Overcoming OCD: Seeking Help for Intrusive Thoughts and Anxiety - Psychiatry

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How to treat obsessive-compulsive disorder (OCD)?


Hello, doctor.
I’m not sure how to seek help, so I’m asking here first.
I often find that when I think of one word, I immediately associate it with another meaning, usually related to sexuality.
It has become so severe that I struggle to communicate normally with others.
Every time I say something, I have to analyze each word to see if there are any related terms, and if there are, I feel like others know what I’m thinking and that they find me disgusting.
Not to mention, during classes or in crowded places, it’s almost torturous; I constantly analyze every word others say.
Now, in public, I can only wear headphones to escape this issue.
This symptom seems quite rare, and I want to make a change but am afraid to tell anyone.
Should I see a doctor?

Labuladuo, 10~19 year old female. Ask Date: 2021/11/06

Dr. Lin Mianzhang reply Psychiatry


Hello, Labrador: It seems that this is indeed a very distressing situation.
These symptoms are indicative of compulsive behavior; however, compulsive symptoms do not necessarily mean that it is obsessive-compulsive disorder (OCD).
There are many other potential causes.
I recommend that you seek medical attention as soon as possible to obtain professional assistance.
Wishing you a speedy recovery.

Reply Date: 2021/11/06

More Info


Overcoming OCD, particularly when it involves intrusive thoughts and anxiety, can be a challenging journey, but seeking help is a crucial step towards managing these symptoms effectively. Your experience of feeling compelled to analyze every word you say or hear, especially in social situations, is a common manifestation of Obsessive-Compulsive Disorder (OCD). This condition often leads to significant distress and can interfere with daily functioning, as you’ve described.

Firstly, it’s important to understand that you are not alone in this struggle. Many individuals with OCD experience similar intrusive thoughts, particularly those that are sexual or socially inappropriate in nature. These thoughts can be distressing and lead to compulsive behaviors, such as the need to analyze conversations or avoid social situations altogether. This cycle of obsession and compulsion can create a sense of isolation and anxiety, making it difficult to engage in normal interactions.

The good news is that effective treatments are available. Cognitive Behavioral Therapy (CBT), particularly a subtype known as Exposure and Response Prevention (ERP), is considered one of the most effective therapeutic approaches for OCD. ERP involves gradually exposing yourself to the thoughts or situations that trigger your anxiety while refraining from engaging in the compulsive behaviors that provide temporary relief. Over time, this can help reduce the power of the intrusive thoughts and lessen the anxiety associated with them.

In addition to therapy, medication can also be beneficial. Selective Serotonin Reuptake Inhibitors (SSRIs) are commonly prescribed for OCD and can help manage the symptoms by increasing serotonin levels in the brain. It’s essential to discuss your symptoms and treatment options with a qualified mental health professional who can tailor a plan that suits your needs.

You mentioned feeling embarrassed about your symptoms and not wanting to tell others. It’s understandable to feel this way, but remember that mental health issues are common, and seeking help is a sign of strength, not weakness. A mental health professional can provide a safe and confidential space to discuss your thoughts and feelings without judgment. They can help you develop coping strategies and work through the underlying issues contributing to your OCD.

Moreover, support groups can be incredibly beneficial. Connecting with others who share similar experiences can provide validation and reduce feelings of isolation. Online forums or local support groups can offer a sense of community and understanding.

In summary, if you are experiencing intrusive thoughts that interfere with your daily life, it is highly advisable to seek professional help. A mental health professional can provide you with the tools and support necessary to manage your OCD effectively. Remember, you don’t have to face this alone, and taking the step to seek help is a significant move towards reclaiming your life from the grips of OCD. You deserve to communicate freely and enjoy social interactions without the burden of anxiety.

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