OCD: Answers to Common Questions and Treatment Options

Please help me with my questions, doctor?

I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor: When I was in the first year of junior high, during a Mid-Autumn Festival barbecue, I saw a suicide prevention advertisement on the charcoal.
At that moment, I felt short of breath, 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 kitchen knife, I felt an urge to touch it, and I would automatically pick it up with my hand, fortunately without causing any injury.
I also felt an 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, so I didn't seek medical help.
Later, in August, my condition 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 treatment 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 have shortness of breath and chest tightness (but it happened about once a year and would pass in a day).
Since the Mid-Autumn Festival, it has become daily, along with suicidal thoughts, creating a feeling of struggling with myself, being afraid of being afraid.
1.
Can OCD be cured or improved?
2.
The doctor has currently prescribed me medications called Jian De Jing and Jian Fu.
Are these targeted for OCD?
3.
Am I really experiencing OCD?
4.
What methods can help?
5.
How long will this last (I have had 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?
8.
Is there a chance of relapse?

Dai Wei, 10~19 year old female. Ask Date: 2022/10/07

Dr. Wu Enliang reply Psychiatry

1.
Can obsessive-compulsive disorder (OCD) be cured or improved? A: Yes, OCD can potentially be cured or improved.

2.
The doctor has prescribed me medications called Jian De Jing and Jian Fu.
Are these for OCD? A: Yes, they are.

3.
Am I really suffering from OCD? A: The diagnosis should be discussed with your physician.

4.
What methods can help? A: Learn relaxation techniques, reduce life stress, seek help when needed, and collaborate with your physician.

5.
How long will it last (I have had symptoms for over a year)? A: It varies from person to person.

6.
Is it normal to feel mental fatigue? A: Yes, it is normal.

7.
What should I do if I have suicidal thoughts or feel uncomfortable? A: Talk to someone you trust or call the helpline at 1925.

8.
Will it relapse? A: Yes, OCD is indeed prone to relapse.
Dr.
Wu Enliang.

Reply Date: 2022/10/07

More Info

Obsessive-Compulsive Disorder (OCD) is a mental health condition characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) that individuals feel driven to perform. Your experience, as described, reflects common symptoms of OCD, including intrusive thoughts and compulsive behaviors aimed at reducing anxiety. Let's address your questions one by one.

1. Will OCD get better or heal?
Yes, OCD can improve significantly with appropriate treatment. Many individuals experience a reduction in symptoms over time, especially with a combination of cognitive-behavioral therapy (CBT), particularly exposure and response prevention (ERP), and medication. While some may achieve complete remission, others may find that symptoms become manageable with ongoing treatment.

2. Are the medications prescribed (健得靜, 健復) effective for OCD?
The medications you mentioned are likely selective serotonin reuptake inhibitors (SSRIs), which are commonly prescribed for OCD. SSRIs, such as fluoxetine (Prozac) and sertraline (Zoloft), have been shown to be effective in reducing OCD symptoms by increasing serotonin levels in the brain. It’s important to discuss any concerns about medication with your healthcare provider, as they can provide guidance tailored to your specific situation.

3. Am I really experiencing OCD?
Based on your description, it sounds like you are experiencing symptoms consistent with OCD. The intrusive thoughts about self-harm and the compulsive behaviors you described, such as feeling compelled to touch knives or drink alcohol, align with typical OCD patterns. A mental health professional can provide a formal diagnosis through a comprehensive evaluation.

4. What methods can help?
Treatment for OCD often includes:
- Cognitive-Behavioral Therapy (CBT): This is the most effective form of therapy for OCD, particularly ERP, which involves gradual exposure to feared thoughts or situations while refraining from compulsive behaviors.

- Medication: SSRIs are commonly used and can be effective in managing symptoms.

- Support Groups: Connecting with others who understand your experiences can provide comfort and strategies for coping.

- Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation can help reduce anxiety and improve emotional regulation.

5. How long will it last?
The duration of OCD symptoms varies widely among individuals. Some may experience symptoms for a few months, while others may struggle for years. With treatment, many people find that their symptoms decrease significantly over time. Early intervention often leads to better outcomes.

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 pressure to perform compulsive behaviors can be exhausting. It’s important to practice self-care and seek support when feeling overwhelmed.

7. What should I do if 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. Your safety is the top priority, and there are resources available to help you through this difficult time.

8. Will OCD relapse?
OCD can be a chronic condition, and while many individuals experience periods of remission, symptoms can return, especially during times of stress. Ongoing treatment and coping strategies can help manage symptoms and reduce the likelihood of relapse.

In summary, OCD is a treatable condition, and with the right combination of therapy and medication, many individuals can lead fulfilling lives. It’s essential to maintain open communication with your healthcare provider and to seek support from friends, family, or support groups. Remember, you are not alone in this journey, and help is available.

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