OCD, Depression, and Panic Disorder: A Personal Journey - Psychiatry

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Hello, doctor: I'm here again, and I apologize for that.
(1) Actually, I have obsessive-compulsive disorder, depression, and panic disorder.
Regarding my depression, it started many years ago when I worked as a server.
My boss maliciously refused to pay me (I wasn't the only one), and when I approached him for my wages, he verbally abused me terribly.
Additionally, during my time there, my supervisor and the kitchen staff constantly pressured me; to put it bluntly, I worked at a "black market" restaurant! This led to my depression.
After I left the job, some time later, my mother (while she was still alive) went to confront him alone to collect my wages and almost became a victim of his sexual assault! However, years later, I learned that many others encountered the same situation—unable to receive their wages, and the boss disappeared! Logically, I should have moved on (except for the disrespect towards my mother), since I did receive some money, and the situation wasn't that dire.
My depression should have improved, so why am I still unwell? I also admit that my main issue is the obsessive-compulsive disorder that troubles me...
it is quite severe! I'm unsure if my depression still exists.
Moreover, even if I reported my boss to the police, it would be difficult to take action against him; he has significant power behind him! (2) After my mother passed away, I still find it hard to forget her.
I even dream about her, crying terribly and trying to find ways to raise money to save her with strangers! Every day, I feel like I'm in deep distress...

A Yao, 20~29 year old female. Ask Date: 2008/10/07

Dr. Su Zongwei reply Psychiatry


Many times, although stress is temporary, it can evolve into conditions such as obsessive-compulsive disorder or depression that definitely require treatment.
Sometimes, even when the stress has dissipated, the illness does not improve, indicating that there are underlying physiological issues that have not been resolved.
This means that while stress may trigger the illness, its removal does not necessarily lead to improvement; medication assistance is still needed.
It is important to see a doctor and receive proper treatment.
Fortunately, these stressors are now in the past, and looking forward, a better world unfolds in the future.

Reply Date: 2008/10/07

More Info


Your journey through OCD, depression, and panic disorder is both complex and deeply personal. It’s important to acknowledge the profound impact that traumatic experiences, such as the workplace abuse you faced, can have on mental health. The feelings of helplessness and despair that arise from such situations can lead to long-lasting psychological effects, including the development of conditions like depression and OCD.


Understanding Your Conditions
1. Obsessive-Compulsive Disorder (OCD): OCD is characterized by intrusive thoughts (obsessions) that lead to repetitive behaviors (compulsions). These compulsions are often performed to alleviate the anxiety caused by the obsessions. Your acknowledgment of OCD as a significant source of distress is crucial. It’s essential to understand that OCD can be a chronic condition, and while it can be managed with therapy and medication, it often requires ongoing treatment and support.

2. Depression: Your experience with depression, particularly stemming from the traumatic work environment and the loss of your mother, is understandable. Depression can manifest in various ways, including persistent sadness, loss of interest in activities, and difficulty concentrating. The fact that you continue to feel the weight of your mother’s passing indicates that grief can intertwine with depression, complicating the healing process. It’s important to allow yourself to grieve and to seek support during this time.

3. Panic Disorder: Panic disorder involves recurrent, unexpected panic attacks and a persistent fear of future attacks. The stressors you’ve faced, including workplace trauma and personal loss, can trigger anxiety and panic symptoms. Recognizing these triggers is a vital step in managing panic disorder.


The Impact of Trauma
The trauma you experienced at your workplace, compounded by your mother’s tragic passing, can create a cycle of anxiety and depression. It’s not uncommon for individuals who have faced significant trauma to struggle with feelings of anger, betrayal, and unresolved grief. The fact that you still dream about your mother and feel intense emotions related to her loss suggests that this grief is still very much alive in your psyche.


Moving Forward
1. Therapeutic Support: Engaging with a mental health professional who specializes in trauma-informed care can be beneficial. Cognitive Behavioral Therapy (CBT) is particularly effective for OCD and depression, as it helps individuals challenge and change unhelpful thought patterns and behaviors. Additionally, therapies like Eye Movement Desensitization and Reprocessing (EMDR) can be effective for processing trauma.

2. Medication: If you haven’t already, discussing medication options with a psychiatrist may be worthwhile. Selective Serotonin Reuptake Inhibitors (SSRIs) are commonly prescribed for both OCD and depression, and they can help alleviate symptoms. However, it’s essential to work closely with your doctor to find the right medication that minimizes side effects while effectively managing your symptoms.

3. Support Groups: Connecting with others who have similar experiences can provide a sense of community and understanding. Support groups for OCD, depression, and grief can be incredibly validating and helpful.

4. Self-Care Practices: Incorporating self-care routines into your daily life can help manage symptoms. This might include mindfulness practices, regular physical activity, and engaging in hobbies that bring you joy. Journaling about your feelings can also be a therapeutic outlet.

5. Grief Counseling: Given the profound impact of your mother’s death, seeking grief counseling can help you process your loss. It’s important to allow yourself to feel and express your grief in a safe environment.


Conclusion
Your journey through OCD, depression, and panic disorder is a testament to your resilience in the face of adversity. While the path to healing may seem daunting, it is essential to remember that recovery is possible. By seeking appropriate support and treatment, you can begin to navigate your emotions and experiences more effectively. You are not alone in this journey, and there are resources and people ready to support you.

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