In memory of Chaya Mirel bat R’ Avraham

In memory of Chaya Mirel bat R' Avraham

OCD, body image, and checking before mikveh
January 8, 2026

Question

My wife suffers from both OCD and body image issues. As a result, she finds it extremely stressful to check herself for chatzitzot after mikveh preparations. She experiences obsessive thoughts about finding some reason she's not ready to immerse. She also finds it very challenging to look at herself in the mirror or to let the mikveh attendant check her. We're not sure what halachic options remain to set her mind at ease. Is there any course of action we can take within halachic boundaries that would remove or alleviate this stress? We're working on getting a therapist, as well.

Answer

Thank you for reaching out to us.

We are sorry to hear of your wife's struggles and some of the implications.

Unfortunately, it is fairly common for niddah observance to become a focus for religious women with OCD. You and your wife might find it helpful to see our overview of these issues on our site, here.

In your wife's situation, it is permissible to rely on the opinion of the Taz, who does not require a separate visual inspection once preparations are complete. This may be helpful in the short term, though it is fundamentally a type of avoidance, and eventually will likely need to be addressed differently in therapy.

We are excited to share that Nishmat's Yoatzot Halacha are beginning a pilot treatment program in Israel where professional counseling for OCD and related issues is integrated with halachic guidance. Registration is here.

Please let us know if we can be of further assistance.
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