Obsessive-Compulsive Symptoms and Their Impact on Work and Pregnancy - Psychiatry

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Could you please provide more details or specify your questions regarding neuroses?


Hello Doctor: I am a working woman involved in quality inspection and proofreading.
Recently, I have noticed that I repeatedly check the same area multiple times (at least three or four times), which not only wastes time but also decreases my work efficiency.
I have tried to force myself not to check repeatedly, but I find it very difficult, and I also experience some discomfort in my stomach.
I cannot control my urge to recheck.
Could these symptoms indicate that I have a neurosis? Would I need to take medication long-term? If I take medication, will it affect my future pregnancy? Please provide your insights.
Thank you!

judy, 30~39 year old female. Ask Date: 2004/03/07

Dr. Chen Wenyu reply Psychiatry


Hello Judy: Based on your description in the letter, the repetitive checking behavior you are experiencing is indeed affecting your work and daily life, which means it impacts your overall functioning.
Your diagnosis may be classified as "Obsessive-Compulsive Disorder" (OCD), and you will need the assistance of a psychiatrist for treatment.
Currently, medications for OCD, such as fluoxetine (Prozac), have no clinical evidence suggesting they cause harm to the mother or the fetus.
However, during pregnancy, it is advisable to minimize or discontinue their use whenever possible.
(Of course, if the OCD symptoms are significant, you should continue taking the medication.) Thank you for your letter!

Reply Date: 2004/03/07

More Info


Obsessive-Compulsive Disorder (OCD) is a mental health condition characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions) that individuals feel driven to perform. Your experience of repeatedly checking the same area multiple times during your work, despite knowing it is inefficient, suggests that you may be exhibiting symptoms consistent with OCD. This condition can significantly impact your daily life, work performance, and overall well-being, as you have described.

The compulsive behavior you are experiencing can lead to increased anxiety and discomfort, which may manifest physically, such as the stomach discomfort you mentioned. It is essential to recognize that OCD is a treatable condition. Treatment often includes cognitive-behavioral therapy (CBT), particularly exposure and response prevention (ERP), which helps individuals gradually face their fears and reduce compulsive behaviors. In some cases, medication, such as selective serotonin reuptake inhibitors (SSRIs), may also be prescribed to help manage symptoms.

Regarding your concerns about medication and pregnancy, it is crucial to discuss this with your healthcare provider. While some studies suggest that certain medications used to treat OCD do not pose significant risks to the fetus, it is always best to approach medication use during pregnancy with caution. If you are planning to conceive or are already pregnant, your doctor may recommend adjusting your treatment plan to minimize any potential risks while still effectively managing your OCD symptoms.
It's important to note that untreated OCD can also have implications for pregnancy. High levels of anxiety and stress can affect your overall health and well-being, which may indirectly impact your ability to conceive or carry a pregnancy to term. Therefore, finding a balance between managing your OCD symptoms and ensuring a healthy pregnancy is vital.

In addition to medication and therapy, consider incorporating stress-reduction techniques into your daily routine. Practices such as mindfulness, yoga, and regular physical activity can help alleviate anxiety and improve your overall mental health. Engaging in supportive social networks, whether through friends, family, or support groups, can also provide emotional support as you navigate your symptoms and any potential pregnancy.

In summary, your symptoms may indicate OCD, which can be effectively treated through therapy and, if necessary, medication. It is essential to consult with a mental health professional who can provide a comprehensive evaluation and develop a tailored treatment plan. If you are considering pregnancy, discussing your treatment options with your healthcare provider will help ensure both your mental health and the health of your future child are prioritized. Remember, seeking help is a sign of strength, and taking proactive steps toward managing your mental health can lead to a more fulfilling life and a healthier pregnancy.

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