Obsessive-Compulsive Disorder (OCD) distress?
I am a ninth-grade student who has been struggling with obsessive-compulsive disorder (OCD) since elementary school (I am afraid of swallowing pen tips, so I constantly rinse my mouth).
When I entered junior high, I began to worry about being pricked by needles or coming into contact with blood, fearing that I might contract HIV.
I also find myself looking back while walking, afraid of stepping on something.
A series of issues have arisen, and during exams, I often have intrusive thoughts, doubting whether I am cheating, repeatedly erasing and rewriting my answers.
About a year ago, I stumbled upon information online that my symptoms resemble OCD.
I have considered overcoming it with willpower, but I just can't seem to do it.
I have talked to my parents about it; my mom mentioned that my symptoms are similar to what she experienced as a child and that I would outgrow it.
Is that true? Due to my OCD, I have become somewhat introverted in junior high compared to elementary school.
Doctor, do I need to see a doctor, or should I wait until I am older? Thank you for reading.
Niming, 10~19 year old female. Ask Date: 2018/06/09
Dr. Wu Enliang reply Psychiatry
It does sound like it could be obsessive-compulsive disorder (OCD), which has caused significant disruptions in daily life.
Some psychological treatments, such as cognitive-behavioral therapy or medication, can be effective for OCD.
It is advisable to seek an appointment with a child and adolescent psychiatrist as soon as possible.
Dr.
Wu Enliang
Reply Date: 2018/06/09
More Info
Understanding Obsessive-Compulsive Disorder (OCD) is crucial, especially for students like you who are navigating the complexities of adolescence while dealing with mental health challenges. Your experiences with OCD, such as the compulsive behaviors and intrusive thoughts you've described, are not uncommon among individuals with this condition. It’s important to recognize that OCD is a legitimate mental health disorder that can significantly impact daily functioning and overall well-being.
From what you’ve shared, it seems that your OCD symptoms have been present for several years, starting from elementary school. The compulsions you mentioned, such as excessive mouth rinsing due to fear of swallowing a pen tip, and the anxiety surrounding potential exposure to needles or blood, are classic manifestations of OCD. These compulsions often serve as a way to alleviate the anxiety caused by obsessive thoughts, but they can also create a cycle of distress that is difficult to break.
Your concerns about cheating during exams and the need to repeatedly erase and rewrite answers are also indicative of the intrusive thoughts that many individuals with OCD experience. These thoughts can lead to significant anxiety, making it challenging to focus on tasks at hand, such as studying or taking tests. It’s understandable that these symptoms have contributed to feelings of introversion and social withdrawal, as the fear of judgment or misunderstanding from peers can be overwhelming.
Regarding your question about whether you should see a doctor now or wait until you are older, it is generally advisable to seek help sooner rather than later. Early intervention can be beneficial in managing OCD symptoms and preventing them from worsening over time. While some individuals may experience a reduction in symptoms as they mature, this is not guaranteed, and many continue to struggle without appropriate treatment.
There are effective treatments available for OCD, including Cognitive Behavioral Therapy (CBT), particularly a subtype known as Exposure and Response Prevention (ERP). This therapy involves gradually exposing individuals to their fears in a controlled manner while helping them resist the urge to engage in compulsive behaviors. Additionally, certain medications, such as selective serotonin reuptake inhibitors (SSRIs), have been shown to be effective in reducing OCD symptoms.
It’s also important to have open communication with your parents about your feelings and experiences. While your mother may have shared her own experiences, it’s essential to emphasize that everyone’s journey with OCD is unique. Seeking professional help can provide you with the tools and strategies needed to manage your symptoms effectively.
In conclusion, I encourage you to consider reaching out to a mental health professional who specializes in OCD or anxiety disorders. They can provide you with a proper assessment and discuss potential treatment options tailored to your needs. Remember, you are not alone in this struggle, and there is support available to help you navigate your challenges. Taking this step can lead to significant improvements in your quality of life and help you regain control over your thoughts and behaviors.
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