Compulsive Behavior: When to Seek Help for OCD Symptoms - Psychiatry

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Is it obsessive-compulsive disorder (OCD)?


Hello, doctor.
I'm not sure if my symptoms warrant a visit to a psychiatrist.
When I was 17, I was subjected to semi-coerced sexual activity, and later I learned that early sexual activity can lead to cervical cancer.
Since then, I have been obsessively searching for information online almost every day.
Once I start, I can't stop, and sometimes it makes me cry or feel nauseous.
Recently, I spent almost an entire day searching without being able to stop, and I've become very sensitive to certain related terms.
I understand that what has happened cannot be changed, and the best I can do is to get regular check-ups in the future, but my compulsive behavior of searching for information hasn't improved.
What should I do, doctor?

Yu, 10~19 year old female. Ask Date: 2021/08/10

Dr. Wu Enliang reply Psychiatry


Hello, online friend: It doesn't necessarily sound like obsessive-compulsive disorder; it seems more like health anxiety.
Regardless, it is indeed causing you significant distress both mentally and physically.
I strongly recommend that you seek help from a mental health facility, where you can consider medication or psychotherapy.
Take care! Dr.
Wu Enliang

Reply Date: 2021/08/10

More Info


Compulsive behaviors, particularly those associated with Obsessive-Compulsive Disorder (OCD), can significantly impact your daily life and mental well-being. From your description, it sounds like you are experiencing a cycle of obsessive thoughts and compulsive behaviors, particularly related to your past experiences and fears about health consequences. This is a common manifestation of OCD, where individuals feel compelled to engage in certain behaviors—like excessive internet searching—to alleviate anxiety stemming from intrusive thoughts.


Understanding Your Symptoms
The symptoms you describe—compulsively searching for information, feeling unable to stop, and experiencing emotional distress such as crying or nausea—are indicative of compulsive behavior. In OCD, individuals often have intrusive thoughts (obsessions) that lead to anxiety, and they engage in compulsive behaviors to try to relieve that anxiety. In your case, the fear of potential health risks from past actions seems to be driving your compulsive internet searching.


When to Seek Help
It is advisable to seek help when your symptoms interfere with your daily functioning, cause significant distress, or lead to avoidance of situations that could trigger your anxiety. Given that you mentioned feeling overwhelmed and emotionally distressed by your compulsive searching, this is a strong indicator that professional help could be beneficial. A mental health professional, such as a psychologist or psychiatrist, can provide a thorough assessment and help you understand whether your symptoms align with OCD or another anxiety disorder.


Treatment Options
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 you to the sources of your anxiety (in this case, the thoughts about past behaviors and health risks) and helping you refrain from engaging in compulsive behaviors (like searching online). This process can help reduce the anxiety associated with the obsessions over time.

2. Medication: Selective Serotonin Reuptake Inhibitors (SSRIs) are commonly prescribed for OCD and can help reduce the severity of symptoms. If you are concerned about medication, discuss these concerns with your doctor, who can help you weigh the benefits and potential side effects.

3. Mindfulness and Stress Management: Techniques such as mindfulness meditation can help you become more aware of your thoughts and feelings without becoming overwhelmed by them. This can be a useful tool in managing anxiety and reducing compulsive behaviors.

4. Support Groups: Connecting with others who experience similar challenges can provide validation and support. Online forums or local support groups can be valuable resources.


Conclusion
It’s important to remember that seeking help is a sign of strength, not weakness. The compulsive behaviors you are experiencing are not uncommon, and many people find relief through therapy and support. By addressing these symptoms early, you can work towards regaining control over your thoughts and behaviors, ultimately improving your quality of life. If you feel comfortable, consider reaching out to a mental health professional to discuss your experiences and explore treatment options tailored to your needs.

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