Palmetto Psychology Clinic

Online therapy · all of California

Intrusive thoughts and perinatal OCD therapy

The thoughts that terrify you most. They're more common than anyone tells you, and they respond to treatment.

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Intrusive thoughts & perinatal OCD — online therapy across California with Palmetto Psychology Clinic.

You love your baby more than anything…and that’s exactly why these thoughts are so scary and confusing.

Maybe you're having unwanted, horrifying images or thoughts about something bad happening to your baby.

Maybe you can't stop checking — their breathing, the monitor, the locks, the stove — even when you know it's okay.

Maybe your mind jumps to worst-case scenarios so fast it takes your breath away.

Maybe you've started avoiding certain situations, objects, or even holding your baby because intrusive fears make them feel unsafe.

Maybe you're Googling your thoughts in the middle of the night trying to figure out what's wrong with you.

Maybe you're scared to share your thoughts, worried what others will say about you as a parent.

Here’s what we need you to know:

Having these thoughts does not make you dangerous. It does not make you a bad mother. In fact, the distress you feel about them is a sign of how much you love your baby.

Intrusive thoughts and perinatal OCD are more common than most people realize, and with the right support, they are very treatable.

At Palmetto Psychology Clinic, we provide specialized online therapy for intrusive thoughts and OCD across California. You don’t have to white-knuckle your way through this alone.

We’ve helped hundreds of California moms with intrusive thoughts.

You’re not alone, and we can help.

What Intrusive Thoughts and OCD Look Like

Perinatal OCD and intrusive thoughts don’t always look like what people picture when they hear “OCD.”

Many women experiencing this are loving, careful, attentive mothers, which is part of why these thoughts are so distressing. You might:

  • Have sudden, unwanted images or thoughts about your baby being hurt, even by you
  • Feel a wave of horror immediately after the thought, followed by shame and panic
  • Go out of your way to avoid anything that triggers the thoughts
  • Check on your baby repeatedly even when you know they're okay
  • Seek constant reassurance from your partner, doctor, Google, or ChatGPT
  • Try to push away or "undo" a scary thought in your mind
  • Feel terrified to be alone with your baby because the thoughts are so scary, even though you don't want to hurt them
  • Confess your thoughts to your partner over and over hoping to feel better, but the relief never lasts
  • Lie awake replaying thoughts, trying to figure out if they "mean something"

The distress you feel about these thoughts is not a red flag. It’s actually evidence that you are not a danger to your baby.

Moms with perinatal OCD are not at risk of acting on these thoughts. But you do deserve support so you don’t have to keep living in fear of your own mind.

Intrusive Thoughts and OCD Are Exhausting

Obsessive thoughts often become much more than “overthinking.” They can consume enormous amounts of mental energy and make it difficult to focus on work, relationships, parenting, or everyday life. You may experience:

  • Constant doubt and uncertainty
  • Repetitive unwanted thoughts or images
  • Excessive reassurance seeking
  • Mental reviewing or analyzing
  • Checking behaviors
  • Avoidance of situations, people, or triggers
  • Difficulty making decisions
  • Fear of making mistakes
  • Feeling trapped in your own mind
  • Anxiety that never seems fully resolved

Some people experience visible compulsions, while others experience mostly mental compulsions that happen internally and go unnoticed by others. Either way, the distress is real. Perhaps you’re constantly asking yourself:

  • What if something bad happens?
  • What if I hurt someone?
  • What if I secretly want this?
  • What if I made a mistake?
  • What if I can't be certain?

Many people experiencing intrusive thoughts or OCD worry that their thoughts say something terrible about them. In reality, intrusive thoughts are often the exact opposite. The thoughts tend to target the things you care about most.

Bottom line: you are not your thoughts. And you do not have to keep living in fear of them.

Therapy for Intrusive Thoughts and Perinatal OCD

Therapy for intrusive thoughts and perinatal OCD is not about suppressing the thoughts or willing them away, because that actually makes them stronger.

At Palmetto, we use evidence-based approaches to help you change your relationship with these thoughts so they lose their power over your life.

In therapy, we may work on:

  • Understanding why intrusive thoughts happen and why they don't mean you want them to happen
  • Learning why reassurance-seeking, checking, and avoidance keep the anxiety cycle going
  • Building tolerance for uncertainty without needing to "check" or "fix" it
  • Reducing compulsions like checking, Googling, confessing, and mental reviewing
  • Responding to scary thoughts in ways that decrease their power over time
  • Rebuilding trust in yourself as a mother
  • Getting back to things you've been avoiding out of fear
  • Helping you feel safe in your own mind again

Our approach is compassionate, collaborative, and grounded in the most effective treatments for OCD and intrusive thoughts. We know how terrifying it can feel to say these thoughts out loud, and we also know that doing just that is often the first step to getting better.

At the end of therapy, our clients often tell us the thoughts still pop up sometimes, but they don’t send them into a spiral anymore. They know what’s happening, they know what to do, and they trust themselves to respond effectively.

Support for intrusive thoughts & perinatal ocd, online, anywhere in California.
Online, from wherever you are Sessions happen at home, in a parked car, on the nursery floor. Babies are welcome on screen.

Who you'd work with

These clinicians work with this specifically. Not sure who to pick? Start with Anni and let her match you.

Kelly Showen, Psy.D., licensed psychologist at Palmetto Psychology.

Kelly Showen, Psy.D.

Licensed Clinical Psychologist · PSY35288
Perinatal mental health · Anxiety & Obsessive-Compulsive Disorders

Limited availability

Meghan Brown, M.S., student therapist at Palmetto Psychology.

Meghan Brown, M.S.

Student Therapist
Family planning decisions · Couples therapy

Waitlist

Questions about intrusive thoughts & perinatal ocd

I'm having scary thoughts about hurting my baby. Does that mean I'm dangerous?

No, and this is the most important thing we want you to hear: Intrusive thoughts about harm are not the same as wanting to cause harm. In fact, the horror and distress you feel about these thoughts is evidence that you are not a danger to your baby. These are a symptom of perinatal OCD and postpartum anxiety, not a reflection of your character. Please reach out to us if this page resonates. You don't have to carry this alone, and it is very treatable.

What's the difference between intrusive thoughts and perinatal OCD?

Intrusive thoughts are unwanted, distressing thoughts that pop into your mind. Perinatal OCD involves those thoughts plus compulsions (e.g. checking, avoiding, seeking reassurance, mental reviewing, etc.) that you perform to try to get rid of the anxiety. If you find yourself doing things to feel "safe" from the thoughts, that's a sign of OCD rather than just intrusive thoughts alone. Both respond well to treatment.

Why does Googling my thoughts make things worse?

Googling (and other forms of researching) is a common compulsion. It tends to provide short-term relief but reinforces the idea that the thought is dangerous and needs to be checked. Over time, it keeps the cycle going and makes the anxiety stronger. This is one of the first things we work on in therapy, helping you break the reassurance-seeking loop.

I've been avoiding being alone with my baby because I'm scared of my thoughts. Is that okay?

We understand why you're doing it because it feels like the safest thing. But avoidance is a compulsion too, and over time it makes the fear grow. In therapy, together we can help you understand what's happening and gradually rebuild confidence so you can be fully present with your baby again.

Why do I keep checking on my baby over and over?

Checking behaviors (like nonstop monitor watching, tracking baby wearable data, or tiptoeing over to make sure the baby is still breathing) are often an attempt to reduce anxiety or create certainty. This is something we understandably crave in this unpredictable season! While they may bring temporary relief, they usually keep the anxiety cycle going over time. We’ll help you explore how this shows up for you and learn tools to break the loop.

I'm too scared to tell anyone about my thoughts because I'm scared someone might take my baby. Is this something I should be concerned about in therapy?

This fear stops so many women from getting help, and we want to address it directly. Seeking therapy for intrusive thoughts is an act of responsible parenting, not a risk to your custody. Therapists who specialize in perinatal OCD understand exactly what these thoughts are and will not mistake them for intent. You are safe to be honest here.

Can intrusive thoughts and perinatal OCD be treated?

Yes, very effectively. With the right approach, most clients see significant improvement. The thoughts may not disappear entirely, but they lose their power so that you stop feeling controlled by them. That's the goal, and it's absolutely achievable.

You don't have to keep carrying this on your own.

Schedule a session or a free consultation with one of our clinicians. We can't wait to connect.

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