Compulsive Checking: Is It a Mental Health Concern?

The tendency to repeatedly seek confirmation about completed tasks?

Hello doctor, I feel like I am someone who tends to overthink.
Even after completing important tasks, and knowing that I have finished them—like receiving confirmation of submission—I still find myself repeatedly checking.
For example, when I submitted my college application, I kept checking online to confirm that my application had been submitted.
If I have been cooking before going out, I will repeatedly check to make sure the gas is turned off before leaving.
I find myself constantly thinking about these things, and I can only feel relief once I return home.
Additionally, I often experience headaches.
Does this mean I am unwell? Thank you for your response, doctor.

Niming, 10~19 year old female. Ask Date: 2018/01/05

Dr. Qiu Junda reply Psychiatry

Hello.
It seems that you are a cautious person, which can be a good thing from a certain perspective.
However, if the frequency of your repetitive checking behaviors has caused you mental and physical distress, it may be worth considering whether it has reached the level of obsessive-compulsive disorder (OCD) in terms of thoughts and behaviors.
I recommend consulting a mental health professional at a nearby clinic, as they should be able to help.
Thank you for your question.

Reply Date: 2018/01/05

More Info

Compulsive checking behaviors, such as the ones you've described, can indeed be indicative of underlying mental health concerns, particularly if they interfere with your daily life or cause significant distress. It sounds like you may be experiencing symptoms that align with obsessive-compulsive disorder (OCD), which is characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions) that individuals feel driven to perform in response to those thoughts.

In your case, the need to repeatedly check whether you've completed important tasks, like submitting university applications or ensuring that the gas is turned off, suggests that you may be grappling with anxiety related to uncertainty and the fear of making mistakes. This is a common experience for many individuals with OCD, where the compulsive behaviors serve as a temporary relief from the anxiety generated by the obsessive thoughts. However, this relief is often short-lived, leading to a cycle of checking and increased anxiety.

It's important to note that while many people may engage in occasional checking behaviors, the distinction lies in the frequency, intensity, and impact of these behaviors on your life. If your checking rituals consume a significant amount of time, lead to physical discomfort (like headaches), or cause you to feel exhausted, it may be a sign that professional help is warranted.

Cognitive-behavioral therapy (CBT), particularly exposure and response prevention (ERP), is one of the most effective treatments for OCD. This therapeutic approach involves gradually exposing you to the sources of your anxiety while helping you refrain from engaging in the compulsive behaviors. Over time, this can help reduce the power of the obsessive thoughts and the compulsive need to check.

Additionally, mindfulness practices and relaxation techniques can be beneficial in managing anxiety. These strategies can help you develop a greater awareness of your thoughts and feelings without becoming overwhelmed by them. For instance, practicing deep breathing exercises or engaging in activities that require your full attention can serve as effective distractions from the urge to check.

It's also worth considering that your checking behaviors may be exacerbated by stressors in your life, such as academic pressures or personal responsibilities. Finding healthy outlets for stress, such as physical activity, hobbies, or socializing with friends, can help alleviate some of the anxiety that fuels your compulsive checking.

If you find that your symptoms persist or worsen, seeking the guidance of a mental health professional can provide you with tailored strategies and support. They can help you explore the underlying causes of your anxiety and develop a comprehensive treatment plan that addresses your specific needs.

In summary, while compulsive checking can be a common behavior, when it becomes excessive and distressing, it may indicate a mental health concern that warrants attention. By seeking help and employing effective coping strategies, you can work towards reducing the impact of these behaviors on your life and improving your overall well-being.

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