OCD: Signs, Symptoms, and What to Do Next

Obsessive-Compulsive Disorder (OCD) issues?

Hello doctor, I feel like I have obsessive-compulsive disorder because sometimes I force myself to do strange movements, or I shout randomly; otherwise, I feel a pressure building up inside me that is very painful.
Is this OCD? What should I do?

Tai Quan Shou, 10~19 year old female. Ask Date: 2015/08/07

Dr. Wang Chongren reply Psychiatry

You should avoid making your own diagnosis.
If these behaviors are clearly related to your stress, it is recommended that you first consult the Tainan City Health Bureau Community Mental Health Center by phone (TEL: 06-3352982 or 6377232).
If the issues continue to trouble you, it is advisable to seek an evaluation at a child and adolescent mental health clinic (such as at Cheng Kung University Hospital).

Reply Date: 2015/08/07

More Info

Obsessive-Compulsive Disorder (OCD) is a mental health condition characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) that an individual feels driven to perform in response to the obsessions. Your description of feeling compelled to perform certain actions and experiencing distress when you do not can indeed be indicative of OCD. However, diagnosing OCD requires a comprehensive evaluation by a qualified mental health professional.

Signs and Symptoms of OCD
1. Obsessions: These are intrusive thoughts, images, or urges that cause significant anxiety or distress. Common obsessions include fears of contamination, fears of harming oneself or others, or fears of making a mistake.

2. Compulsions: These are repetitive behaviors or mental acts that a person feels compelled to perform in response to an obsession or according to rigid rules. Examples include excessive hand washing, checking locks repeatedly, or counting.

3. Distress: The obsessions and compulsions can lead to significant distress and impairment in daily functioning. Individuals may recognize that their thoughts and behaviors are irrational, but they feel unable to control them.

What to Do Next
If you suspect that you have OCD, here are some steps you can take:
1. Seek Professional Help: The first and most crucial step is to consult with a mental health professional, such as a psychologist or psychiatrist. They can provide a proper diagnosis and tailor a treatment plan to your specific needs.

2. Cognitive Behavioral Therapy (CBT): One of the most effective treatments for OCD is a specific type of CBT called Exposure and Response Prevention (ERP). This therapy involves gradual exposure to the feared thoughts or situations while learning to resist the compulsive behaviors.

3. Medication: In some cases, medications such as selective serotonin reuptake inhibitors (SSRIs) can be prescribed to help manage symptoms. These medications can help reduce the intensity of obsessions and compulsions.

4. Support Groups: Connecting with others who have OCD can provide emotional support and practical advice. Support groups can be found online or in local communities.

5. Self-Help Strategies: While professional treatment is essential, there are self-help strategies that can complement your treatment. These include mindfulness practices, stress management techniques, and maintaining a healthy lifestyle through regular exercise and a balanced diet.

6. Educate Yourself: Understanding OCD can empower you to manage your symptoms better. There are many resources available, including books, websites, and organizations dedicated to OCD awareness and support.

Conclusion
Your experiences of feeling compelled to perform certain actions and the distress that follows are significant indicators that you may be dealing with OCD. It is essential to take these feelings seriously and seek help from a qualified mental health professional. They can provide you with the tools and strategies needed to manage your symptoms effectively. Remember, you are not alone, and with the right support and treatment, it is possible to lead a fulfilling life despite OCD.

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