Obsessive-Compulsive Disorder: A Personal Struggle - Psychiatry

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Mental health issues


I am very afraid to go outside because I fear being hit by a car.
I am scared of scissors on the table when I leave the house, and I have to ask whether I should bring my glasses.
My ability to make decisions is very poor; I have to ask about everything, like going to the bathroom, taking a shower, brushing my teeth, and getting dressed.
When it comes to eating, I must ask what dish it is, and when taking medication, I need to clearly see what the medication is and what its purpose is.
I feel an overwhelming sense of resentment; my current poor health is all my father's fault.
He has helped me find jobs, but I have been let go from every job after just a few days.
I am frustrated and wonder why my father forces me to work, which is driving me to the brink of insanity.
I feel uncomfortable all over, and my vision is getting worse.
I am currently taking Fanboy 50mg, A Lora Linnea 0.5mg, Mattel 50mg, and Dropbox 10mg.
I have been on these medications for two months, but my condition has not improved.
The doctor says I have obsessive-compulsive disorder, and I don't know what to do.

Mr. Chen, 20~29 year old female. Ask Date: 2017/06/09

Dr. Li Zhengfeng reply Psychiatry


Hello: In addition to medication treatment for obsessive-compulsive disorder (OCD), psychological therapy and behavioral therapy can be combined, which may help improve the condition.
You may discuss this with your primary physician.
Wishing you a speedy recovery.

Reply Date: 2017/06/09

More Info


It sounds like you are going through a very challenging time, and I want to acknowledge the pain and frustration you are experiencing. Obsessive-Compulsive Disorder (OCD) can be incredibly debilitating, and it often manifests in various ways, including intrusive thoughts and compulsive behaviors that can interfere with daily life. Your fear of going outside, the need to ask for reassurance about everyday tasks, and the overwhelming feelings of resentment and frustration are all common experiences for individuals struggling with OCD.

OCD is characterized by persistent, unwanted thoughts (obsessions) that lead to repetitive behaviors (compulsions) aimed at reducing the anxiety caused by these thoughts. In your case, the fear of being hit by a car or the need to check and ask about various tasks indicates that your mind is caught in a cycle of anxiety and compulsive behavior. This can lead to significant distress and can make it difficult to engage in normal activities, such as going to work or socializing.

It's important to understand that OCD is a recognized mental health condition, and it often requires a multifaceted approach to treatment. Here are some strategies that may help you manage your symptoms:
1. Cognitive Behavioral Therapy (CBT): This is one of the most effective treatments for OCD. CBT, particularly a subtype called Exposure and Response Prevention (ERP), involves gradually exposing yourself to the sources of your anxiety (like going outside) while refraining from engaging in compulsive behaviors (like asking for reassurance). This can help reduce the power of your obsessions over time.

2. Medication: You mentioned that you are currently taking several medications, including Fanboy (which I assume is a typo or a brand name for an SSRI), A Lora Linnea (likely an anxiolytic), and others. SSRIs (Selective Serotonin Reuptake Inhibitors) are commonly prescribed for OCD and can help reduce the severity of symptoms. It's crucial to have an open dialogue with your doctor about the effectiveness of your current medication regimen. If you feel that your symptoms have not improved, it may be worth discussing alternative medications or dosages.

3. Support Groups: Connecting with others who understand what you're going through can be incredibly beneficial. Support groups provide a safe space to share experiences, coping strategies, and encouragement. You might find local or online groups that focus on OCD.

4. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, or yoga can help reduce anxiety and improve your overall mental well-being. These techniques can help you stay grounded and manage the overwhelming feelings of fear and resentment.

5. Family Support: It sounds like you have a complicated relationship with your father, and it may be helpful to communicate your feelings to him. While he may not fully understand your condition, expressing how his actions impact your mental health could foster a more supportive environment. If direct communication feels too daunting, consider involving a therapist who can help facilitate this conversation.

6. Routine and Structure: Establishing a daily routine can provide a sense of stability and predictability, which may help alleviate some anxiety. Try to incorporate small, manageable tasks into your day that you can gradually build upon.

7. Professional Help: If you haven't already, consider seeking a therapist who specializes in OCD. They can provide tailored strategies and support to help you navigate your specific challenges.

It's understandable to feel overwhelmed and frustrated, especially when it seems like your efforts aren't yielding the desired results. Remember that recovery from OCD is often a gradual process, and it's okay to seek help and support along the way. You are not alone in this struggle, and with the right treatment and support, it is possible to manage your symptoms and improve your quality of life. Please take care of yourself and reach out for help when you need it.

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