Overcoming OCD: Finding Relief from Intrusive Thoughts and Suicidal Ideation

Q: Overcoming OCD: Finding Relief from Intrusive Thoughts and Suicidal Ideation

Hello： Q1. Will obsessive-compulsive disorder (OCD) get better? A1： For some individuals, OCD symptoms are mild, while for others they can be more severe. It usually requires a period of medication and cognitive-behavioral therapy. It is advisable to discuss

What should I do if I want to find relief?

I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor: During the Mid-Autumn Festival barbecue in my first year of junior high, I saw a suicide prevention advertisement on the charcoal.
At that moment, I felt short of breath, had racing thoughts, and felt like there was something in my throat and a weight on my chest, with only the thought of "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, thankfully without causing any injury.
I also felt an urge to drink alcohol, which almost led me to end my life (meaning I could feel chest tightness and discomfort at any moment, 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 where I finally saw a doctor.
After two visits, I was diagnosed with "OCD." I am currently undergoing a combination of Western and traditional Chinese medicine treatments and have also visited a temple.
I feel uncomfortable all day and want to escape the pain.
However, 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 experience shortness of breath and chest tightness (but it would only happen once a year and would pass in a day).
Since the Mid-Autumn Festival, it has become a daily occurrence, along with suicidal thoughts, creating a feeling of struggling with myself, being afraid of fear itself.
1.
Will OCD get better?
2.
The doctor has currently prescribed me medications called Jian De Jing and Jian Fu.
Are these specifically for OCD?
3.
Am I really suffering from OCD?
4.
What methods can help?
5.
How long will this last (I have been experiencing symptoms for over a year)?
6.
Is it normal to feel mental fatigue?
7.
What should I do when I have suicidal thoughts and feel uncomfortable?

Xiao Wei, 10~19 year old female. Ask Date: 2022/10/05

Dr. Wu Menghuan reply Psychiatry

Hello:
Q1.
Will obsessive-compulsive disorder (OCD) get better?
A1: For some individuals, OCD symptoms are mild, while for others they can be more severe.
It usually requires a period of medication and cognitive-behavioral therapy.
It is advisable to discuss this with your physician.

Q2.
The doctor has currently prescribed me medications called Clomipramine and Fluoxetine; are these for OCD?
A2: These two medications have different pharmacological actions, but both can improve OCD symptoms.
It is recommended to ask your physician directly.

Q3.
Am I really suffering from OCD?
A3: If you have such doubts, it is still advisable to discuss this directly with your physician during a consultation.

Q4.
What methods can help?
A4: The two main treatment methods for OCD are medication and cognitive-behavioral therapy.

Q5.
How long will it last (I have had symptoms for over a year)?
A5: The duration of the illness varies from person to person.
Past studies have found that the duration of OCD typically ranges from 2 to 20 years, with an average of about 9-10 years; however, this may relate to individual adherence to treatment or other psychosocial factors.

Q6.
Is it normal to experience willpower fatigue?
A6: Willpower fatigue is a challenge that almost every patient encounters.

Q7.
What should I do if I have suicidal thoughts or feel uncomfortable?
A7: It is recommended that you seek professional medical assistance directly at a hospital outpatient clinic or emergency department.
Thank you.

Reply Date: 2022/10/05

More Info

Overcoming Obsessive-Compulsive Disorder (OCD) and managing intrusive thoughts, especially those related to self-harm or suicidal ideation, can be a challenging journey. It's important to understand that you are not alone in this struggle, and there are effective treatments available. Let's address your questions and provide some insights into managing your condition.

1. Will OCD get better?
Yes, OCD can improve significantly with appropriate treatment. Many individuals with OCD find relief through a combination of cognitive-behavioral therapy (CBT), particularly exposure and response prevention (ERP), and medication. While it may take time and persistence, many people experience a reduction in symptoms and an improved quality of life.

2. Are the medications prescribed for OCD?
The medications you mentioned, such as "健得靜" (likely a form of fluoxetine or similar SSRIs) and "健復" (possibly another SSRI or related medication), are commonly used to treat OCD. SSRIs work by increasing serotonin levels in the brain, which can help alleviate the symptoms of OCD. It's essential to follow your doctor's guidance regarding these medications and discuss any concerns you may have about side effects or dependency.

3. Am I really experiencing OCD?
Based on your description, it sounds like you are experiencing symptoms consistent with OCD, particularly intrusive thoughts and compulsive behaviors aimed at reducing anxiety. However, a thorough evaluation by a mental health professional is necessary for an accurate diagnosis. They can help differentiate between OCD and other conditions that may present similar symptoms.

4. What methods can help?
- Cognitive-Behavioral Therapy (CBT): This is the most effective form of therapy for OCD. It involves identifying and challenging irrational thoughts and gradually exposing yourself to the sources of your anxiety while refraining from engaging in compulsive behaviors.

- Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help manage anxiety and intrusive thoughts.

- Support Groups: Connecting with others who understand what you're going through can provide comfort and practical advice. Consider joining an OCD support group, either in-person or online.

5. How long will it last?
The duration of OCD symptoms varies from person to person. Some individuals may experience symptoms for a few months, while others may struggle for years. With treatment, many people see significant improvement within a few months, but ongoing management may be necessary.

6. Is it normal to feel mentally fatigued?
Yes, experiencing mental fatigue is common among individuals with OCD. The constant battle against intrusive thoughts can be exhausting. It's crucial to practice self-care, take breaks, and engage in activities that bring you joy and relaxation.

7. What should I do when I have suicidal thoughts or feel uncomfortable?
If you are experiencing suicidal thoughts, it is vital to seek immediate help. Contact a mental health professional, call a crisis hotline, or go to the nearest emergency room. You deserve support and assistance during these difficult times. It's essential to communicate openly with your healthcare provider about these feelings so they can adjust your treatment plan accordingly.

In conclusion, overcoming OCD and managing intrusive thoughts is a process that requires patience, support, and effective treatment. It's commendable that you've taken the step to seek help and share your experiences. Remember that recovery is possible, and with the right resources and support, you can find relief from the burdens of OCD. Always prioritize your mental health and reach out for help when needed.

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