Is it obsessive-compulsive disorder (OCD)?
Hello, doctor.
I am currently a high school junior preparing to advance to senior year.
However, since the beginning of my sophomore year (I didn't have this issue in freshman year), I've been experiencing a peculiar phenomenon where I become very particular about the handwriting I produce.
Whenever I see something I find visually unappealing at that moment, I will continuously erase and rewrite it until it looks satisfactory to me.
Sometimes, I spend several minutes or even longer just to correct a small detail.
This concern is not limited to Chinese characters; it includes English letters, numbers, symbols, or any drawings.
Anything I write, I become overly concerned about.
For example, when copying notes in Chinese, I fixate on the junctions of the strokes.
If they are not connected properly or protrude slightly, I will repeatedly erase and correct them.
If I am using a ballpoint pen, I become fixated on areas where the ink is heavier.
If I don't fix those unsatisfactory letters, I feel uncomfortable and cannot continue with other tasks.
The same goes for multiple-choice questions; if the letters A, B, C, or D are not written neatly, I will erase and rewrite them, otherwise, I feel distressed.
These are minor details that others wouldn't care about, but for me, they are unacceptable, even if it's just a small bump.
There are countless examples of this, including highlighting text and writing numbers in math, all exhibiting similar behaviors.
I often tell myself not to worry too much, but I just can't accept it internally.
Recently, it seems to be getting worse, and with the upcoming college entrance exams, I am concerned that this will severely affect my study efficiency.
I hope the doctor can provide me with some advice.
Thank you.
Xiao Ming, 10~19 year old female. Ask Date: 2020/07/10
Dr. Wang Yazhen reply Psychiatry
Hello Xiao Ming: The situation you described indeed resembles obsessive thoughts and behaviors, and these behaviors have started to affect your time management.
It is advisable to seek medical attention from a psychiatrist or a psychosomatic specialist as soon as possible for diagnosis and treatment.
Typically, medication is recommended initially for stabilization, and once that is achieved, the necessity for psychotherapy should also be considered.
Often, the underlying cause of obsessive symptoms is anxiety, so in addition to medical treatment, it is also recommended that you manage pre-exam stress effectively and try relaxation techniques (such as diaphragmatic breathing, progressive muscle relaxation, and meditation available online).
Although time is tight before the exam, if anxiety issues are not addressed, it will be difficult to improve efficiency, so it is important to allocate time for relaxation and exercise.
Thank you!
Reply Date: 2020/07/10
More Info
It sounds like you are experiencing symptoms that could be related to Obsessive-Compulsive Disorder (OCD), particularly in the context of perfectionism. OCD is characterized by intrusive thoughts (obsessions) that lead to repetitive behaviors (compulsions) aimed at reducing anxiety or discomfort. In your case, the need to repeatedly modify your writing until it meets your standards of perfection is a common manifestation of OCD.
Perfectionism can be a double-edged sword. On one hand, it can drive individuals to achieve high standards and excel in their endeavors. On the other hand, it can lead to significant distress and impairment in daily functioning, as you are experiencing. The excessive time spent on ensuring that your writing looks "just right" is not only affecting your productivity but also your mental well-being.
Here are some strategies that may help you manage these symptoms:
1. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for OCD. CBT focuses on identifying and challenging distorted thoughts and beliefs. A specific form of CBT called Exposure and Response Prevention (ERP) is particularly effective for OCD. It involves gradually exposing yourself to the situations that trigger your compulsive behaviors and learning to refrain from performing those behaviors.
2. Set Time Limits: Try to set a specific amount of time for writing or modifying your work. For example, give yourself five minutes to write a sentence and then move on, regardless of how it looks. This can help you practice letting go of the need for perfection.
3. Mindfulness and Acceptance: Mindfulness techniques can help you become more aware of your thoughts and feelings without judgment. Practicing mindfulness can help you accept that imperfections are a part of life and that it’s okay to make mistakes.
4. Seek Professional Help: If your symptoms are significantly impacting your daily life and academic performance, it may be beneficial to seek help from a mental health professional. They can provide you with tailored strategies and support to manage your symptoms effectively.
5. Connect with Others: Sharing your experiences with trusted friends or family members can provide emotional support. They can help remind you that perfection is not necessary and that it’s okay to make mistakes.
6. Focus on the Bigger Picture: Remind yourself of the purpose of your writing or studying. Is it to communicate ideas, learn, or prepare for exams? Keeping the bigger picture in mind can help reduce the focus on minor details.
7. Practice Self-Compassion: Be kind to yourself. Understand that everyone has flaws and that striving for perfection is often unrealistic. Acknowledge your efforts and progress, even if they don’t meet your ideal standards.
8. Limit Comparisons: Try to avoid comparing your work to that of others. Everyone has their unique style and approach, and it’s important to focus on your journey rather than how you measure up to someone else.
In conclusion, while perfectionism can drive you to achieve great things, it’s important to recognize when it becomes a hindrance. By implementing some of these strategies and seeking professional guidance, you can work towards a healthier relationship with your work and yourself. Remember, it’s okay to be imperfect, and allowing yourself to be so can lead to greater freedom and creativity in your studies and beyond.
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