Mental Health Conditions

Game-Day Routine or OCD Ritual? When Sports Superstitions Cross the Line

By Debra Kissen

The lucky socks. The exact warm-up sequence. Tapping the goalpost three times. Listening to the same song before every competition.

Rituals and superstitions are common in sports. They can help athletes transition into competition mode, focus their attention, and feel more confident. Research suggests that rituals may reduce anxiety and soften the emotional impact of mistakes or disappointing results.

But sometimes a routine stops being a source of focus and starts becoming a source of fear.

The athlete no longer thinks, “This helps me get ready.” Instead, the message becomes:

  • “I have to do this, or I will play badly.”
  • “If I lose count, I need to start over.”
  • “Something terrible could happen if this does not feel exactly right.”
  • “I know it does not make sense, but I cannot risk skipping it.”

That is when a sports ritual may be functioning more like a compulsion.

Routine vs. compulsion: What is the difference?

A performance routine is typically practical, flexible, and connected to something the athlete can actually control. Stretching, reviewing a game plan, eating a familiar meal, visualizing a skill, or taking several slow breaths may help the body and brain prepare to compete.

A compulsion is different. It is a repetitive physical or mental act performed to relieve anxiety, eliminate uncertainty, prevent a feared outcome, or make something feel “just right.”

The behavior may produce a brief feeling of relief, but that relief teaches the brain:

“Good thing we completed the ritual. We may not have been safe without it.”

The next time, the urge becomes stronger. The athlete may need to complete the ritual more precisely, repeat it more often, or add new steps. What once felt optional begins to feel mandatory.

What can sports-related compulsions look like?

OCD-like rituals in athletes may include:

  • Tying and retying shoes until they feel exactly right
  • Touching equipment, court lines, walls, or goalposts a specific number of times
  • Repeating a warm-up movement until it feels perfect
  • Wearing the same clothing because changing it feels dangerous
  • Repeating a prayer or phrase until it feels complete
  • Mentally reviewing a play over and over to become certain no mistake was made
  • Checking equipment excessively for fear that something will go wrong
  • Asking coaches, parents, or teammates for repeated reassurance
  • Restarting an entire routine after being interrupted
  • Avoiding competition when the ritual cannot be completed correctly

The athlete may fear losing, becoming injured, disappointing the team, or causing something bad to happen. In other cases, there is no clearly defined feared outcome—the athlete simply experiences an intense sense that something is incomplete, uneven, or “off.”

The real question: How much freedom does the athlete have?

The specific behavior does not determine whether it is a problem. Two athletes might complete the exact same pregame routine, but one experiences it as a preference while the other experiences it as a demand.

A useful distinction is:

A routine supports performance. A compulsion is performed to escape uncertainty.

Healthy routines generally remain flexible. If the athlete forgets a particular item, gets interrupted, or needs to change the order, they may feel mildly annoyed—but they can adapt and continue.

A compulsive ritual tends to feel urgent and nonnegotiable. Interrupting it may trigger intense anxiety, anger, panic, guilt, or a belief that the competition has already been ruined.

Routine or ritual? A quick sports self-assessment

This informal reflection tool is not a diagnostic test. It can help athletes, parents, and coaches notice when a routine may deserve a closer look.

Consider each statement:

Freedom

  • I feel as though I must complete the behavior, even when I do not want to.
  • I have trouble changing, shortening, or skipping the routine.
  • If I am interrupted, I feel compelled to start over.

Fear

  • I worry that performing poorly, getting hurt, or causing another bad outcome will be more likely if I do not complete the ritual.
  • I know the connection may not make logical sense, but skipping the behavior still feels too risky.
  • I experience intense discomfort when something does not feel exactly right.

Functioning

  • The ritual makes me late, distracted, physically uncomfortable, or mentally exhausted.
  • It interferes with practice, competition, sleep, school, relationships, or enjoyment of my sport.
  • Other people must change their behavior or provide reassurance so I can complete the ritual.

Growth

  • The routine has become longer or more complicated over time.
  • I need more repetitions or greater precision to get the same relief.
  • Similar checking, counting, repeating, reassurance-seeking, or “just right” behaviors are appearing in other areas of my life.

There is no single score that determines whether someone has OCD. The more the behavior involves fear, rigidity, distress, interference, or loss of choice, however, the more worthwhile it is to seek an assessment from a clinician trained in OCD.

Could it be something other than OCD?

Possibly. Repetitive sports behaviors can also be connected to performance anxiety, perfectionism, generalized anxiety, tic-related experiences, or strongly reinforced habits.

An OCD assessment looks beyond the visible behavior and explores:

  • What the athlete believes might happen if the ritual is not completed
  • Whether the behavior is intended to reduce anxiety or obtain certainty
  • How much distress occurs when the athlete resists it
  • How much time and energy it consumes
  • Whether the behavior interferes with performance or daily life
  • Whether similar obsessions or compulsions occur outside of sports

The goal is not to label every superstition or quirky habit as a mental health condition. It is to identify when an athlete is losing flexibility and freedom.

How are sports-related compulsions treated?

The most effective behavioral treatment for OCD is exposure and response prevention, commonly called ERP.

ERP helps athletes gradually practice facing uncertainty without completing the ritual that usually provides short-term relief. Depending on the athlete’s symptoms, this might include:

  • Tying shoes once and leaving them slightly imperfect
  • Changing the order of a warm-up
  • Using different equipment or clothing
  • Stopping a repetition before it feels complete
  • Allowing an intrusive thought to remain unanswered
  • Entering a competition without seeking reassurance
  • Practicing after a routine has been interrupted

These exercises are completed gradually and strategically—not by suddenly taking away every familiar routine before an important competition.

The goal is also not to eliminate useful preparation. Athletes can keep routines that genuinely support hydration, safety, focus, skill development, and readiness. ERP works to loosen the false connection between completing a ritual and controlling an uncertain outcome.

Over time, the athlete learns:

“I can feel uncertain, uncomfortable, or not quite right—and still show up, compete, and handle whatever happens.”

For parents and coaches

If an athlete appears trapped by rituals, avoid mocking the behavior or demanding that they “just stop.” Compulsions may look irrational from the outside while feeling intensely urgent to the person experiencing them.

At the same time, repeatedly assisting with rituals or providing certainty can accidentally strengthen the cycle. A parent who repeatedly confirms that the athlete completed the routine correctly may reduce anxiety in the moment but make independent coping harder over time.

A clinician trained in OCD and ERP can help families and coaches determine how to respond supportively without becoming part of the ritual.

Keep the preparation. Regain the freedom.

Sports always contain uncertainty. No warm-up, lucky object, repeated phrase, or perfectly completed ritual can guarantee a particular outcome.

The goal is not to feel completely certain before competing. The goal is to build confidence in your ability to compete—even when certainty is unavailable.

If a sports ritual is growing, creating distress, interfering with performance, or no longer feels optional, an OCD-informed assessment can clarify what is happening and identify practical next steps. With effective treatment, athletes can keep the routines that support them while breaking free from the rituals that hold them back.

Debra Kissen, PhD, MHSA is the Founder and CEO of Light On Anxiety CBT Treatment Centers, a growing network of...

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