Obsessive-compulsive disorder, Psychiatry FAQ - Page 16

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Understanding Intrusive Thoughts and Compulsive Promises in Mental Health

Daydreaming and making promises? Hello, doctor. I am turning 18 this year. For the past few years, I have often found myself overthinking. In the past, my thoughts would change quickly, but for the last two years, I find myself fixating on certain thoughts. I often make vows to t...


Dr. Ding Shuyan Reply:
Hello, I have read your concerns and troubles, and I truly feel saddened and empathetic. You are still young and have been bearing these burdens alone for so many years, and perhaps you have never sought help from anyone! Since we are communicating online and not face-to-face, it...

[Read More] Understanding Intrusive Thoughts and Compulsive Promises in Mental Health


Understanding Paranoia: Insights and Strategies for Family Support

Delusional disorder and others? Hello Dr. Ding, my brother started experiencing paranoid delusions about two years ago. Initially, he often suspected relatives of speaking ill of him behind his back and believed that certain specific family members looked down on him and slandere...


Dr. Ding Shuyan Reply:
Hello, if you are experiencing paranoid delusions, medication may be particularly important for improvement, especially in the early stages of treatment. Therefore, ensuring adherence to the medication regimen is the most crucial factor for the success of treatment. The lack of i...

[Read More] Understanding Paranoia: Insights and Strategies for Family Support


Is It OCD? Understanding Bathing Rituals and Hoarding Behavior

Could it be obsessive-compulsive disorder (OCD)? Hello Doctor: I would like to ask if not showering for half a month but taking over two hours for each shower, along with the excessive collection of old newspapers that are not being read, could be considered a symptom of obsessiv...


Dr. Ding Shuyan Reply:
Hello, the symptoms described in your question do not clearly indicate obsessive-compulsive disorder (OCD). Some cases of schizophrenia may also present similarly! I personally recommend that you consult a psychiatrist or a psychosomatic specialist, as it seems to exceed what is ...

[Read More] Is It OCD? Understanding Bathing Rituals and Hoarding Behavior


Overcoming OCD: Managing Fear of Toilets and Compulsive Behaviors

Obsessive-Compulsive Disorder (OCD) with a focus on cleanliness? I developed obsessive-compulsive disorder (OCD) in high school, which made me afraid to use public restrooms and fearful of toilets. I also have a habit of counting and worrying about unfinished tasks, constantly re...


Dr. Liang Sunyuan Reply:
Hello, regarding obsessive thoughts and compulsive behaviors, treatment with medication for a period of time usually leads to a certain degree of improvement. If combined with cognitive behavioral therapy, the results are often even better. I suggest that you first list five conc...

[Read More] Overcoming OCD: Managing Fear of Toilets and Compulsive Behaviors


Overcoming Obsessive Cleanliness: Coping with Fear of Contamination

I'm worried about getting dirty..? Hello Doctor: I am extremely afraid of dirt and even more terrified of homeless people on the street. Just brushing against them or walking on the path they have taken makes me feel dirty. I constantly wash my hands, take showers, and wipe ...


Dr. Ding Shuyan Reply:
Hello, compared to behavioral therapy for obsessive-compulsive disorder (OCD), medication often leads to faster improvement. However, the effects of medication may not be immediately apparent within one or two months, and the dosage may need to be gradually increased to a moderat...

[Read More] Overcoming Obsessive Cleanliness: Coping with Fear of Contamination


Overcoming Intrusive Thoughts: A Journey Through Mental Health Challenges

Obsessive thinking The situation is as follows: I am 26 years old and serving as a diplomatic substitute abroad. I took English classes with a local teacher who used agricultural pesticides with food-grade utensils. I was horrified and kept checking whether her kitchen utensils w...


Dr. Ding Shuyan Reply:
Hello, the characteristic of obsessive thinking is that it tends to self-reinforce. When we notice this thought in that moment, before we attach any value judgment of good or bad, there is actually no fear associated with it. It is only when we have a fleeting thought that this i...

[Read More] Overcoming Intrusive Thoughts: A Journey Through Mental Health Challenges


Is It Laziness or a Mental Health Issue? Understanding Behavioral Changes

Is it laziness or a mental illness? Hello Doctor: My brother is currently 40 years old and has been living at home without working since he was discharged from the military (he is physically capable). He spent seven years in a vocational school but did not graduate. His teachers ...


Dr. Zhang Zhehong Reply:
Based on your description of your brother's psychiatric symptoms, please contact a hospital or community health nurse as soon as possible to arrange for a home assessment. Wishing you the best of luck.

[Read More] Is It Laziness or a Mental Health Issue? Understanding Behavioral Changes


Understanding Obsessive Thoughts: Coping with Music Distractions During Exams

Obsessive thinking (musical melodies) Hello, doctor. I am a student preparing for a major exam. My sleep schedule has often been irregular, and recently, while studying, I have been experiencing persistent intrusive thoughts of music, often accompanied by sounds from TV shows. Th...


Dr. Liang Sunyuan Reply:
Hello, based on your description, the melodies that appear in your mind are causing you distress, especially during exam preparation. It is difficult to control the emergence of these melodies; however, we can train our attitude towards them once they occur. It is advisable to ac...

[Read More] Understanding Obsessive Thoughts: Coping with Music Distractions During Exams


Understanding Your Child's Unusual Behaviors: A Guide for Parents

The child's condition is unusual? Hello Doctor, my daughter is in second grade this year, but she seems to be exhibiting several issues since the beginning of the school year. 1. She has no sense of time or responsibility; no matter how rushed the situation is, she remains...


Dr. Liang Sunyuan Reply:
Hello, based on your description, she seems to exhibit some symptoms of obsessive-compulsive disorder (OCD), needing to engage in various ritualistic behaviors to alleviate her internal anxiety. Even though her worries are clearly irrational, she is unable to control or be persua...

[Read More] Understanding Your Child's Unusual Behaviors: A Guide for Parents


Supporting a Family Member with OCD: Strategies for Caregivers

If a family member has obsessive-compulsive disorder (OCD), how can the family assist her? Hello Dr. Ding, 1. My sister is a patient with obsessive-compulsive disorder (OCD) and has been seeing a doctor for quite a long time. Although she is still undergoing treatment, she has s...


Dr. Ding Shuyan Reply:
Hello, the treatment for obsessive-compulsive disorder (OCD) indeed requires time and patience. Not only may the medication need to be taken at higher doses, but it is also quite common for a patient to switch to a different medication if the first one is ineffective. The medicat...

[Read More] Supporting a Family Member with OCD: Strategies for Caregivers


Understanding My Mental Health: Seeking Help for Anxiety and Panic Symptoms

I'm sorry, but I need more context or specific symptoms to provide an accurate translation or response? Hello, I am 19 years old and have been experiencing pain in my left ear for several years. I had a history of otitis media in childhood, so I went for an examination and u...


Dr. Liang Sunyuan Reply:
Hello: Based on your detailed description, it is very likely that your condition is a symptom of panic disorder, as your symptoms have already affected you. It is recommended that you visit a psychiatric outpatient clinic, as most treatments for this condition tend to be effectiv...

[Read More] Understanding My Mental Health: Seeking Help for Anxiety and Panic Symptoms


Overcoming Relationship Barriers: Navigating Love, Self-Confidence, and Mental Health

Relationship difficulties At my age, I have never been in a relationship; I really want to date and eventually get married and have children because I love kids. However, I lack confidence in myself and in the men in society. I am short and overweight, but I don't want to at...


Dr. Huang Weiqin Reply:
Dear Inquirer, Hello! Based on your description, it seems that you lack confidence in yourself and potential partners. Since you are a student, I recommend that if your school schedule permits, you consider visiting the counseling center to engage in self-development and self-af...

[Read More] Overcoming Relationship Barriers: Navigating Love, Self-Confidence, and Mental Health


Navigating Mental Health, Relationships, and Sexuality Challenges

Regarding career and gender issues? Hello, doctor. I haven't taken medication for my psychiatric condition (I have obsessive-compulsive disorder) for over a year. My mother insists that I should take it, but I absolutely refuse. I don't understand why I have such diffic...


Dr. Qiu Junda Reply:
Hello: Issues related to career and relationships can inevitably cause anxiety and distress, and it seems that this has been ongoing for some time. Here are a few suggestions: 1. Seek out friends with whom you can share your troubles (providing an outlet for emotional expression)...

[Read More] Navigating Mental Health, Relationships, and Sexuality Challenges


Effective Strategies to Distract from Health Anxiety in Dental Concerns

Are there effective methods for distraction in managing health anxiety? Around May, after breaking a tooth, I discovered multiple cavities and developed the habit of using a mirror to examine my mouth. I found several cavities on my own and went to see a dentist, who confirmed th...


Dr. Wu Enliang Reply:
If an expert examination reveals no issues but you continue to worry, it may be a sign of obsessive-compulsive disorder or health anxiety. You might need medication or psychotherapy, so it is advisable to consult a psychiatrist.

[Read More] Effective Strategies to Distract from Health Anxiety in Dental Concerns


Understanding Unusual Behaviors: Is It OCD or Something Else?

What exactly is this disease? My boyfriend's family has a mother who talks to herself. I've observed her in the kitchen, where she mutters and curses at the walls and laughs at the air, which I find quite frightening. Today, I heard her cursing, and she said, "You ...


Dr. Xiao Minghong Reply:
Hello Ms. Chen, Based on the behaviors exhibited by your boyfriend's mother, she seems to display signs of soliloquy, rigidity, and inflexibility, as well as an early retirement and possibly inadequate ability to perform household tasks. These behaviors differ from typical ...

[Read More] Understanding Unusual Behaviors: Is It OCD or Something Else?


Navigating Relationships and Anxiety: A Journey Through Mental Health

Fear of wanting a relationship? Hello, doctor! I have seen a psychiatrist before; I visited a few times in middle school but stopped later because both my family and I learned that taking medication wasn't effective. At that time, I would ask strange questions, like whether ...


Dr. Ding Shuyan Reply:
Hello, having a sex drive is a very natural thing. From a medical perspective, masturbation is not inherently good or bad; it is a common way for many people to relieve sexual tension. Honestly, as long as you are in a private space and it does not affect others, there is no imme...

[Read More] Navigating Relationships and Anxiety: A Journey Through Mental Health


Understanding 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 sho...


Dr. Wang Chongren Reply:
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, i...

[Read More] Understanding OCD: Signs, Symptoms, and What to Do Next


Understanding Morning Thoughts: Are They Intrusive Thoughts?

Waking up in the morning? Waking up in the morning with thoughts and images appearing in your mind could be related to a phenomenon known as "intrusive thoughts."


Dr. Zhang Zhehong Reply:
Thought insertion refers to the experience of feeling that one's thoughts are being invaded or inserted by external sources. If the thoughts, images, or memories are one's own, they do not qualify as thought insertion. When one's own thoughts or images persistently...

[Read More] Understanding Morning Thoughts: Are They Intrusive Thoughts?


Overcoming the Fear of Illness: Understanding Anxiety and Health Concerns

Excessive fear of illness? Hello, Dr. Ding. Yesterday, while walking on the street, I saw something that looked a bit like a sanitary pad with some reddish substance that resembled blood. I’m not sure if I stepped on it, but I’m very afraid that I might contract HIV, even though ...


Dr. Ding Shuyan Reply:
Hello, as you mentioned in your inquiry, rational thinking cannot quell obsessive thoughts; the underlying causes are likely deeper issues. Factors such as physical constitution, personality traits, and life events all play a role. In facing such situations, if the symptoms are p...

[Read More] Overcoming the Fear of Illness: Understanding Anxiety and Health Concerns


Feeling Increasingly Isolated: Navigating Mental Health Challenges

Feeling increasingly lonely? The workplace environment is quite cold among colleagues, and a former classmate once mentioned that if one still feels interpersonal issues after changing to a new work environment, it might be worth considering whether the problem lies within onesel...


Dr. Ding Shuyan Reply:
Hello, the situation you are facing is something many people with depression have experienced. Negative thinking, uncontrollable intrusive thoughts, lack of self-confidence, social withdrawal, and so on. These symptoms can be very distressing and feel endless. However, I want to ...

[Read More] Feeling Increasingly Isolated: Navigating Mental Health Challenges


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