Overcoming OCD: A Journey Through Anxiety and Seeking Help - Psychiatry

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Please, doctor, help me?


I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor: When I started seventh grade during the Mid-Autumn Festival barbecue, I saw a suicide prevention advertisement on the charcoal grill.
At that moment, I felt breathless, my mind was racing, I felt like there was something in my throat, and I had a heavy feeling in my chest, with only the thought of "suicide" in my mind.
I thought it would pass quickly, but it only got worse (at that time, I didn't know why I was afraid to tell my parents).
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 the urge to drink alcohol, which almost led me to end my life (this means 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, so I 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 have visited a temple, but I feel uncomfortable all day and want to escape the pain.
It feels like my brain is telling me 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.
Can OCD be cured?
2.
The doctor has currently prescribed me medications called Jian De Jing and Jian Fu.
Are these specifically for OCD?
3.
Am I really experiencing 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 willpower fatigue?
7.
What should I do when I have suicidal thoughts and feel uncomfortable?

Xiao Wei, 10~19 year old female. Ask Date: 2022/10/06

Dr. Yu Quanxun reply Psychiatry


Hello: It sounds like these intermittent physical discomforts and troubling thoughts are causing you significant anxiety, distress, struggle, and fatigue, which may have impacted your quality of life.
It is commendable that you are willing to actively seek help for these conditions that are affecting your mental and physical well-being and that you want to better understand your situation.
Throughout the often bumpy journey of treatment, many people feel uneasy about the direction of their therapy and the doctor-patient interaction, and may even feel anxious about how to initiate discussions with their physician regarding these concerns.
However, having open discussions with your treating physician, maintaining a stable therapeutic relationship, and adhering to the medication regimen as assessed by your physician have always been fundamental aspects of mental health care.
Due to privacy concerns on online platforms, the diversity of mental health issues, and the broad range of considerations, it is difficult to address all the questions you have raised; we appreciate your understanding.
If your situation poses a risk to your safety, it is advisable to discuss hospitalization with your treating physician.
Yuli Hospital cares about you.

Reply Date: 2022/10/06

More Info


Overcoming Obsessive-Compulsive Disorder (OCD) is a challenging journey, but it is important to know that recovery is possible. Your experience reflects the struggles many individuals face when dealing with OCD and anxiety. Let's address your questions one by one, while also providing some additional insights into OCD and its treatment.

1. Will OCD heal?
OCD can be managed effectively with the right treatment. Many individuals experience significant improvement or even complete remission of symptoms through a combination of therapy and medication. Cognitive Behavioral Therapy (CBT), particularly Exposure and Response Prevention (ERP), is considered the gold standard for treating OCD. This therapy helps individuals confront their fears in a controlled manner and gradually reduce their compulsive behaviors.

2. Are the medications prescribed targeting OCD?
The medications you mentioned, such as "健得靜" (likely a form of selective serotonin reuptake inhibitor or SSRI) and "健復" (possibly another medication for anxiety or depression), are commonly used to treat OCD. SSRIs are effective in increasing serotonin levels in the brain, which can help alleviate OCD symptoms. It’s essential to discuss with your doctor how these medications work and their potential side effects.

3. Am I really experiencing OCD?
Your symptoms, including intrusive thoughts about self-harm and compulsive behaviors related to those thoughts, are indicative of OCD. However, a formal diagnosis should be made by a qualified mental health professional. They will consider your symptoms, their impact on your daily life, and any co-occurring conditions.

4. What methods can help?
In addition to medication, several strategies can aid in managing OCD:
- Therapy: Engaging in CBT, especially ERP, can help you confront your fears and reduce compulsive behaviors.

- Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, yoga, and deep breathing exercises can help reduce anxiety and improve emotional regulation.

- Support Groups: Connecting with others who understand your struggles can provide emotional support and practical coping strategies.

- Journaling: Writing about your thoughts and feelings can help you process your emotions and identify triggers.

5. How long will it last?
The duration of OCD symptoms varies from person to person. With appropriate treatment, many individuals see improvement within a few months. However, some may experience symptoms for years. It’s crucial to remain patient and committed to your treatment plan.

6. Is it normal to feel mentally fatigued?
Yes, experiencing mental fatigue is common among individuals with OCD. The constant battle with intrusive thoughts and the effort to resist compulsions can be exhausting. It’s important to practice self-care and allow yourself time to rest and recharge.

7. What should I do when I have suicidal thoughts or feel uncomfortable?
If you are experiencing suicidal thoughts, it is crucial to seek immediate help. Contact a mental health professional, call a crisis hotline, or go to the nearest emergency room. It’s important to talk about these feelings with someone who can provide support and guidance. Remember, you are not alone, and there are people who want to help you through this.

In conclusion, while the journey through OCD can be daunting, it is essential to remain hopeful and proactive in seeking treatment. With the right support and strategies, you can work towards overcoming the challenges posed by OCD and reclaiming a fulfilling life. Always remember that reaching out for help is a sign of strength, and there are resources available to assist you on your path to recovery.

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