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Why checking feeds doubt

Explains why checking again and again can make memory feel less trustworthy and doubt grow, why the urge to check feels so strong, how checking spreads, and what helps. Based on Rachman (2002) and van den Hout and Kindt (2003): adds a checklist of checks and a reflection space.

Written by Tarun Vermani, Trainee Clinical Psychologist Updated

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Read this through once, in your own time. Tick the checks you notice yourself doing, and write down anything that stood out to bring to your next session. If you notice an urge to read this again and again until you feel sure, that urge is part of the same pattern this sheet describes. Tell your therapist about it rather than rereading. Therapist note: A focused handout on the checking and doubt mechanism in OCD, for clients whose main compulsions are checking (physical, mental or by reassurance). It assumes the general OCD cycle has already been shared and does not repeat it. It covers Rachman's (2002) three factors that drive checking, the repeated-checking and memory-distrust findings, the "until it feels right" stopping rule, the spread of checking into mental review and reassurance, and the rationale for ERP and responsibility work. See the therapist guidance before using it, especially on reassurance.

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Checking and doubt

Everyone checks things sometimes: that the door is locked, that an email went to the right person. For some people, checking starts to take over. You go back to the door three, four, ten times. You reread a message until you feel sure. You go over a conversation in your head in case you said something wrong.

Checking seems as if it should settle the doubt. Often it does, for a moment, and then the doubt comes back, sometimes stronger. This sheet explains why that happens and what can help.

Reading this does not mean you have OCD. Only a qualified professional can assess that, together with you.

Why checking feels so needed

The urge to check tends to be strongest when three things come together:

You feel it would be your responsibility, or your fault, if something bad happened.

The bad thing feels likely, more likely than it would seem to someone else.

The bad thing feels serious: a fire, a burglary, someone getting hurt.

When all three feel high, checking can seem like the only responsible choice. This is not a sign that you are careless. Many people who check a lot care very much about keeping others safe.

What checking does to memory

Researchers have asked volunteers to check the same thing over and over, for example switching a cooker on and off and checking it, many times in a row. Afterwards, their memory of the last check was about as accurate as before. But it felt less clear, less vivid and less detailed, and they trusted it less. This happened to ordinary volunteers, so it is not a sign that something is wrong with your memory.

Researchers think one reason is that when something becomes very familiar, your mind takes in less fresh detail. Each check looks like the others, so they can blur together, and it gets harder to pick out "the time I just checked". So you feel unsure.

That sets up a loop: you check because you doubt your memory, the checking makes your memory feel hazier, and the haziness brings more doubt and more checking.

Waiting for it to feel right

Many people keep checking until it feels right, or until they feel completely certain. The trouble is that this feeling is not a reliable signal. It may not come at all, or it comes and then fades as soon as you walk away.

Because there is no clear point at which the danger is over, checking has no natural end. That is why one check can turn into many, and why stopping can feel so hard.

How checking spreads

Checking does not only happen with your hands and eyes. It can move into your head, into conversations and onto your phone. Going over a memory again and again, asking someone "Are you sure I locked it?", searching online, taking a photo of the switch, or asking someone else to lock up so it is not on you: these all work the same way. Each one brings a little relief now and a little more doubt later.

Your therapist can share a sheet on the wider OCD cycle, if you have not seen it already.

Checks I notice

Tick any that you notice yourself doing. There are no right or wrong answers, and you do not need to tick many.

Checks I notice myself doing

What helps

The way out is not to find the perfect check. It is to learn, by doing, that you can live with the doubt without settling it. With your therapist, this usually means exposure and response prevention, or ERP: you plan to do things that set off the urge, then check once, the way most people would, or not at all, or put the check off for a while. You let the doubt stay. Over time, many people find that the urge weakens and the doubt matters less, even though it never becomes certain.

Your therapist may also help you look at how much responsibility you are carrying, and whether some of it belongs to other people or to chance. You plan each step together, at a pace that is hard but manageable.

Over to you

Try it here. Nothing you type is saved. Sign up to assign it and let clients complete it on any device.

When to use ‘Why checking feeds doubt’

‘Why checking feeds doubt’ is a psychoeducation handout based on cognitive behavioural therapy (CBT), most often used in CBT for obsessive-compulsive disorder (OCD).

It is designed to be read within therapy rather than as a standalone self-help tool: a therapist introduces it and discusses it with the client. You can preview the full handout above, then assign it for clients to read between sessions on any device or download it as a print-ready PDF. Where a short reflection is included, it offers space to respond to the reading.

How it works

Most people work through it in around 8 minutes. It moves through six short sections to read:

  1. Checking and doubt: Everyone checks things sometimes: that the door is locked, that an email went to the right person. For some people, checking starts to take…
  2. Why checking feels so needed: The urge to check tends to be strongest when three things come together: You feel it would be your responsibility, or your fault, if…
  3. What checking does to memory: Researchers have asked volunteers to check the same thing over and over, for example switching a cooker on and off and checking it, many…
  4. Waiting for it to feel right: Many people keep checking until it feels right, or until they feel completely certain. The trouble is that this feeling is not a reliable…
  5. How checking spreads: Checking does not only happen with your hands and eyes. It can move into your head, into conversations and onto your phone. Going over a…
  6. Checks I notice: Tick any that you notice yourself doing. There are no right or wrong answers, and you do not need to tick many.

The handout can be read on a phone, tablet or computer, or downloaded as a print-ready PDF. If it includes a reflection, answers entered on the Formulate platform are saved automatically and shared back with the therapist for review before the next session.

The CBT approach behind it

‘Why checking feeds doubt’ introduces a CBT approach that involves gradually and safely facing avoided situations so anxiety can subside (exposure). The aim is not positive thinking but a clearer, shared understanding of what keeps a difficulty going and practical, testable ways to change it.

Because it is a CBT tool it stays focused on the here-and-now links between thoughts, feelings, the body and behaviour, and it works best as one part of a wider course of therapy rather than as advice or a diagnosis.

Evidence & sources

This handout is grounded in established cognitive behavioural therapy theory and practice. Key sources include:

  • Rachman, S. (2002). A cognitive theory of compulsive checking. Behaviour Research and Therapy, 40(6), 625-639. doi:10.1016/S0005-7967(01)00028-6
  • van den Hout, M., & Kindt, M. (2003). Repeated checking causes memory distrust. Behaviour Research and Therapy, 41(3), 301-316. doi:10.1016/S0005-7967(02)00012-8
  • Radomsky, A.S., Gilchrist, P.T., & Dussault, D. (2006). Repeated checking really does cause memory distrust. Behaviour Research and Therapy, 44(2), 305-316. doi:10.1016/j.brat.2005.02.005
  • Salkovskis, P.M., Wroe, A.L., Gledhill, A., Morrison, N., Forrester, E., Richards, C., Reynolds, M., & Thorpe, S. (2000). Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder. Behaviour Research and Therapy, 38(4), 347-372. doi:10.1016/S0005-7967(99)00071-6
  • Dar, R., Sarna, N., Yardeni, G., & Lazarov, A. (2022). Are people with obsessive-compulsive disorder under-confident in their memory and perception? A review and meta-analysis. Psychological Medicine, 52(13), 2404-2412. doi:10.1017/S0033291722001908

For use alongside professional support

Formulate provides educational CBT resources for use with a qualified therapist. They are not a substitute for professional assessment, diagnosis, or crisis care.

If you need urgent help now:

  • Emergency services: 999 — if you or someone else is in immediate danger
  • NHS 111 (NHS 24 in Scotland): 111 — choose the mental health option for urgent help, in England, Scotland and Wales (in Wales, press 2)
  • Lifeline: 0808 808 8000 — for urgent help in Northern Ireland, free, day or night
  • Samaritans: 116 123 — free, day or night, 365 days a year
  • Shout: 85258 — text SHOUT, free, day or night
  • SANEline: 0300 304 7000 — 4pm–10pm, every day

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