OCD: Seeking Help and Finding Hope for Recovery - Psychiatry

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What are the methods?


I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor: During the Mid-Autumn Festival when I first entered junior high school, I saw a suicide prevention advertisement while grilling.
At that moment, I felt short of breath, my thoughts spiraled out of control, I felt like there was something in my throat, and I had a heavy feeling in my chest, with only the word "suicide" in my mind.
I thought it would pass quickly, but it only got worse (I didn't know why I was afraid to tell my parents at the time).
I only searched for information online.
Every time I went to the kitchen and saw a knife, I felt an urge to touch it, and I would automatically pick it up with my hand, but fortunately, I didn't get hurt.
I also felt the urge to drink alcohol whenever I saw it, and I almost ended my life (meaning I constantly felt chest tightness and discomfort, wanting to escape the pain).
By the end of June this year, I couldn't take it anymore and mustered the courage to tell my parents.
Initially, I was afraid of medication dependence and didn't seek help from a doctor.
However, by August, my condition had worsened to the point that I finally saw a doctor.
After two consultations, I was diagnosed with "OCD." I am currently undergoing a combination of Western and traditional Chinese medicine treatments, and I have also visited temples.
I feel uncomfortable all day and want to escape the pain.
It feels like my brain is telling me that I am in so much pain and fear, urging me to leave! I also noticed that I used to have shortness of breath and chest tightness (but it happened only once a year and would pass in a day).
Since the Mid-Autumn Festival, it has become a daily occurrence, along with suicidal thoughts.
I am unsure if the doctor's diagnosis of OCD is correct.
Could you please tell me what you think my condition might be, if it can be cured, if it will relapse, and what methods are available? I want to live.

Awei, 10~19 year old female. Ask Date: 2022/09/29

Dr. Xue Gengming reply Psychiatry


I recommend that you: 1.
Discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary.
2.
Consider seeking treatment from other medical institutions as well.
Thank you, and wishing you good health!

Reply Date: 2022/09/29

More Info


Understanding Obsessive-Compulsive Disorder (OCD) is crucial for anyone experiencing its debilitating symptoms. Your experience highlights the profound impact OCD can have on daily life, emotional well-being, and overall mental health. It’s commendable that you’ve taken the brave step to share your struggles with your parents and seek medical help. This is often the first and most significant step toward recovery.

OCD is characterized by intrusive thoughts (obsessions) that lead to repetitive behaviors or mental acts (compulsions) aimed at reducing the anxiety associated with those thoughts. Your experiences with suicidal thoughts, feelings of chest tightness, and the compulsive urge to handle sharp objects are indicative of the distress that OCD can cause. It’s important to understand that these symptoms are not a reflection of your character or desires but rather manifestations of a mental health condition that can be treated.

The diagnosis of OCD by your doctor is a critical step in your journey. Treatment typically involves a combination of cognitive-behavioral therapy (CBT), particularly exposure and response prevention (ERP), and medication, often selective serotonin reuptake inhibitors (SSRIs). These treatments have been shown to be effective in reducing symptoms and improving quality of life. It’s essential to work closely with your healthcare provider to find the right treatment plan for you, as individual responses to treatment can vary.

Your concerns about medication dependence are valid, but it’s important to weigh these against the potential benefits of treatment. Many individuals with OCD find that medication helps to alleviate their symptoms significantly, allowing them to engage more fully in therapy and daily life. It’s also worth noting that therapy can provide you with coping strategies to manage your thoughts and behaviors without relying solely on medication.

As for the fear of recurrence, it’s a common concern among those recovering from OCD. While some individuals may experience relapses, many find that with ongoing treatment and support, they can manage their symptoms effectively. Developing a strong support system, including family, friends, and mental health professionals, can be invaluable in navigating the ups and downs of recovery.

In addition to professional treatment, there are self-help strategies that can complement your recovery. Mindfulness practices, such as meditation and deep-breathing exercises, can help reduce anxiety and improve your overall mental state. Engaging in regular physical activity can also be beneficial, as it releases endorphins that enhance mood and reduce stress.

Support groups, whether in-person or online, can provide a sense of community and understanding. Connecting with others who share similar experiences can help alleviate feelings of isolation and provide practical tips for managing OCD.

Lastly, it’s crucial to be patient with yourself throughout this process. Recovery from OCD is often not linear, and it may take time to find the right combination of treatments that work for you. Celebrate small victories along the way, and remember that seeking help is a sign of strength.

In conclusion, while OCD can feel overwhelming, it is a treatable condition. With the right support and treatment, many individuals lead fulfilling lives despite their diagnosis. Your desire to live and seek help is a powerful motivator for recovery. Continue to advocate for yourself, stay engaged in your treatment, and reach out for support when needed. You are not alone in this journey, and there is hope for a brighter future.

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