Anxiety and OCD: Seeking Help and Managing Symptoms

Q: Anxiety and OCD: Seeking Help and Managing Symptoms

Hello, online friend： <br>1. <br>Is medication the only treatment option? I've read that psychiatric medications need to be taken for a long time and can lead to dependence, so I've been hesitant to see a doctor. <br>A： In addition to medication, psychological therapy and behavio

Anxiety and Obsessive-Compulsive Disorder (OCD)

Hello Doctor, I have symptoms of obsessive-compulsive disorder (OCD) that started about 4-5 years ago, triggered by academic pressure during my junior year.
This has led to significant anxiety and discomfort (gastrointestinal and cardiac issues), but after numerous examinations, no major problems were found.
Doctors have advised me to relax, but I feel that this advice is not very helpful.
My OCD symptoms include repeatedly checking while riding my bike to ensure I don’t hit someone (which wastes time), fearing attacks from wild animals (especially in mountainous areas where rabies is a concern), and worrying about being pricked by a needle (which could lead to HIV).
As a result, I feel anxious every time I go out, whether walking or biking, constantly vigilant about my surroundings.
I become overly sensitive and anxious at the slightest disturbance, and sometimes I experience sudden tingling sensations in my body, which leads me to worry that someone has pricked me, increasing my anxiety.
My condition fluctuates; it doesn’t happen every day, but I remain tense and alert to my environment.
If I don’t experience any tingling, I don’t overthink, and I can quickly return home while biking.
However, when symptoms flare up, I start to engage in repetitive behaviors.
Therefore, I would like to ask the doctor:
1.
Is medication the only treatment option? I’ve read that psychiatric medications need to be taken for a long time and can lead to dependency, which makes me hesitant to see a doctor.
2.
I visited a clinic where the doctor prescribed me Anxiolytics (half a tablet twice a day for three days) to help me relax.
Is this effective for OCD? Is it harmful to take long-term since it is a controlled substance?
3.
What is the difference between antidepressants and anti-anxiety medications?
4.
I want to control my symptoms through willpower, but I find it increasingly difficult, and my condition seems to be worsening.
5.
I’m giving myself some time until the end of this year to see if I can overcome this on my own.
If not, I plan to see a doctor.
What are your thoughts and recommendations? I really don’t dare to talk to anyone about this, including my family, as they seem unable to understand.
6.
This situation is very distressing for me; I can’t relax while going out for leisure or work, as my mind is constantly on high alert regarding my surroundings.
I feel exhausted every day.
Thank you, Doctor.

Ge, 20~29 year old female. Ask Date: 2021/08/12

Dr. Wu Enliang reply Psychiatry

Hello, online friend:
1.
Is medication the only treatment option? I've read that psychiatric medications need to be taken for a long time and can lead to dependence, so I've been hesitant to see a doctor.
A: In addition to medication, psychological therapy and behavioral therapy can also help improve the situation.
2.
I visited a clinic, and the doctor prescribed me Anxiolytic medication (half a tablet, twice a day for three days) to help me relax.
Is this effective for obsessive-compulsive disorder (OCD)? Is it bad to take it long-term? I found out it is a controlled substance.
A: It can temporarily relieve anxiety, thus providing short-term effects for OCD.
Unless absolutely necessary, it is generally not recommended to take it daily for a long time due to the risk of dependence.
3.
What is the difference between antidepressants and anti-anxiety medications? A: Antidepressants are medications that adjust the balance of neurotransmitters in the brain, while anti-anxiety medications typically refer to sedatives.
4.
I want to control it with my willpower, but I find it seems impossible, and my condition is worsening.
A: If willpower alone could solve it, it wouldn't be classified as a disorder; treatment is still necessary.
5.
I'm giving myself some time until the end of this year to see if I can overcome it on my own.
If I still can't, I plan to see a doctor.
I would like to ask for the physician's opinion and advice.
I really don't dare to tell anyone, including my family, as they seem unable to understand.
A: It is indeed necessary to seek help from a physician or clinical psychologist; mental health issues require professional treatment.
Dr.
Wu Enliang.

Reply Date: 2021/08/12

More Info

It sounds like you are experiencing a significant amount of distress due to your obsessive-compulsive disorder (OCD) symptoms, which have been exacerbated by academic pressures. The symptoms you describe, such as excessive checking while riding a bike and heightened anxiety about potential dangers, are common in individuals with OCD. It’s important to understand that OCD is a mental health condition that can lead to significant impairment in daily functioning and quality of life.
1. Medication vs. Therapy: While medication can be an effective treatment for OCD, it is not the only option. Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed for OCD and can help reduce the intensity of symptoms. However, many individuals benefit greatly from cognitive-behavioral therapy (CBT), particularly exposure and response prevention (ERP), which is a specific type of CBT designed for OCD. This therapy involves gradually exposing you to the sources of your anxiety and helping you learn to resist the compulsive behaviors that follow. It is crucial to consult with a mental health professional to determine the best treatment plan tailored to your needs.

2. Use of Anxiolytics: The medication you mentioned, Anban (which is likely a benzodiazepine), is typically used for short-term relief of anxiety symptoms. While it may help you feel more relaxed in the short term, it is not a first-line treatment for OCD. Long-term use of benzodiazepines can lead to dependence and may not address the underlying OCD symptoms. It’s essential to discuss your concerns about medication with your doctor, who can provide guidance on the appropriate use of medications for your specific situation.

3. Antidepressants vs. Anxiolytics: Antidepressants, particularly SSRIs, are often used to treat both anxiety disorders and OCD. They work by increasing levels of serotonin in the brain, which can help improve mood and reduce anxiety. Anxiolytics, on the other hand, are primarily used for short-term relief of anxiety symptoms and do not address the underlying causes of anxiety or OCD. Understanding the differences can help you make informed decisions about your treatment options.

4. Self-Control and Willpower: While it’s admirable to want to manage your symptoms through willpower, OCD is a complex condition that often requires professional intervention. Trying to control OCD symptoms on your own can lead to increased anxiety and may worsen your condition. Seeking help from a mental health professional can provide you with effective strategies to manage your symptoms.

5. Seeking Professional Help: It’s understandable to feel hesitant about discussing your mental health with others, especially if you believe they may not understand. However, reaching out to a mental health professional can be a crucial step toward recovery. They can provide a safe space to discuss your feelings and experiences without judgment. If you decide to seek help, consider starting with a therapist who specializes in OCD or anxiety disorders.

6. Impact on Daily Life: The symptoms you describe, such as constant vigilance and fatigue, can significantly impact your ability to enjoy life and engage in activities. It’s essential to prioritize your mental health and seek support. Remember, you are not alone in this struggle, and many people experience similar challenges. With the right treatment and support, it is possible to manage your symptoms effectively and improve your quality of life.

In conclusion, I encourage you to consider seeking professional help sooner rather than later. The combination of therapy and, if necessary, medication can provide you with the tools to manage your OCD symptoms and reduce your anxiety. Remember, taking the first step toward seeking help is a sign of strength, and it can lead to a more fulfilling and less stressful life.

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