OCD: Seeking Help and Navigating Mental Health Concerns

Repeat examination?

I am currently a student at one of the top three high schools in Taipei.
In kindergarten, I experienced social anxiety and selective mutism, and my diagnosis certificate mentioned obsessive thoughts, but I haven't seen a doctor since elementary school.
Since the pandemic began, I used to spray alcohol frequently, but I no longer do that.
After entering junior high, I noticed that when I study, I tend to reread the same page about 15 times, and I don't know why.
During exams, I constantly check my answers, which often leads to not finishing on time; I think it's due to a fear of making careless mistakes.
After starting high school, I realized that sometimes I have thoughts about wanting to destroy things, like my dad's vase, but I know I shouldn't do that, so I fear that I might actually break it.
I want to know if I should see a doctor, how to bring this up with my parents, and whether having only an OCD diagnosis would affect my insurance.

Haha, 10~19 year old female. Ask Date: 2023/06/25

Dr. Qiu Junda reply Psychiatry

Hello.
1.
Given the existing medical history and diagnosis, along with the current symptoms, it is important to continue seeking medical evaluation and treatment to facilitate improvement.
2.
Obsessive-compulsive disorder (OCD) is classified as a neurotic disorder and not a psychotic disorder.
However, whether or not to underwrite will depend on the insurance company's decision.
Nevertheless, please prioritize seeking medical attention to address your physical and mental distress over insurance concerns.
Thank you.

Reply Date: 2023/06/25

More Info

It's commendable that you're seeking to understand your mental health concerns, particularly regarding obsessive-compulsive disorder (OCD). Based on your description, it seems you are experiencing symptoms that align with OCD, such as intrusive thoughts, compulsive behaviors, and anxiety related to your thoughts and actions.
OCD is characterized by unwanted and intrusive thoughts (obsessions) that lead to repetitive behaviors or mental acts (compulsions) aimed at reducing the anxiety associated with those thoughts. Your experiences of needing to repeatedly check your answers during exams, the urge to destroy objects, and the past behaviors related to alcohol sanitization during the pandemic are all indicative of the struggles that individuals with OCD often face.

Seeking Help
1. Professional Evaluation: It would be beneficial for you to consult a mental health professional, such as a psychologist or psychiatrist, who specializes in OCD. They can provide a comprehensive evaluation and help you understand the nature of your symptoms. Treatment options often include cognitive-behavioral therapy (CBT), particularly exposure and response prevention (ERP), which is effective for OCD. Medication, such as selective serotonin reuptake inhibitors (SSRIs), may also be prescribed to help manage symptoms.

2. Discussing with Parents: When it comes to talking to your parents about your concerns, it’s important to approach the conversation with honesty and clarity. You might say something like, "I've been feeling overwhelmed with certain thoughts and behaviors that I think might be related to OCD. I believe it would help me to talk to a professional about it." Emphasize that seeking help is a positive step towards improving your mental health and well-being.

3. Impact on Insurance: Regarding your concern about how a diagnosis of OCD might affect your insurance, it's essential to understand that mental health conditions are increasingly recognized and treated as legitimate health issues. While some insurance policies may have specific clauses regarding mental health diagnoses, many also provide coverage for treatment. It would be wise to check with your insurance provider for details on coverage for mental health services.

Coping Strategies
While waiting for professional help, there are some strategies you can employ to manage your symptoms:
- Mindfulness and Relaxation Techniques: Practicing mindfulness can help you become more aware of your thoughts and feelings without judgment. Techniques such as deep breathing, meditation, or yoga can reduce anxiety and improve your overall mental state.

- Journaling: Writing down your thoughts can provide an outlet for your feelings and help you identify patterns in your thinking. This can also be a useful tool to share with your therapist later.

- Limit Checking Behaviors: Gradually reduce the time spent on compulsive behaviors. For example, if you find yourself checking answers multiple times, set a limit for yourself and stick to it.

- Educate Yourself: Learning more about OCD can empower you and help you understand that you are not alone in your experiences. There are many resources available, including books, websites, and support groups.

Conclusion
It's important to remember that seeking help is a sign of strength, and addressing your mental health concerns early can lead to better outcomes. You are taking a significant step by recognizing your symptoms and seeking information. With the right support and treatment, you can learn to manage your OCD effectively and improve your quality of life. Don't hesitate to reach out for help; you deserve to feel better.

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