Managing OCD and Anxiety: Natural Remedies and Supplements - Psychiatry

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Hi Dr.
Wang: I previously had obsessive-compulsive disorder and stopped my medication for about two months.
1.
Recently, I've been experiencing gastrointestinal issues (like bloating), and I'm not sure if it's related to my health not improving.
In the mornings, I also feel anxious (though it's manageable).
I'm wondering if there are effective ways to improve this besides medication, as I've developed some apprehension about taking meds.
2.
I'm in a review class and was considering taking B vitamins and fish oil, as they seem to help with anxiety and provide energy.
Do you recommend that I take them, or is it unnecessary? I'm also concerned about whether they might put more strain on my gastrointestinal system.
Sorry for bothering you, and thank you for your response!

A, 10~19 year old female. Ask Date: 2022/03/17

Dr. Wang Yaoting reply Psychiatry


Hello: Obsessive-Compulsive Disorder (OCD) can involve intrusive thoughts and accompanying compulsive behaviors, leading to significant anxiety.
It's important not to dismiss pharmacological treatment; serotonin-based medications have been shown to be the most effective in clinical practice and can be taken alongside gastrointestinal medications.
Regarding your gastrointestinal issues, it may be necessary to identify the underlying cause.
You should consider visiting a gastroenterologist for a general examination.
If most results are normal or only show minor abnormalities that do not explain your discomfort, it could be related to anxiety and autonomic nervous system dysregulation.
You might try probiotics to see if they help, and B vitamins and fish oil are also safe to take.
For non-pharmacological treatment, reading books related to OCD can provide coping strategies for symptoms, along with engaging in regular exercise, meditation, sun exposure, and practicing distraction techniques.
I hope this answers your questions :)

Reply Date: 2022/03/17

More Info


Managing Obsessive-Compulsive Disorder (OCD) and anxiety can be quite challenging, especially when considering the side effects of medications and the desire for more natural remedies. It's great that you're exploring options beyond medication, as many individuals find a combination of approaches to be most effective.
1. Understanding Your Symptoms: First, it's important to recognize that gastrointestinal issues, such as bloating and discomfort, can often be linked to anxiety and stress. The gut-brain connection is well-documented; anxiety can lead to gastrointestinal symptoms, and vice versa. Therefore, addressing your anxiety may also help alleviate some of your digestive issues.

2. Natural Remedies: There are several natural remedies and lifestyle changes that may help manage OCD and anxiety:
- Cognitive Behavioral Therapy (CBT): While not a supplement, CBT is a highly effective therapeutic approach for OCD and anxiety. It focuses on changing negative thought patterns and behaviors, which can significantly reduce symptoms.

- Mindfulness and Meditation: Practicing mindfulness and meditation can help you become more aware of your thoughts and feelings without judgment. This can reduce anxiety and improve your overall mental health.

- Exercise: Regular physical activity is known to reduce anxiety and improve mood. Aim for at least 30 minutes of moderate exercise most days of the week.

- Dietary Changes: A balanced diet rich in whole foods, fruits, vegetables, lean proteins, and healthy fats can support overall mental health. Avoiding excessive caffeine and sugar can also help reduce anxiety symptoms.

3. Supplements: Regarding your interest in B vitamins and fish oil:
- B Vitamins: B vitamins, particularly B6 and B12, play a role in brain health and can help improve mood and reduce anxiety. They are generally safe and can be beneficial, especially if you have a deficiency. However, it's best to consult with a healthcare provider to determine the appropriate dosage.

- Fish Oil: Omega-3 fatty acids found in fish oil have been shown to have anti-inflammatory properties and may help reduce symptoms of anxiety and depression. They are generally well-tolerated, but if you have gastrointestinal issues, start with a lower dose to see how your body reacts.

4. Probiotics: Given your gastrointestinal discomfort, consider incorporating probiotics into your diet. Probiotics can help balance gut bacteria and may improve digestive health, which in turn can positively affect your mood and anxiety levels.

5. Herbal Remedies: Some herbal supplements, such as chamomile, lavender, and valerian root, have calming effects and may help with anxiety. However, it's essential to consult with a healthcare provider before starting any new herbal supplements, especially if you are taking other medications.

6. Lifestyle Adjustments: Establishing a regular sleep schedule, practicing good sleep hygiene, and reducing screen time before bed can improve sleep quality, which is crucial for managing anxiety and OCD symptoms.

7. Consultation with a Professional: Since you mentioned having a negative experience with medications, it might be beneficial to discuss your concerns with a mental health professional who can help you explore these natural options while monitoring your symptoms closely.

In conclusion, while medications can be effective for managing OCD and anxiety, there are numerous natural remedies and lifestyle changes that can complement your treatment. It's essential to approach this holistically, considering both your mental and physical health. Always consult with a healthcare provider before making significant changes to your treatment plan, especially when it comes to supplements and dietary adjustments.

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