OCD: Symptoms, Concerns, and Seeking Help

What is obsessive-compulsive disorder (OCD)?

Doctor, I have noticed that since around August of this year, I have been feeling very sleepy easily.
Before this, I would inexplicably think of strange things in my mind, most of which are images of terrifying scenes from temple festivals that I saw when I was a child.
I have been trying very hard to suppress these frightening thoughts for several years now! However, over time, I have started to feel a sense of pressure in my brain! I can't quite describe this pressure...
it feels like something I can control...
but sometimes I can't...
What is going on?? Is this obsessive-compulsive disorder, or is there something abnormal in my brain that is causing my current situation??? I really want to find a proper opportunity to ask my family to take me to the hospital for a full health check-up...
but how should I bring it up...
After all, I am still considered young in the eyes of adults...
I can't just say things that adults might think are just me overthinking...

Yue Ying, 10~19 year old female. Ask Date: 2004/12/26

Dr. Song Chengxian reply Psychiatry

Based on your description, it is indeed a strange and uncomfortable experience that most people would feel.
However, it may not be necessary to undergo a "full-body health checkup" at this stage; you could first seek help from a psychiatrist or a psychosomatic clinic.
From what you've described, it is difficult to determine whether it is obsessive-compulsive disorder (OCD) or another issue.
If it is OCD, there is no need to worry too much, as a combination of medication and cognitive-behavioral therapy (CBT) often leads to satisfactory progress.
If you are concerned that your family may be unwilling to take you for treatment, you can be referred through your school's counseling center to the "Secondary School Psychological Counseling Service Center." This is a free consultation service available in most counties and cities, where specialized personnel will assess and provide counseling for you, and they can also assist you in communicating with your family about whether further medical treatment is necessary.
Wishing you all the best!

Reply Date: 2004/12/26

More Info

Understanding Obsessive-Compulsive Disorder (OCD) can be a complex journey, especially when intertwined with personal experiences and feelings of anxiety. Your description of the intrusive thoughts and the pressure you feel in your head suggests that you may be grappling with symptoms commonly associated with OCD. This disorder is characterized by persistent, unwanted thoughts (obsessions) that lead to repetitive behaviors or mental acts (compulsions) aimed at reducing the anxiety caused by these obsessions.

From what you've shared, it seems that you are experiencing distressing thoughts related to past traumatic experiences, which is not uncommon in individuals with OCD. The images of frightening scenes from your childhood that you are trying to suppress could be classified as obsessions. The pressure you feel in your head might be a manifestation of the anxiety that arises from these intrusive thoughts. It’s important to recognize that these experiences are not a reflection of your character or sanity; they are symptoms of a mental health condition that can be treated.

Your desire to seek help is a positive step. It’s understandable to feel hesitant about discussing your mental health with family members, especially if you fear they might dismiss your concerns. However, it’s crucial to communicate your feelings honestly. You might start by expressing that you’ve been feeling overwhelmed and that you believe a professional evaluation could provide clarity and support. You can frame it as a desire for overall well-being, which is a valid concern for anyone, regardless of age.

In terms of seeking medical help, a comprehensive evaluation by a mental health professional can provide you with a clearer understanding of your symptoms. They can help differentiate between OCD and other potential conditions, as well as rule out any neurological issues that might be causing your sensations of pressure. It’s essential to approach this with an open mind; mental health professionals are trained to handle such concerns sensitively and confidentially.

Cognitive Behavioral Therapy (CBT), particularly Exposure and Response Prevention (ERP), is one of the most effective treatments for OCD. This therapy involves gradually exposing you to the sources of your anxiety while helping you resist the urge to engage in compulsive behaviors. Additionally, medication, such as selective serotonin reuptake inhibitors (SSRIs), can be beneficial in managing OCD symptoms.

It’s also worth noting that the feelings of pressure and the struggle to control your thoughts can lead to increased anxiety, creating a cycle that can be hard to break. Practicing mindfulness and relaxation techniques may help alleviate some of this anxiety while you seek professional help. Engaging in activities that you enjoy and that promote relaxation can also be beneficial.

In conclusion, your experiences are valid, and seeking help is a courageous step. Remember, mental health is just as important as physical health, and addressing your concerns can lead to significant improvements in your quality of life. Don’t hesitate to reach out for support; you deserve to feel better and to understand what you’re going through.

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