Abnormal behavior
Hello, doctor.
I am a high school student transitioning from the first to the second year.
I have noticed two peculiar symptoms that I have experienced since childhood.
The first is that if an object is placed on a table and it gets nudged, I feel extremely uncomfortable.
However, even if I move it back, that discomfort persists.
I have to physically pick it up and place it down again, and it must be done in a straight up-and-down motion for the discomfort to go away.
If it touches the table at an angle or if there is even a slight friction when I lift it, I have to repeat the process of picking it up and putting it down.
If I can't achieve a perfect straight motion after several attempts, or if the situation prevents me from moving the object, I have to mentally simulate the action in my mind to alleviate the discomfort.
The second symptom is that sometimes I have a melody and a word stuck in my head that I cannot force to stop.
Each time this happens, it frustrates me, and I feel like I want to dig my brain out to make it stop thinking about it.
Do these two symptoms indicate that I have obsessive-compulsive disorder (OCD)? I am quite worried and hope the doctor can provide some answers.
Zhou Tongxue, 10~19 year old female. Ask Date: 2021/07/20
Dr. Wu Enliang reply Psychiatry
Hello, internet user: There is indeed a possibility of obsessive-compulsive disorder.
It is recommended to seek medical attention at a mental health facility.
Dr.
Wu En-liang.
Reply Date: 2021/07/20
More Info
Understanding unusual behaviors, especially those that cause discomfort or distress, is crucial in the context of mental health. Based on your description, it seems you are experiencing symptoms that could be associated with Obsessive-Compulsive Disorder (OCD). However, it's essential to approach this with a nuanced understanding.
OCD is characterized by the presence of obsessions (intrusive thoughts, images, or urges that cause significant anxiety) and compulsions (repetitive behaviors or mental acts performed to reduce the anxiety associated with the obsessions). The behaviors you described—feeling uncomfortable when an object is not perfectly placed and needing to repeat actions until they feel "just right"—align with the compulsive aspect of OCD. The mental simulation of actions to alleviate discomfort also reflects the obsessive nature of the disorder.
Your first symptom, where you feel discomfort when an object is not perfectly aligned and feel compelled to adjust it repeatedly, is a classic example of a compulsion. This behavior is often driven by an underlying fear or anxiety that something bad might happen if the object is not positioned correctly. The need for perfection and the distress caused by imperfections can be overwhelming, leading to a cycle of repetitive actions.
The second symptom, where a melody or phrase gets stuck in your head, is often referred to as an "earworm." While this can be a common experience, in the context of OCD, it may represent an obsession. The inability to control these intrusive thoughts can lead to significant frustration and anxiety, which is a hallmark of OCD.
It's important to note that experiencing these symptoms does not automatically mean you have OCD. Diagnosis requires a comprehensive evaluation by a mental health professional who can assess the severity and impact of these behaviors on your daily life. If these symptoms interfere with your ability to function, cause significant distress, or take up a considerable amount of your time, it would be advisable to seek help from a psychologist or psychiatrist.
In terms of treatment, Cognitive Behavioral Therapy (CBT), particularly Exposure and Response Prevention (ERP), is considered the most effective approach for OCD. This therapy involves gradually exposing you to the sources of your anxiety while helping you refrain from engaging in compulsive behaviors. Additionally, some individuals benefit from medication, such as selective serotonin reuptake inhibitors (SSRIs), which can help reduce the symptoms of OCD.
It's also beneficial to develop coping strategies to manage anxiety and discomfort. Mindfulness practices, relaxation techniques, and engaging in activities that distract you from obsessive thoughts can be helpful. Joining support groups where you can share experiences with others who understand what you're going through can also provide comfort and insight.
In conclusion, while your symptoms may suggest a form of OCD, a professional evaluation is necessary for an accurate diagnosis. Remember, seeking help is a sign of strength, and there are effective treatments available that can help you manage these symptoms and improve your quality of life. Don't hesitate to reach out to a mental health professional who can guide you through this process.
Similar Q&A
Understanding Unusual Behaviors: Is It OCD or Something Else?
My boyfriend's family has a mother who talks to herself. I've observed her in the kitchen, where she mutters and curses at the walls and laughs at the air, which I find quite frightening. Today, I heard her cursing, and she said, "You can help too, Mr. Zhang,"...
Dr. Xiao Minghong reply Psychiatry
Hello Ms. Chen, Based on the behaviors exhibited by your boyfriend's mother, she seems to display signs of soliloquy, rigidity, and inflexibility, as well as an early retirement and possibly inadequate ability to perform household tasks. These behaviors differ from typical ...[Read More] Understanding Unusual Behaviors: Is It OCD or Something Else?
Am I Experiencing OCD? Understanding Anxiety and Family Dynamics
I'm sorry to hear that you're feeling this way. It's really important to talk to someone who can help you, like a mental health professional.
Dr. Su Zongwei reply Psychiatry
Some behaviors and thoughts appear similar to obsessive-compulsive symptoms, such as ritualistic behaviors related to weighing and persistent intrusive thoughts of sexual and violent imagery; however, this does not necessarily indicate obsessive-compulsive disorder. A further eva...[Read More] Am I Experiencing OCD? Understanding Anxiety and Family Dynamics
Am I Experiencing Symptoms of Obsessive-Compulsive Personality Disorder?
Hello, Dr. Lin. Recently, I came across some videos about obsessive-compulsive disorder (OCD) online, and I feel that my behaviors are very similar to those of the individuals in the videos. For example, I have developed an inexplicable fear of toilets over the past few years. I ...
Dr. Lin Mianzhang reply Psychiatry
Hello, Xiangxiang: The situations you described are mostly related to cleanliness standards. The reluctance to delegate tasks to others is more indicative of obsessive personality traits, so whether it meets the criteria for Obsessive-Compulsive Personality Disorder (OCPD) is sti...[Read More] Am I Experiencing Symptoms of Obsessive-Compulsive Personality Disorder?
Is It OCD? Understanding Compulsive Behaviors and Emotional Outbursts
Hello, Doctor. Since elementary school, I have had an impulse to compulsively count my fingers. If I don't count to a specific number, I feel very uncomfortable. However, this situation has now evolved into an involuntary counting behavior. Currently, I experience the follow...
Dr. Dai Wanxiang reply Psychiatry
Hello Ms. Huang: Based on your description, there is indeed a possibility of obsessive-compulsive disorder (OCD). Additionally, individuals with Tourette syndrome have a higher likelihood of co-occurring OCD compared to the general population. OCD has a high chance of improvement...[Read More] Is It OCD? Understanding Compulsive Behaviors and Emotional Outbursts
Related FAQ
(Psychiatry)
Compulsive Behavior(Psychiatry)
Obsessive Thoughts(Psychiatry)
Neurotic Disorder(Psychiatry)
Paranoia(Psychiatry)
Fetishism(Psychiatry)
Diagnosis(Psychiatry)
Adjustment Disorder(Psychiatry)
Adhd-Related(Psychiatry)
Autism(Psychiatry)