OCD: When to Seek Help and How to Cope

Q: OCD: When to Seek Help and How to Cope

Dear friend： It seems that you are feeling helpless and troubled by your repetitive actions. <br>The more you try to restrain yourself, the more anxious and even fearful you become. <br>Are you feeling conflicted and uneasy about seeking medical help? Are you worried about potent

Please provide the content you would like me to translate regarding obsessive-compulsive disorder (OCD)?

Hello Dr.
Tang: Since my university days, I have had some annoying habits, such as washing my hands multiple times, checking doors repeatedly to ensure they are closed, and coughing or fidgeting when I get nervous.
Previously, my family attributed this to my meticulous personality, so I didn't think much of it.
However, now that I am preparing for a civil service exam, the pressure has suddenly increased, and my symptoms seem to be worsening.
I find myself engaging in more compulsive behaviors, such as repeatedly touching my books and desk while studying, rewriting things even after they are already written, and sometimes tapping my fingers on the table.
At home, even though I have already placed items in their proper places, I still rearrange them multiple times, and occasionally I feel a sense of derealization.
I don't know what's happening to me, and I feel very scared.
I came across a newspaper article that mentioned mild psychoneurosis (obsessive-compulsive disorder), and I learned that the artist Yu Ling also had a habit of washing her hands frequently, but her doctor told her it was just due to excessive stress.
After spending more time outdoors, her symptoms gradually improved without medication.
I considered seeking medical help, but my sister strongly opposed it, arguing that Yu Ling didn't need medication to recover.
Moreover, she mentioned that doctors usually prescribe antidepressants (anxiolytics) that could worsen my feelings of derealization if taken excessively.
I really don't know what to do.
Dr.
Tang, do you think I need to seek medical attention for my situation? How can I help myself?

snowpig, 20~29 year old female. Ask Date: 2002/09/02

Dr. Tang Xinbei reply Psychiatry

Dear friend: It seems that you are feeling helpless and troubled by your repetitive actions.
The more you try to restrain yourself, the more anxious and even fearful you become.
Are you feeling conflicted and uneasy about seeking medical help? Are you worried about potential side effects or developing dependence on medication? It appears that you are already seeing a doctor, but the support you received has not been sufficient.
I strongly recommend that you consult a psychiatrist.
After all, the artist Yu Ling you mentioned also sought help from a psychiatrist, and it was through the doctor's evaluation that her issues were identified as being caused by excessive stress.
Current research strongly suggests that obsessive-compulsive disorder (OCD) has significant biological (physiological) factors, resulting from a metabolic imbalance of neurotransmitters in the brain.
The use of medication can help correct this imbalance in your brain, and further psychological treatment, especially behavioral therapy, can effectively alleviate your distress.
Wishing you peace and joy!

Reply Date: 2002/09/02

More Info

Understanding Obsessive-Compulsive Disorder (OCD) is crucial, especially when symptoms begin to interfere with daily life. Based on your description, it seems you are experiencing behaviors that align with OCD, which is characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions) that individuals feel driven to perform.
Your symptoms, such as excessive hand washing, repeatedly checking if doors are closed, and the need to touch objects multiple times, are common manifestations of OCD. The fact that these behaviors have intensified under stress, particularly with the pressure of preparing for public service exams, is also noteworthy. Stress can exacerbate OCD symptoms, making it essential to address both the disorder and the underlying stressors.

It's understandable that you might feel hesitant to seek help, especially if family members have downplayed your symptoms. However, it's important to recognize that OCD is a legitimate mental health condition that can significantly impact your quality of life. While some individuals may find relief through lifestyle changes or stress management techniques, others may require professional intervention to manage their symptoms effectively.

Here are some steps you can take to help yourself:
1. Educate Yourself: Understanding OCD can empower you to recognize your symptoms and the nature of the disorder. Knowledge can help reduce feelings of fear and confusion.

2. Practice Self-Care: Engage in activities that promote relaxation and reduce stress, such as exercise, meditation, or hobbies that you enjoy. These can help alleviate some of the anxiety that may be triggering your compulsive behaviors.

3. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for OCD. CBT, particularly Exposure and Response Prevention (ERP), helps individuals confront their fears and reduce compulsive behaviors. If you can, consider seeking a therapist who specializes in OCD.

4. Support Groups: Connecting with others who experience similar challenges can provide comfort and practical strategies for coping with OCD. Look for local or online support groups.

5. Medication: While you expressed concerns about medication, it's worth noting that selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed for OCD and can be effective. A healthcare professional can help you weigh the benefits and risks.

6. Communicate with Family: If possible, discuss your feelings and experiences with your family. They may not fully understand the impact of OCD, and educating them could foster a more supportive environment.

7. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation can help you become more aware of your thoughts and feelings without judgment, which may reduce the power of obsessive thoughts.

In conclusion, while some individuals may manage their OCD symptoms through lifestyle changes, it is essential to recognize when professional help is necessary. Given the increasing severity of your symptoms and the impact they have on your daily life, seeking help from a mental health professional would be a prudent step. They can provide you with a tailored treatment plan that may include therapy, medication, or a combination of both. Remember, you are not alone in this, and help is available.

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