Did I Learn My OCD? Exploring the Role of Learned Behavior in Obsessive-Compulsive Disorder

When someone first begins to understand their Obsessive Compulsive Disorder (OCD), one of the most common and confusing questions that arises is: Did I learn my OCD? In other words, is OCD something that I was taught somehow or just picked up, like a really bad habit?

The short answer is both simple and complex. No, OCD is not exclusively the result of learned behavior. But, and this is an important “but”, learned behavior can play a significant role in how OCD develops, is maintained, and even how it’s treated. How much of OCD is “learned,” how much is not, and what does that mean for healing?

Understanding OCD at Its Core

OCD is a chronic mental health condition marked by intrusive, unwanted thoughts (obsessions) and repetitive behaviors or mental rituals (compulsions) done in an attempt to reduce distress or prevent something bad from happening. People with OCD are often fully aware that their thoughts and behaviors don’t make logical sense, but they are often irresistible even with the most valiant efforts to avoid them. 

Our most current research suggests that OCD is not the result of a single factor. Rather it is deeply rooted in a combination of biological, genetic, neurological, and environmental factors. For example, neuroimaging studies have consistently shown structural and functional abnormalities in specific brain areas in people with OCD. There’s also strong evidence of a genetic component. Studies have found that people with first-degree relatives (e.g., parents, siblings) who have OCD are up to four times more likely to develop OCD themselves than those without this family history which can fuel the “did I learn it from my parents” question.

So based on research, OCD is not something that is simply “learned” like a bad habit. You don’t “catch” OCD from watching someone else, and you don’t develop it just because you copied a parent who double-checked the locks every night. But with that said, learning does play a role in OCD. 

The Role of Learning in OCD

Learned behavior refers to actions or thought patterns that develop over time through experience, observation, or conditioning. In the context of OCD, while you don’t “learn” OCD, it is thought that certain dynamics of learning play a role in the development or maintenance of compulsive rituals. Even if the initial intrusive thoughts (obsessions) arise from neurobiological predispositions, the behaviors that follow (compulsions) are often learned responses, reinforced through a cycle of anxiety and temporary relief.

The Cycle of Reinforcement

Reinforcement plays a significant role in the development and maintenance of OCD. At its core, OCD involves a cycle of obsessions and compulsions that looks something like this:

Trigger - An intrusive thought, image, or urge.

Distress -  Anxiety or discomfort caused by the obsession.

Compulsion - A behavior or mental act aimed at reducing the distress.

Relief - Temporary decrease in anxiety (negative reinforcement).

Reinforcement - The brain learns that compulsions "work" to reduce distress, so it repeats them.

Over time, the brain learns that performing the compulsive behaviors alleviate the distress created by the intrusive thoughts, at least temporarily. How does that happen? 

Behavior reinforcement is a process that increases the likelihood that a behavior will occur again in the future by following it with a consequence. There are two main types of reinforcement:

Positive reinforcement - This occurs when a behavior is followed by the addition of something desirable, making the behavior more likely to happen again. For example, giving a child a reward for completing a task making it more likely they will do the behavior again to get the reward. 

Negative reinforcement - This type of reinforcement happens when a behavior is followed by the removal of something unpleasant. For example, your car beeps loudly until you fasten your seatbelt. When you buckle up, the beeping stops,  reinforcing the habit of buckling up.

Both types of reinforcement strengthen behavior, but they do so in different ways: by adding something desired or avoiding something unwanted. Reinforcement is different from punishment, which is intended to decrease a behavior. In the context of mental health, conditions like OCD, reinforcement can unintentionally maintain or worsen symptoms by encouraging avoidance or compulsive behaviors that temporarily relieve anxiety. 

Research suggests that while both types of reinforcement can play a role in OCD behaviors, negative reinforcement seems to be particularly relevant. When a person performs a compulsion, excessive hand washing for example, it temporarily reduces the anxiety triggered by the obsession. This relief reinforces the behavior, making it more likely the person will repeat it in the future. Over time, this pattern becomes deeply ingrained, making the compulsions feel necessary and difficult to resist.

Understanding reinforcement plays a key role in treating OCD too. Exposure and Response Prevention (ERP) therapy helps to break the cycle through exposure to unwanted thoughts or situations without allowing the compulsive response. Over time, this reduces the anxiety and weakens the reinforcement loop, allowing for healthier coping strategies to take hold. 

What About Modeling Behavior?

Did I learn it from my parents? It’s a valid question with a not-so-simple answer. 

It’s true that we can learn anxious behavior from parents and others in our environment through modeling behavior. For example, if a child grows up in a household where one parent is highly anxious and engages in certain behaviors or rituals, like excessive cleaning, the child may come to see this behavior as a normal response to distress.

However, this doesn’t mean that a parent with OCD causes their child’s OCD. Not every child who has OCD has a parent with OCD nor does every child who has a parent with OCD develop the disorder themselves. Research suggests that genetic underpinnings have a much greater influence in the development of OCD than external/environmental factors. So, it’s more likely that the child who develops OCD may have a biologically based predisposition towards anxiety and picks up certain coping behaviors from their environment that later develops into OCD.

Even if some aspects of OCD are influenced by learning and reinforcement, there is no single “cause”, and no one chooses to develop OCD. It is not a reflection of your character. It is not a weakness or the result of poor choices. All the evidence suggests that OCD is the result of multiple factors that come together. Just why isn’t entirely clear yet but research continues. 

Understanding how we learn can actually be a powerful factor in treating OCD. What is learned can be unlearned, and that’s where treatment comes in.

Undoing What You’ve Learned 

Exposure and Response Prevention (ERP) is a specialized form of cognitive behavioral therapy considered to be the gold-standard in treating OCD. 

ERP specifically targets the learned behaviors that reinforce OCD. The process involves gradually and intentionally being exposed to thoughts or situations that trigger your obsessions without engaging in the compulsive behavior that usually follows. Instead of trying to stop the obsessions, ERP you to stop responding to them in the same way. Your brain is unlearning the idea that anxiety equals danger or that the compulsive behavior is necessary for safety. Over time, your brain learns to tolerate uncertainty or discomfort, reducing anxiety. This process, called habituation, helps “unlearn” the compulsive response.

The Bottom Line

So, did you “learn” your OCD? Not exactly. You may have been born with a genetic predisposition. You may have picked up certain behaviors from those around you. And, you may have picked up some coping strategies that seemed to help in the beginning but ended up trapping you in the OCD cycle. 

The good news is the brain is remarkably capable of change at any age and no matter how long you’ve struggled with your compulsions. You can learn more effective coping strategies. 

If you’re struggling with OCD, know that you’re not alone. Effective therapies like ERP can help you break free from the cycle of OCD. StopOCD has a team of expert therapists ready to work with you to understand your unique situation and get you on the path to healing and wellness. If you’re ready to stop letting OCD interfere with your dating and relationships, StopOCD therapists are here to help. 

And, if you’re worried about making time to see a therapist, online therapy can be a viable, affordable alternative. Online therapy eliminates a lot of common barriers to therapy like location, scheduling, and geographic availability. And, online therapy has been proven to be as effective as in-office therapy for many mental health issues, including OCD. Whether or not OCD was “learned” is less important than this: It can be unlearned. And that makes recovery possible.

References

1. Brock H, Rizvi A, Hany M. Obsessive-Compulsive Disorder. [Updated 2024 Feb 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553162/

2. Huey, E. D., Zahn, R., Krueger, F., Moll, J., Kapogiannis, D., Wassermann, E. M., & Grafman, J. (2008). A psychological and neuroanatomical model of obsessive-compulsive disorder. The Journal of neuropsychiatry and clinical neurosciences, 20(4), 390–408. https://pmc.ncbi.nlm.nih.gov/articles/PMC4476073/

3. Browne, H. A., Gair, S. L., Scharf, J. M., & Grice, D. E. (2014). Genetics of obsessive-compulsive disorder and related disorders. The Psychiatric clinics of North America, 37(3), 319–335. https://pmc.ncbi.nlm.nih.gov/articles/PMC4143777/#S2

4. Banca, P., Ruiz, M. H., Gonzalez-Zalba, M. F., Biria, M., Marzuki, A. A., Piercy, T., Sule, A., Fineberg, N. A., & Robbins, T. W. (2024, May 9). Action sequence learning, habits, and automaticity in obsessive-compulsive disorder. eLife. https://elifesciences.org/articles/87346

5. Cooper, S. E., & Dunsmoor, J. E. (2021). Fear conditioning and extinction in obsessive-compulsive disorder: A systematic review. Neuroscience and biobehavioral reviews, 129, 75–94. https://pmc.ncbi.nlm.nih.gov/articles/PMC8429207/#S15

6. Burstein, M., & Ginsburg, G. S. (2010). The effect of parental modeling of anxious behaviors and cognitions in school-aged children: an experimental pilot study. Behaviour research and therapy, 48(6), 506–515. https://pmc.ncbi.nlm.nih.gov/articles/PMC2871979/

7. Krebs, G., Waszczuk, M. A., Zavos, H. M., Bolton, D., & Eley, T. C. (2015). Genetic and environmental influences on obsessive-compulsive behaviour across development: a longitudinal twin study. Psychological medicine, 45(7), 1539–1549. https://www.cambridge.org/core/journals/psychological-medicine/article/genetic-and-environmental-influences-on-obsessivecompulsive-behaviour-across-development-a-longitudinal-twin-study/8F09515D1BB2679C52ED40A10A0DA5D6

8. Feusner, J. D., Farrell, N. R., Kreyling, J., McGrath, P. B., Rhode, A., Faneuff, T., Lonsway, S., Mohideen, R., Jurich, J. E., Trusky, L., & Smith, S. M. (2022). Online Video Teletherapy Treatment of Obsessive-Compulsive Disorder Using Exposure and Response Prevention: Clinical Outcomes From a Retrospective Longitudinal Observational Study. Journal of medical Internet research, 24(5), e36431. https://pubmed.ncbi.nlm.nih.gov/35587365/