anything but loving. Maternal OCD (Obsessive-Compulsive Disorder) can bring intrusive, unwanted thoughts about harm coming to one’s child—sometimes even by the mother’s own hand. These thoughts are shocking and deeply upsetting, leading to immense guilt and shame. Many parents suffer in silence, fearing judgment or misunderstanding.

But here’s the truth: Having these thoughts does not mean you want to act on them. OCD latches onto what matters most—your child—and turns it into a source of anxiety. The fear makes you engage in compulsions—checking, avoiding, seeking reassurance—all in an effort to feel certain you’d never do harm. Unfortunately, these rituals only reinforce the cycle.

The good news is that help exists. Exposure and Response Prevention (ERP), a form of Cognitive Behavioral Therapy, is the gold-standard treatment for OCD. ERP helps parents gradually face their fears while resisting compulsions, showing them that intrusive thoughts do not define their actions or values. With time and practice, the thoughts lose their grip, and life becomes fuller and more present.

If you’re struggling, know that you are not alone, and you are not a bad parent. You deserve support and relief. With the right guidance, it’s possible to loosen OCD’s hold and reconnect with the moments that matter.

Obsessive Compulsive DisorderAnxiety about harming childMaternal OCDObsessive thoughts of hurting my childMom AnxietyHarm OCDExposure and Response PreventionIntrusive thoughts of hurting my childERP
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Julie Hingsbergen, LMFT, CBT & ERP Specialist

Reframe CBT is a specialized group practice offering evidence-based CBT and ERP therapy for anxiety, OCD, phobias, and BFRBs. We work with children, teens, college students, and adults in San Rafael, Marin County, and via telehealth throughout California.

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