Intrusive Thoughts: Symptoms and Solutions for Mental Health Issues

Please help me?

Hello, doctor.
I have some questions that I couldn't find answers to online.
I don't know when it started, but I find myself repeatedly thinking certain words in my mind after seeing them.
When I try to control the repetition, I end up forgetting where I saw those words.
Additionally, at times, I find myself counting in my mind, like counting 1, 2, 3, or starting from a certain number and continuing to count.
Sometimes I can't stop, and it becomes difficult to control.
This is really troubling me because it affects my ability to concentrate in class.
Please help me understand what these symptoms might be.
Thank you.

Ms. Wu, 10~19 year old female. Ask Date: 2017/12/15

Dr. Wang Yazhen reply Psychiatry

Hello Ms.
Wu, regarding your condition, it resembles the obsessive-compulsive symptoms, particularly the compulsive mental activities (such as feeling the need to strictly adhere to certain rules to alleviate anxiety or distress, or fearing that serious or painful consequences will occur if these rules are not followed).
However, based solely on the situation you described, a direct diagnosis cannot be made, and other potential issues must be ruled out.
I recommend that you consider seeking medical attention for a more comprehensive consultation and evaluation by a physician, which will enable them to provide you with appropriate assistance.
Thank you!

Reply Date: 2017/12/15

More Info

Hello! Thank you for reaching out with your concerns. It sounds like you are experiencing some intrusive thoughts and compulsive behaviors that are affecting your ability to concentrate, particularly in a classroom setting. These symptoms can be quite distressing and may be indicative of a condition known as Obsessive-Compulsive Disorder (OCD), although only a qualified mental health professional can provide a proper diagnosis.

Intrusive thoughts are unwanted and often distressing thoughts that can pop into your mind unexpectedly. They can take many forms, such as repetitive phrases, numbers, or images that you feel compelled to focus on or repeat. This can lead to a cycle of anxiety, as the more you try to suppress these thoughts, the more they may persist. The counting behavior you described is often a compulsive response to these intrusive thoughts, where you feel a need to perform a specific action (like counting) to alleviate the anxiety caused by the thoughts.

It's important to understand that these symptoms are not uncommon, and many people experience similar issues. The key is to recognize that these thoughts and behaviors are part of a larger pattern that can be managed with appropriate treatment. Cognitive Behavioral Therapy (CBT) is one of the most effective treatments for OCD and involves working with a therapist to identify and challenge the negative thought patterns and behaviors that contribute to your anxiety. Exposure and Response Prevention (ERP), a specific type of CBT, is particularly effective in helping individuals confront their fears and reduce compulsive behaviors.

In addition to therapy, some individuals find that medication can be beneficial in managing their symptoms. Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed for OCD and can help reduce the frequency and intensity of intrusive thoughts and compulsions. However, medication should always be discussed with a healthcare provider who can assess your specific situation and recommend the best course of action.

Self-help strategies can also play a role in managing intrusive thoughts. Mindfulness techniques, such as meditation and deep breathing exercises, can help you become more aware of your thoughts without becoming overwhelmed by them. Practicing mindfulness allows you to observe your thoughts as they come and go, reducing their power over you. Journaling can also be a helpful outlet for expressing your feelings and thoughts, which may help to lessen their intensity.

It's crucial to seek professional help if these symptoms are significantly impacting your daily life, such as your ability to concentrate in class or engage in social activities. A mental health professional can provide you with a comprehensive evaluation and develop a tailored treatment plan that addresses your specific needs.

In summary, what you're experiencing may be related to intrusive thoughts and compulsive behaviors often associated with OCD. Seeking help from a mental health professional is an important step toward understanding and managing these symptoms. With the right support and treatment, many individuals find relief from their symptoms and can lead fulfilling lives. Remember, you are not alone in this, and help is available.

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