Skip to main content

How to Succeed When one Suffers from OCD at Work

Obsessive-Compulsive Disorder (OCD) is a chronic and protracted Illness. Having a supportive and pleasant workplace can assist in this rehabilitation.

Obsessive-compulsive disorder (OCD) is a chronic condition marked by uncontrollable, recurring thoughts (obsessions), repetitive behaviors (compulsions), or both. At work, it can show up as counting items, checking files again and again, or constantly washing hands and cleaning the desk.

People think obsessive-compulsive is limited to behavioral problems. But people with OCD don’t do all these out of happiness; rather, they do it because it is out of their control.

They also cannot simply turn off their OCD when they arrive at work, which causes tension, anxiety, and other pressures throughout the workweek. With the right adjustments and treatment, though, they can do well in their jobs.

Understanding that is where support begins, for managers and coworkers alike. Let’s explore what OCD looks like on the job and how it affects a company, and then the adjustments, time off and treatments that help.

Key Takeaways

  • Obsessive-compulsive disorder (OCD) shapes the working day through rituals, intrusive thoughts and rigid routines, which coworkers can misread as unreliability.
  • Lost time is a direct business cost: compulsions eat into the working day, and severe cases can keep people out of work and daily life for months.
  • Telling an employer about OCD stays a personal choice, but it is the step that lets a person ask for the reasonable adjustments the law provides.
  • Adjustments work best when they are agreed with the employee and ease the job without feeding a compulsion.
  • Time off on a UK fit note covers a set period, so the return to work can be planned from the start and can include a gradual step back.
  • Treatment backed by evidence centers on CBT with exposure and response prevention, often alongside medication, with mindfulness-based therapy and good sleep as extra support.

OCD in the Workplace

Illustration of a man washing his hands repeatedly at a sink

OCD may make it difficult to do daily duties like getting dressed or getting ready for the day if it is not addressed. It can also impact the person’s relationships with their surrounding. As a result, it is not unexpected that OCD might affect workers in the office.

Managing anxiety can be difficult when experiencing racing thoughts and obsessive behaviors. At the same time, one can spend that time on the things most important to the person, such as jobs, relationships, and daily routine activities.

“It’s like you have two brains – a rational brain and an irrational brain. And they’re constantly fighting.”– Emilie Ford.

  • OCD at work frequently leads to miscommunications between coworkers, employees, and managers.

  • Before going into a meeting, a person with OCD might need to double-check their files. As a result, their coworkers could assume that they are unreliable or tardy.

  • OCD makes employees inconsistent and less efficient at work, which could also trigger workplace discrimination.

What Does it Look Like?

Illustration of a man talking to two seated colleagues

Many OCD sufferers describe it as a 24-hour battle with their brain. It can be a crippling and paralyzing illness that makes doing daily routine chores challenging.

Depending on their health, some people may find it difficult to use public transportation, while others may not even be able to leave their homes. The effect on someone’s capacity to carry out daily tasks varies.

It doesn’t matter if someone is the CEO or an executive; OCD can happen to anyone. This list provides a quick summary of the behaviors one could see in people with OCD at work.

1. Obsessive Hand Hygiene

Office workers may use hand sanitizer excessively or wash their hands more frequently than recommended. Sometimes the urge goes much further, as it did for Howard Hughes, a billionaire who suffered from OCD.

American business tycoon and philanthropist Howard Hughes lived from 1905 until 1976. A worsening of his obsessive-compulsive disorder is now recognized to have contributed to some of his eccentric behavior and secluded living later in life. He wore tissue boxes on his feet to protect them while he slept naked in bed in what he believed to be a germ-free hotel room.

2. Slow Task Completion

They take longer to complete tasks because they are preoccupied with an unwanted thought.

3. Trouble Focusing

People with this condition find it difficult to focus on one particular task.

4. Need for Order

Some employees may become obsessed with office supply arrangers or the kitchen. Workers could view a workplace kitchen as the source of all worries. This employee may spend hours cleaning the coffee machine and sorting the dishes when someone leaves the room.

5. Worry About Coworkers’ Opinions

They continuously worry about coworkers’ views and opinions.

6. Meeting Frustration

Some habits are more subtle, while others are more obvious and expressed inwardly. An employee with OCD may become dysregulated if the specific sequence is not followed during a team meeting if there is a plan.

They could show this by adjusting their seat, diverting the discussion, or making outbursts to get it back on the sequential subject. Also, they intend to avoid restrooms and meeting rooms out of concern for infection.

How does OCD at Work affect the Company?

Illustration of an empty office desk with a computer and boxes

Depending on the industry, size, and number of afflicted personnel, OCD can affect businesses. In a large US survey, adults who had OCD in the past year lost an average of 45.7 days in which they could not work or carry out normal activities because of it.

1. Production of Work

Work efficiency is the key result. While more time often equates to increased productivity, workers with OCD issues find it difficult to give more time to their work.

If an employee is sidetracked for one hour each weekday, that adds up to five hours a week, or 261 hours a year. At $20 an hour, the company misses out on more than $5,200 in paid time.

“You lose time. You lose entire blocks of your day to obsessive thoughts or actions. I spend so much time finishing songs in my car before I can get out or redoing my entire shower routine because I lost count of how many times I scrubbed my left arm.” — Kelly Hill.

2. Contradiction Among the Team

Establishing team standards and performance can be challenging when a team includes one or more individuals with OCD. OCD personnel may require meetings to be conducted in a certain manner and tasks to be performed in a particular sequence before moving on, due to their obsessive and repetitive behaviors.

Non-OCD workers may get frustrated or unhappy at work due to these extra measures. To make teams work with OCD personnel, they should take extra care and planning.

3. Customer Satisfaction

OCD personnel may find it challenging to customize their help to a customer’s demands, to be more accommodating, and to communicate with them carefully.

Client satisfaction decreases if an employee feels compelled to carry out a task in a manner that differs from what the customer wants. Repeating processes or attempting to have the client provide information in a particular order are examples of this behavior.

4. Challenges for Employers and Employees

Treating someone unfairly because of a medical condition, including OCD, is unjust. For instance, if someone is otherwise eligible for the post, they cannot withhold employment because they have OCD. Although the law is clear, prospective and current workers with OCD may sadly have varied experiences.

Illustration of a manager talking to two employees at a table

Even so, people may feel discriminated against because of their condition, and at times, people don’t even realize they are discriminating.

Free Checklist

Check how well your workplace supports mental health

The free Workplace Mental Health Checklist covers six areas, from policy to practice, with a scoring system and an action plan, so HR can spot the gaps that leave employees with conditions like OCD unsupported.

Get the Checklist

What discrimination towards them looks like

  • Believing OCD patients will prevent them from performing, and these employees are often neglected during a promotion.

  • Since the sufferers need to take pauses from particular duties or conversations made fun of by coworkers or cause them to become irate. They believe people with OCD are “less fit” than they are for the position.

  • No particular policy for mental health days at work.

  • When talking about mental health, terms like “mad,” “insane,” or “weak” are frequently used.

  • Due to these reasons, employees find it difficult to disclose their illnesses to their employers. But with proper care and policies, employers can help these employees.

Should They Reveal?

It might be daunting to decide to disclose impending troubles with OCD to the employer. The nature of the work and professional relationship with those folks will determine how all of this will play out. Opening out can relieve pressure and make other employees more sympathetic to the situation.

People in this situation often have these kinds of thoughts:

  • They ponder if their future or existing workplace will understand, support, or even know what OCD is.

  • They fear being overlooked, let go, or eliminated via attrition.

  • They are apprehensive about the opinions of others in the office

  • They fear that they will later regret their choice.

  • Fear of getting banned in their field of employment

  • Fearing others won’t trust them with crucial jobs or obligations

Criteria for Disclosure

There is no one correct response in this situation, and one must consider options. No one must reveal their diagnosis before or after obtaining a job.

However, one can protect adjustment eligibility by disclosing their diagnosis to a prospective or present employer. It may be necessary to know health status to get benefits.

How to Normalize OCD at Work?

If someone feels safe about telling their condition to their present employer, in that case, employers are responsible for ensuring they know the kind and severity of the symptoms.

Although not necessary but after consultation with a medical practitioner disclosing essential facts about the disease will create awareness about the condition in the workplace and help employers to make adjustments required to the wellness program/platform.

1. Making suitable modifications for OCD sufferers

Employers should make reasonable accommodations for employees who choose to disclose they have OCD. The changes should be decided upon to ensure that the OCD sufferer is comfortable with the procedure. These can include flexible work schedules or time off for rehabilitation.

2. Flexible work schedules

For those with OCD, being on time for work is a common issue.

Oversleeping or poor planning are less likely causes of delay than the need to go through time-consuming rituals while leaving the house or repeatedly go back because of concerns about leaving appliances or doors open. Flexible scheduling might be beneficial.

Suggested Read: Try the Sleep Challenge and Feel More Productive at Work

3. Flexible social gatherings for them

Having intrusive thoughts might be worsened by social situations. Employers might want to consider enabling employees to join the meeting by phone or laptop.

4. Rumination

Rumination is a typical OCD symptom that frequently results in people worrying excessively over a former idea, memory, or event. Due to this, people could become disoriented at work or fail to meet deadlines. Allowing someone to take a brief break might be beneficial.

5. Private working space

A shared office may cause anxiety and distress for certain OCD sufferers, especially those with obsessions related to contamination or obsessions with the order. Consider granting a worker their desk and making a pact with the rest of the employees not to use it while they are away.

6. Flexible Working hours

Sometimes, people may wake up feeling like they simply cannot face the day, just like all mental health issues or everyday worries.

For someone with OCD, this could be very obvious. Consider accommodating time off for therapy or medical visits, allowing the option to work from home, or having fewer working hours.

However, be careful that these adjustments don’t just reinforce OCD compulsions.

Can You Be Signed Off Work With OCD?

Yes. In the UK, a healthcare professional can issue a fit note saying someone is not fit for work, or may be fit with changes such as altered hours or amended duties. Employees need one after more than 7 days off sick in a row, and can self-certify shorter spells.

How long someone is signed off is decided case by case. During the first six months of a condition, each fit note can cover up to three months at a time, and a review date can be set to reassess how the person is doing.

The return to work needs as much care as the time off. When a fit note says someone may be fit for work, employers should discuss changes that might help, such as different hours or tasks. A phased return is one option a fit note can suggest.

How to Manage OCD at Work on an Individual Level?

Here are some strategies that one could find useful to try, even though each person’s approach to controlling OCD is different.

Illustration of a woman meditating on a mat

  • Mindfulness can support OCD treatment when paired with other treatments, such as exposure and response prevention. One can use mindfulness methods while standing, sitting, or moving or incorporate them into physical activity like yoga or exercise. Vantage Fit’s guided mindfulness sessions, of about 5 to 20 minutes, support that practice.

  • Maintaining a healthy sleep routine of at least 7 hours a night, as the CDC recommends for adults. Insomnia is common in OCD: a Swedish study found that 42.2% of people with OCD had an insomnia diagnosis or treatment, against 11% of the general population.

Suggested Read: How Sleep Deprivation Affects Work Performance

Help on the Way

For someone with OCD, finding the perfect professional match might be difficult. Millions of people with this condition still pursue rewarding occupations.

Treatment for the disease usually involves a combination of counseling and drugs. Keeping the problem open with workers can help them make the necessary adjustments to thrive at work.

One should consider seeking a diagnosis and therapy if persistently troubling thoughts, compulsive habits, stress, or anxiety disorders affect the ability to function at work.

According to the NHS, OCD is unlikely to get better without proper treatment and support. These treatments can help people dealing with OCD at work:

  • Cognitive-behavioral therapy (CBT) with exposure and response prevention (ERP) is the first-line therapy for OCD. ERP effectively reduces compulsive behaviors, even for people who do not respond well to medication.

  • Medication: SSRIs are the first-line medicines for treating OCD, and they work for most people with the condition.

  • Meditation therapy: This mindfulness-based treatment can assist OCD sufferers in developing their attentional concentration and mental calmness. It is an effective add-on to ERP.

  • Dialectical behavior therapy benefits OCD sufferers who struggle to control their emotions, and it is used alongside ERP.

  • Yoga therapy: Yoga may help alongside standard treatment for OCD, though the evidence is still limited.

One may reduce symptoms and perform better at work by utilizing any OCD management techniques, even though they all require time and repetition.

A Word from Us

An estimated 1.2% of US adults had OCD in the past year, but with the correct assistance and care, people may get well and have fulfilling lives. In workplaces, employers must also strive to have an inclusive workplace policy, accommodating people with OCD.

Employers may improve the lives of many individuals by putting in place effective support systems and paying attention to their employees.

Having a supportive and pleasant workplace can assist in this rehabilitation. If one can learn to control their OCD symptoms, they can resume enjoying life, working, and being successful at their job.

Frequently Asked Questions

How does OCD affect work?

OCD can slow work through checking, repeating or reorganizing, and intrusive thoughts break concentration. A large US survey found that people with past-year OCD spent an average of 45.7 days unable to work or keep up normal activities.

Can people with OCD work?

Yes. The Job Accommodation Network notes that not all people with OCD need accommodations to do their jobs, and many others need only a few.

What workplace accommodations help with OCD?

Common accommodations include a flexible schedule, a modified break schedule, working from home and a screened or private workspace, all listed by the Job Accommodation Network. Time off for therapy appointments helps too.

Do you have to tell your employer you have OCD?

In most cases, disclosure is your choice. The EEOC says you can usually keep a condition private. To request an accommodation, you tell a supervisor or HR that you need a change at work because of a medical condition.

Is OCD a disability at work?

It can be. The EEOC says OCD should easily qualify as a disability under the ADA. In the UK, the Equality Act 2010 covers it when its effect on daily life is substantial and long-term, meaning 12 months or more.

Book a demo