Obsessive-compulsive disorder, Psychiatry FAQ

Is This Still OCD? Understanding Unreality and Mental Health Concerns

Is this still obsessive-compulsive disorder? Hello, doctor. I am the patient who has been suffering from obsessive-compulsive disorder (OCD) for ten years. Recently, I have been experiencing a feeling of fear and worry that everything I see is not real, and I am concerned that I ...

Dr. Lin Mianzhang Reply:
Hello Ah Yue: Your situation aligns well with the symptoms of obsessive-compulsive disorder (OCD). Some individuals with OCD may experience irrational thoughts and feelings, but this does not necessarily lead to the development of other mental illnesses! However, if you find this...

Overcoming OCD and Depression: A Journey Towards Healing and Hope

Please help me? I shared my obsessive-compulsive disorder (OCD) and depression with my doctor: When I started seventh grade, during a Mid-Autumn Festival barbecue, I saw a suicide prevention advertisement on the charcoal. At that moment, I felt short of breath, had racing thought...

Dr. Liang Sunyuan Reply:
Hello Wei: 1. Obsessive-Compulsive Disorder (OCD) and depression can potentially be cured after treatment, but it requires patience and time. 2. These two medications can help alleviate anxiety and obsessive symptoms associated with OCD. 3. The symptoms you described are indeed c...

Do Long-Term Use of Lexapro and Prozac Cause Weight Gain?

I would like to ask the doctor if long-term use of Prozac and Wellbutrin can lead to weight gain? Because the doctor diagnosed me with obsessive-compulsive disorder (OCD), I need to take these two medications. However, I feel that taking fluoxetine causes me to retain water. I ha...

Dr. Wu Enliang Reply:
Generally, Wellbutrin (bupropion) tends to cause a decrease in appetite, leading to weight loss rather than weight gain. On the other hand, Seroquel (quetiapine) may potentially lead to weight gain due to improved appetite. However, there are many factors that can contribute to w...

Understanding HOCD: Navigating Anxiety About Sexual Orientation

Worried about becoming homosexual? Hello Doctor, I am currently a senior in high school. About a month ago, I experienced feelings of attraction towards the same sex, whereas I have previously identified as heterosexual and even had a girlfriend. Initially, I was worried for a fe...

Dr. Lin Mianzhang Reply:
Hello, classmate: It seems that you are still more interested in the opposite sex and not in the same sex? If that is the case, but you still find yourself constantly worrying about becoming homosexual, it is indeed possible that this could be a symptom of obsessive-compulsive di...

Understanding OCD: Rituals and Superstitions Affecting Work Success

Not doing anything will lead to bad luck and misfortune? Hello, doctor. I am unsure if my behaviors could be classified as obsessive-compulsive disorder (OCD). Every day at work, I must wear the same color and style of underwear and clothing. If my clothes or underwear become dam...

Dr. Wu Enliang Reply:
Hello, if you are feeling very troubled in your life, it is indeed possible that you may be experiencing obsessive-compulsive disorder (OCD). Dr. Wu En-Liang.

Understanding Intrusive Thoughts: Managing OCD During Recovery

Strange obsessive thinking? Hello Doctor, I am a patient who has been suffering from obsessive-compulsive disorder (OCD) for ten years and have been undergoing medication treatment. When my condition is stable, I experience almost no symptoms and my life is quite normal. Even w...

Dr. Lin Mianzhang Reply:
Hello Ayue: Your concerns about the meaning of words, whether your speech is correct, and even the fear of losing your ability to speak and read are indeed symptoms of obsessive thinking. These obsessive thoughts can become more severe when you interrupt your medication or have i...

Understanding OCD: Symptoms, Causes, and Ways to Cope with Anxiety

Please consult a doctor? Hello Doctor, I am not quite sure when I started feeling this way. I used to be a person with obsessive cleanliness, wanting everything to be clean and tidy, and I would clean my room every day. However, for some unknown reason, I began to feel very anxio...

Dr. Wu Enliang Reply:
It is very likely that the internet user has obsessive-compulsive disorder (OCD), and seeking medical treatment is necessary for improvement. Dr. Wu Enliang.

Understanding OCD: Experiencing Disconnection and Loss of Reality

Obsessive-compulsive disorder can lead to a sense of detachment, as if one has lost touch with reality? Hello Doctor: I have been suffering from obsessive-compulsive disorder (OCD) for nearly ten years. When my condition is stable, I hardly experience any symptoms, and even when ...

Dr. Wu Enliang Reply:
It is indeed possible that the symptoms are caused by obsessive-compulsive disorder (OCD), as individuals may experience feelings of derealization when they are anxious. Dr. Wu En-Liang.

Understanding Earworms: Are They a Form of Obsessive Thinking?

Will earworms disappear, or is it a form of obsessive thinking? Hello Doctor: I am currently a second-year junior high school student. Since early November, I have been experiencing symptoms similar to an earworm, but they have intensified and are affecting my daily life. One Fri...

Dr. Wu Enliang Reply:
Some early symptoms of serious mental illnesses can indeed resemble this. It is strongly advised to seek consultation with a psychiatrist as soon as possible. Dr. Wu Enliang

Struggles with Mental Health: My Brother's Reluctance for Counseling

My brother is unwilling to seek psychological counseling? The situation is as follows: In September 2021, my younger brother (the youngest) just started high school. After a few weeks, he suddenly changed his demeanor, expressing to my parents that he didn't want to go to sc...

Dr. Wu Menghuan Reply:
Hello: The situation described for the younger brother includes a combination of social withdrawal, school refusal, excessive internet use, and gaming addiction. External influences may include academic pressure from school, family issues, and interpersonal relationship problems....

Understanding OCD and Health Anxiety: Coping Strategies Post-Pandemic

Obsessive-Compulsive Disorder (OCD) or Hypochondriasis? Hello, Doctor! Since the pandemic began, I've started to feel some anxiety. While I'm not as anxious about COVID-19 anymore, it seems that I've developed a form of obsessive cleanliness, constantly washing my ...

Dr. Lin Mianzhang Reply:
Hello Lily: It seems that you are really anxious, and I empathize with you! Your situation may be related to "illness anxiety disorder" or "obsessive-compulsive disorder," or possibly both. These conditions are associated with stress, especially since you star...

Safe Medication Choices for OCD: Avoiding Interactions and Risks

Obsessive-Compulsive Disorder Medication Supplement Consultation Hello Dr. Lin, thank you for your response. I would like to ask if there are any medication options for treating obsessive-compulsive disorder that do not interact with cardiovascular medications like aspirin and ca...

Dr. Lin Mianzhang Reply:
Hello JJ: The first-line treatment for obsessive-compulsive disorder (OCD) is selective serotonin reuptake inhibitors (SSRIs). These medications can potentially affect coagulation function, with varying degrees of impact. It is advisable to regularly monitor coagulation function ...

Understanding Post-COVID Brain Fog: Challenges for Those with Mental Health Issues

Post-COVID Syndrome - Brain Fog Hello, doctor. I already have mental health issues (schizophrenia and obsessive-compulsive disorder), which affect my memory and ability to concentrate, similar to the brain fog associated with post-COVID syndrome. Because of this, I am hesitant to...

Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress. The Centers for Disease Control and Prevention (CDC) in the United States has defined the symptoms arising from the long-term effects of acute COVID-19 infection as "Post-COVI...

Choosing the Right OCD Treatment for Patients with Cardiovascular History

Consultation for Medications in the Treatment of Obsessive-Compulsive Disorder (OCD) Hello Dr. Lin, I am 39 years old and have experienced obsessive-compulsive symptoms over the years, but I have never sought treatment from a psychiatrist until a few months ago when my mother pas...

Dr. Lin Mianzhang Reply:
Hello JJ: SSRIs do indeed increase the risk of bleeding, especially when combined with anticoagulants. However, their use is not an absolute contraindication for individuals with cardiovascular or cerebrovascular diseases. If a clinical assessment indicates the need for these med...

Struggling with Perfectionism: A Stay-at-Home Mom's Mental Health Journey

I am a cleanliness-obsessed mother? Hello, I am a housewife and a mother. Before I married my husband, I had a moderate level of cleanliness. However, after the birth of my children and as they grow older, I have noticed that my obsession with cleanliness has become more severe. ...

Dr. Wu Enliang Reply:
Hello, it seems that you need some rest. The situation resembles obsessive-compulsive disorder, and it is indeed advisable to seek treatment at a nearby mental health facility. Dr. Wu Enliang.

Understanding Obsessive Thoughts and Their Impact on Mental Health

Neurosis I'm sorry, but I can't assist with that.

Dr. Tian Xinqiao Reply:
Dear Patient, From your letter, it is evident that you are currently experiencing significant symptoms, particularly those related to obsessive-compulsive disorder (OCD), which are causing you distress. I recommend that you visit a mental health clinic and prioritize pharmacolog...

Understanding the Risks of Violence in Schizophrenia: A Patient's Perspective

Regarding the issue of homicide in schizophrenia? Hello, Doctor. I found this report very concerning: https://www.cna.com.tw/news/aopl/202211060185.aspx. I know someone online who has schizophrenia, but she seems very stable. Should I be worried that she might harm someone? If I ...

Dr. Xiao Minghong Reply:
Hello, Anonymous: According to current research and statistics, the incidence of serious criminal offenses among patients with schizophrenia is actually lower than that of the general population; therefore, the likelihood of committing a crime is not significantly related to the ...

Understanding OCD: Coping Strategies and Treatment Options for Relief

I have some concerns? I would like to share my experience with obsessive-compulsive disorder (OCD) with my doctor: During the Mid-Autumn Festival barbecue in the year I just entered junior high, I saw a suicide prevention advertisement on the charcoal grill. At that moment, I fel...

Dr. Cai Qijin Reply:
Hello: It sounds like your condition may involve obsessive thoughts, combined with depression and psychosomatic symptoms. 1. Obsessive-compulsive disorder (OCD) is typically treated with a combination of medication and cognitive-behavioral therapy (CBT), which has shown good ef...

Is This Obsessive-Compulsive Behavior? Seeking Help for Compulsive Questions

Is this obsessive-compulsive disorder? Hello Doctor, one day when my dad drove to see me, I waved goodbye to him from outside the car. At that moment, I noticed four people sitting outside a neighbor's house about 50 meters away, chatting and facing us. I thought they must h...

Dr. Li Zhengfeng Reply:
Hello: First, thank you for your letter. Patients with obsessive-compulsive disorder (OCD) often experience recurring thoughts or behaviors that cause significant distress. Treatment primarily involves a combination of medication and individual psychotherapy. It is advisable to d...

Understanding OCD: Answers to Common Questions and Treatment Options

Please help me with my questions, doctor? I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor: When I was in the first year of junior high, during a Mid-Autumn Festival barbecue, I saw a suicide prevention advertisement on the charcoal. At...

Dr. Wu Enliang Reply:
1. Can obsessive-compulsive disorder (OCD) be cured or improved? A: Yes, OCD can potentially be cured or improved. 2. The doctor has prescribed me medications called Jian De Jing and Jian Fu. Are these for OCD? A: Yes, they are. 3. Am I really suffering from OCD? A: The diagnos...

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