Obsessive thoughts, Psychiatry FAQ

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Understanding OCD Symptoms: Distinguishing Between Reality and Perception

Regarding this condition? Hello, doctor. I have a fear of HIV and I have been diagnosed with obsessive-compulsive disorder (OCD). I experience a situation where my skin feels like it has been pricked by a syringe, even though there is no physical injury. I start to believe that I...


Dr. Wu Menghuan Reply:
Hello: You mentioned how to distinguish whether something has actually pierced you or if it is an obsessive-compulsive episode. How can one determine if the perceived threat from obsessive thoughts is real? During such times, the best approach is to seek help from a mental health...

[Read More] Understanding OCD Symptoms: Distinguishing Between Reality and Perception


Understanding OCD Symptoms: Distinguishing Between Reality and Intrusive Thoughts

I'm sorry, but I need more context or specific content to translate. Please provide the text you would Hello, doctor. I have a fear of HIV and I have been diagnosed with obsessive-compulsive disorder (OCD). I have a situation where my skin feels like it has been pricked by a...


Dr. Wu Enliang Reply:
1. How can I distinguish between being genuinely pricked by something and experiencing a compulsive episode? A: Perhaps you can tell yourself that it is a compulsive episode and try to redirect that thought into something else. 2. I would like to ask, during other types of compu...

[Read More] Understanding OCD Symptoms: Distinguishing Between Reality and Intrusive Thoughts


Overcoming OCD: The Struggles of Compulsive Hand Washing

Obsessive-Compulsive Disorder (OCD) with compulsive handwashing? Hello doctor, my symptoms are that I feel extremely dirty when I come into contact with a male's genital area. If a colleague I dislike is talking to me and their genital area is touching the edge of the table,...


Dr. Lin Mianzhang Reply:
Hello Ace: You are exhibiting symptoms of obsessive-compulsive disorder (OCD), which include obsessive thoughts and compulsive behaviors. These symptoms require psychological therapy or combined pharmacological treatment for improvement. You might want to read a book titled "...

[Read More] Overcoming OCD: The Struggles of Compulsive Hand Washing


Understanding Obsessive Thoughts: Coping with Anxiety and Fear

I think I might have obsessive-compulsive disorder (OCD) with obsessive thoughts? Hello, doctor. I often find myself worrying about many things that may or may not happen. For example, recently I've been very anxious about someone breaking into my home, and I frequently chec...


Dr. Lin Mianzhang Reply:
Hello Xiaorong: It seems that you are experiencing symptoms of obsessive thinking, but whether it is obsessive-compulsive disorder (OCD) needs to be assessed in person by a physician. Since this situation has clearly affected your daily life, I recommend that you seek help from a...

[Read More] Understanding Obsessive Thoughts: Coping with Anxiety and Fear


Overcoming Intrusive Thoughts: Managing Anxiety About HIV and Infection Risks

Obsessive thinking Hello, doctor. I always worry and fear about contracting sexually transmitted diseases, especially HIV. Whenever I see blood or anything red, I become particularly anxious! About 3 to 4 years ago, I visited a psychiatrist who said I might be experiencing obsess...


Dr. Qiu Junda Reply:
Hello. Your condition still requires medical attention. Seeking medical care does not necessarily mean you need medication; sometimes, psychological therapy can be arranged. You can discuss this with your physician during your visit. If you still have concerns or find it inconven...

[Read More] Overcoming Intrusive Thoughts: Managing Anxiety About HIV and Infection Risks


Understanding Compulsive Anxiety: Medication, Symptoms, and Recovery

Medication-induced anxiety disorder Due to previous relationship issues, I experienced some sudden mental health problems and sought help from a psychiatrist. It seems I have symptoms of obsessive thinking and anxiety. For example, I would say some morally questionable things to ...


Dr. Lin Mianzhang Reply:
Hello Ms. Hsieh: It seems that you have recently started experiencing symptoms of anxiety and possible obsessive thoughts again. I recommend that you return for a follow-up appointment with your physician to discuss whether to continue medication or consider therapy as a treatmen...

[Read More] Understanding Compulsive Anxiety: Medication, Symptoms, and Recovery


Understanding Anxiety and Obsessive Thoughts: A Psychiatric Perspective

Anxiety, obsessive-compulsive, or personality issues? Hello Doctor: Due to some relationship issues, I experienced a sudden impact on my mental health, which led me to seek help from a psychiatrist. I was diagnosed with obsessive thoughts and anxiety symptoms. For example, I woul...


Dr. Qiu Junda Reply:
Hello. Whether it's anxiety, obsessive-compulsive symptoms, or personality issues, if they have caused physical and mental distress, it is advisable to seek medical attention. Your current situation does not appear to be severe at first glance, so you may try self-adjustment...

[Read More] Understanding Anxiety and Obsessive Thoughts: A Psychiatric Perspective


Understanding OCD: Seeking Help and Navigating Mental Health Concerns

Repeat examination? I am currently a student at one of the top three high schools in Taipei. In kindergarten, I experienced social anxiety and selective mutism, and my diagnosis certificate mentioned obsessive thoughts, but I haven't seen a doctor since elementary school. Si...


Dr. Qiu Junda Reply:
Hello. 1. Given the existing medical history and diagnosis, along with the current symptoms, it is important to continue seeking medical evaluation and treatment to facilitate improvement. 2. Obsessive-compulsive disorder (OCD) is classified as a neurotic disorder and not a psych...

[Read More] Understanding OCD: Seeking Help and Navigating Mental Health Concerns


Understanding OCD: Common Concerns and Treatment Insights for Students

Consultation on issues related to obsessive-compulsive disorder (OCD) patients? Hello Doctor, I am a diagnosed patient with Obsessive-Compulsive Disorder (OCD) and I am currently a university student. Six months ago, after experiencing a stressful event, my OCD symptoms flared u...


Dr. Lin Mianzhang Reply:
Hello Mr. J: 1. Obsessive-Compulsive Disorder (OCD) is not classified as a major illness, so you cannot apply for a major illness card. However, if the symptoms of OCD are severe enough to affect your functioning, you can apply for a disability certificate. The term "can&qu...

[Read More] Understanding OCD: Common Concerns and Treatment Insights for Students


Understanding OCD: When to Seek Help and Its Persistent Nature

Concerns about Obsessive-Compulsive Disorder (OCD) Hello, doctor. I have been suffering from obsessive-compulsive disorder (OCD) for many years. I would like to ask the following questions: 1. I still experience low-frequency obsessive thoughts or certain intrusive thoughts dail...


Dr. Wu Enliang Reply:
1. Currently, I still experience low-frequency intrusive thoughts or some cognitive patterns daily, although sometimes the frequency increases. The intrusive thoughts mainly revolve around past events, occasionally involving graphic or violent imagery. If these thoughts do not in...

[Read More] Understanding OCD: When to Seek Help and Its Persistent Nature


Distinguishing Between Obsessive Thoughts and Delusions: A Guide

How to distinguish between delusions and obsessive thoughts? How to stop worrying? Hello, doctor. I am the patient with obsessive-compulsive disorder who was very worried about having delusions or a mental illness a few days ago. I would like to ask you how to differentiate betwe...


Dr. Lin Mianzhang Reply:
Hello Ah Yue: This is a typical case of obsessive thinking, and just like other forms of obsessive thoughts, no matter how much reassurance others provide, you will still worry about "what if...". Therefore, the best approach is to redirect your attention and engage in ...

[Read More] Distinguishing Between Obsessive Thoughts and Delusions: A Guide


Understanding Intrusive Thoughts: OCD vs. Delusional Disorder

Obsessive thinking? Hello, Doctor. I am a patient diagnosed with obsessive-compulsive disorder (OCD) and have been suffering from it for ten years (I have previously consulted you online). Currently, my symptoms mainly manifest as obsessive thoughts, with very few compulsive beha...


Dr. Lin Mianzhang Reply:
Hello Ayue: Your thoughts are symptoms of obsessive-compulsive disorder, not delusional disorder. When such thoughts arise, you can try to redirect your attention and avoid dwelling on them, as continuing to think about them will only lead to increased discomfort and anxiety. How...

[Read More] Understanding Intrusive Thoughts: OCD vs. Delusional Disorder


Understanding Medication for Anxiety and OCD: Key Considerations

Medication consultation Hello Doctor, I have been experiencing symptoms of panic, anxiety, and obsessive thoughts for 20 years. I received treatment 10 years ago, during which the doctor prescribed Lexapro along with exercise. After about a year, I was able to work and socialize ...


Dr. Lin Mianzhang Reply:
Hello: This medication does not conflict with cold medications. Does the note on your prescription indicate that you have had an allergy to cold medications in the past? The first-line treatment for obsessive-compulsive disorder (OCD) is selective serotonin reuptake inhibitors (S...

[Read More] Understanding Medication for Anxiety and OCD: Key Considerations


Managing OCD: Concerns About Medication Withdrawal and Symptom Recurrence

Medication issues Hello Doctor: My psychiatrist prescribed me one tablet of Clomipramine and half a tablet of Sertraline to treat the symptoms of obsessive thoughts associated with obsessive-compulsive disorder (OCD). I would like to ask if the role of Sertraline is to assist Clo...


Dr. Yan Congyou Reply:
Hello, Ms. Hsieh; during the medication period, the physician will discuss your mental state with you and how to overcome previous symptoms. If necessary, they may also refer you to a psychologist for therapy. Under the premise of complementary care, if you persist, I believe you...

[Read More] Managing OCD: Concerns About Medication Withdrawal and Symptom Recurrence


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...

[Read More] Is This Still OCD? Understanding Unreality and Mental Health Concerns


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...

[Read More] Overcoming OCD and Depression: A Journey Towards Healing and Hope


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...

[Read More] Do Long-Term Use of Lexapro and Prozac Cause Weight Gain?


Managing Anxiety: Balancing Medication and Therapy for Recovery

Anxiety-related Hello, doctor. When I was in the ninth grade, I became anxious and started experiencing obsessive thoughts due to certain issues. I visited two psychiatric clinics during my first and second years of high school (both had follow-up visits, but they were not long-t...


Dr. Tang Jiahong Reply:
Hello. Of course, you can discuss dosage issues with your physician. If your condition is stable, the dosage usually will not be increased unless there are specific reasons. Regarding psychological testing, you might want to consider why you wish to cancel it. After all, it is ju...

[Read More] Managing Anxiety: Balancing Medication and Therapy for Recovery


Managing Anxiety: Medication Concerns and Lifestyle Adjustments

Anxiety disorder medications Hello Doctor, I visited two different psychiatric clinics during my first year of high school for obsessive thoughts and anxiety. However, I stopped taking the medication due to adverse effects on my body. During that time, I continued counseling thro...


Dr. Wu Kunhong Reply:
Dear netizen, it is commendable that you are actively addressing your illness with diligence, including medication management and psychological adjustment, as well as engaging in activities and interests as coping strategies. If you are considering discontinuing treatment, it is ...

[Read More] Managing Anxiety: Medication Concerns and Lifestyle Adjustments


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...

[Read More] Understanding Intrusive Thoughts: Managing OCD During Recovery


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