Overcoming OCD and Depression: A Journey Towards Healing and Hope - Psychiatry

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Please help me?


I shared my obsessive-compulsive disorder (OCD) and depression with my doctor: When I started seventh grade, during a Mid-Autumn Festival barbecue, I saw a suicide prevention advertisement on the charcoal.
At that moment, I felt short of breath, had racing thoughts, 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 (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, fortunately 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, so I didn't seek a doctor.
However, by August, it had worsened to the point that I finally saw a doctor.
After two consultations, I was diagnosed with "OCD and depression." 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.
But 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.
I feel like I'm struggling with myself, afraid of my own fear.
1.
Can OCD and depression be cured?
2.
The doctor has prescribed me medications named 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 had symptoms for over a year)?
6.
Is it normal to feel fatigued in willpower?
7.
What should I do when I have suicidal thoughts and feel uncomfortable?

Wei, 10~19 year old female. Ask Date: 2023/02/17

Dr. Liang Sunyuan reply Psychiatry


Hello Wei: 1.
Obsessive-Compulsive Disorder (OCD) and depression can potentially be cured after treatment, but it requires patience and time.
2.
These two medications can help alleviate anxiety and obsessive symptoms associated with OCD.
3.
The symptoms you described are indeed common in OCD.
4.
Trust your physician and cooperate fully with them; redirect your attention to activities that you enjoy.
5.
Chronic obsessive symptoms may last more than two years, but with proper treatment, improvement is still possible.
6.
Spending a lot of mental energy fighting obsessive thoughts can be exhausting and often leads to fatigue.
7.
Leave uncomfortable situations, redirect your attention, and talk to friends and family to keep them company.
If the thoughts remain intense, it is advisable to seek medical assistance.

Reply Date: 2023/02/17

More Info


Overcoming Obsessive-Compulsive Disorder (OCD) and Depression: A Journey Towards Healing and Hope
Your journey through OCD and depression is a challenging one, and it's commendable that you've taken the brave step to share your experiences and seek help. Let's address your questions and concerns one by one.

1. Can OCD and Depression be Cured?
Both OCD and depression are treatable conditions. While they may not be "cured" in the traditional sense, many individuals experience significant improvement in their symptoms through a combination of therapy and medication. Cognitive Behavioral Therapy (CBT), particularly Exposure and Response Prevention (ERP), is highly effective for OCD. For depression, therapy combined with antidepressants can lead to substantial relief. The key is persistence and finding the right treatment plan that works for you.

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" (which may refer to a different class of medication), are commonly prescribed for both OCD and depression. SSRIs are often the first line of treatment for OCD, as they help to balance serotonin levels in the brain, which can alleviate symptoms of both conditions.

3. Am I Really Suffering from OCD?
Your experiences, including intrusive thoughts about self-harm and compulsive behaviors (like the urge to handle sharp objects), align with symptoms of OCD. It's important to remember that OCD often involves a cycle of obsessions (intrusive thoughts) and compulsions (ritualistic behaviors to relieve anxiety). A mental health professional can provide a definitive diagnosis, but your self-awareness and acknowledgment of these patterns are significant first steps.

4. What Methods Can Help?
In addition to medication, consider engaging in therapy, particularly CBT. Mindfulness practices, such as meditation and deep breathing exercises, can also help manage anxiety. Establishing a routine that includes physical activity, healthy eating, and sufficient sleep can improve your overall well-being. Support groups, whether in-person or online, can provide a sense of community and understanding.

5. How Long Will Symptoms Last?
The duration of symptoms varies widely among individuals. Some may see improvement within weeks, while others may take months or even years to feel significant relief. The important thing is to stay committed to your treatment plan and communicate openly with your healthcare provider about your progress and any concerns.

6. Is It Normal to Feel Mentally Exhausted?
Yes, experiencing mental fatigue is common among those dealing with OCD and depression. The constant battle with intrusive thoughts and the emotional toll of depression can be draining. It's essential to practice self-care and allow yourself time to rest and recharge. Engaging in enjoyable activities, even when you don't feel like it, can help combat fatigue.

7. What Should I Do When I Have Suicidal Thoughts?
If you ever feel overwhelmed by suicidal thoughts, it's crucial to seek immediate help. Reach out to a trusted friend, family member, or mental health professional. If you're in crisis, contact a local crisis hotline or emergency services. Remember, you are not alone, and there are people who want to help you through this difficult time.

In conclusion, your journey towards healing from OCD and depression is a process that requires patience, support, and active engagement in your treatment. It's essential to communicate openly with your healthcare providers and loved ones about your feelings and experiences. Recovery is possible, and with the right tools and support, you can find hope and healing.

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