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.[Read More] Understanding OCD: Experiencing Disconnection and Loss of Reality
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...[Read More] Choosing the Right OCD Treatment for Patients with Cardiovascular History
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...[Read More] Understanding Obsessive Thoughts and Their Impact on Mental Health
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...[Read More] Understanding OCD: Coping Strategies and Treatment Options for Relief
Understanding OCD: Questions and Insights for Effective Treatment
Please ask your questions, and I will do my best to assist you? I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor: When I started seventh grade during the Mid-Autumn Festival barbecue, I saw a suicide prevention advertisement on the char...
Dr. Liang Sunyuan Reply:
Hello, Xiao Wei: The symptoms you described are indeed consistent with obsessive-compulsive disorder (OCD). Both pharmacotherapy and cognitive-behavioral therapy (CBT) can be effective in treating OCD. If you start treatment in August, it may take up to two months to fully realiz...[Read More] Understanding OCD: Questions and Insights for Effective Treatment
How to Manage Intrusive Thoughts in OCD: Effective Strategies
Coping with Obsessive-Compulsive Disorder (OCD) When experiencing obsessive thoughts, it can be challenging to manage or stop them, especially when they cause significant distress. Here are some strategies that may help: 1. **Mindfulness and Grounding Techniques**: Practice mind...
Dr. Lin Mianzhang Reply:
Hello Miss Lin: Obsessive thoughts can indeed be very bothersome, and it’s clear that you are struggling with them and trying hard to suppress them. However, when you attempt to suppress such thoughts, it often has the opposite effect. The more you focus on them, the greater thei...[Read More] How to Manage Intrusive Thoughts in OCD: Effective Strategies
Understanding OCD: Seeking Help and Finding Hope for Recovery
What is going on? I would like to share my experience with obsessive-compulsive disorder (OCD) with the doctor. During my first year of junior high, at a Mid-Autumn Festival barbecue, I saw an advertisement for suicide prevention. At that moment, I felt short of breath, had racin...
Dr. Lin Mianzhang Reply:
Hello Ah Wei: First of all, I want to say that you are really brave! You are willing to confront your discomfort and seek help. It seems that you have many sudden thoughts that make you uncomfortable, which may be referred to as "obsessive thoughts." If a doctor diagnos...[Read More] Understanding OCD: Seeking Help and Finding Hope for Recovery
Understanding Negative Thoughts: Are They Signs of Depression or Anxiety?
Negative thoughts Hello, Doctor. A few months ago, I visited a psychiatrist due to autonomic nervous system dysregulation. Recently, I've noticed that I have some negative thoughts, and at times, I even have thoughts of self-harm. However, I believe that I am not depressed; ...
Dr. Lin Mianzhang Reply:
Hello: It seems that you are experiencing some obsessive thoughts. If you do not have other symptoms of depression, such as low mood, loss of interest, insomnia or increased sleep, decreased or increased appetite, it may not reach the level of depression. However, whether it is d...[Read More] Understanding Negative Thoughts: Are They Signs of Depression or Anxiety?
Coping with Intrusive Thoughts: Understanding OCD and Its Effects
Obsessive-Compulsive Disorder (OCD) Issues If a patient suddenly experiences intrusive thoughts, such as saying disrespectful things about deities or the deceased, it's important to understand that these are often symptoms of obsessive-compulsive disorder (OCD). While these ...
Dr. Cai Qijin Reply:
Hello: Obsessive thoughts are not easily overcome by willpower. Even though one knows that negative events will not occur due to irrational thinking, it is difficult to stop the intrusive thoughts and worries. If this causes significant distress in daily life, it is advisable to ...[Read More] Coping with Intrusive Thoughts: Understanding OCD and Its Effects
Understanding Intrusive Thoughts: Navigating OCD and Sexual Anxiety in Young Adults
Strange and disturbing thoughts in the brain? Hello Doctor, I am 19 years old and I have been diagnosed with Obsessive-Compulsive Disorder (OCD). My symptoms first appeared when I was in the first year of junior high school, where I began to have irrational thoughts, such as imag...
Dr. Wu Enliang Reply:
Indeed, the symptoms described by netizens are characteristic of obsessive-compulsive disorder (OCD). The symptoms of OCD can fluctuate with life stressors. It is advisable to discuss with your physician whether to adjust your medication or to incorporate additional treatments su...[Read More] Understanding Intrusive Thoughts: Navigating OCD and Sexual Anxiety in Young Adults
Understanding Intrusive Thoughts: Coping with Anxiety and OCD Symptoms
Strange thoughts Hello, doctor. I'm sorry to bother you, but I would like to ask about something. I have experienced symptoms of obsessive thoughts since high school. I often find myself adding symptoms, such as shortness of breath, to things I enjoy because I fear losing th...
Dr. Wu Enliang Reply:
It indeed seems like a form of obsessive thinking. If it causes disruption in daily life, it is advisable to seek medical treatment. Dr. Wu En-liang.[Read More] Understanding Intrusive Thoughts: Coping with Anxiety and OCD Symptoms
Understanding OCD and People-Pleasing Personality Traits
Obsessive-Compulsive Disorder and People-Pleasing Personality? Hello, Doctor. 1. I often have obsessive thoughts about certain numbers (for example, I believe 8 represents good, so I feel compelled to reach that number, while 4 represents bad, and I try to avoid it). 2. I frequ...
Dr. Wu Enliang Reply:
It is indeed possible that the internet user may be experiencing obsessive-compulsive disorder (OCD), and it is advisable to seek consultation at a mental health facility. Dr. Wu En-liang.[Read More] Understanding OCD and People-Pleasing Personality Traits
Understanding SSRI Risks: Insights on Anxiety Treatment and Stroke
Questions related to SSRIs? Dear Dr. Lin, A few years ago, I sought treatment for anxiety and obsessive thoughts. Initially, I tried several medications, but eventually settled on taking Paroxetine HCl Hemihydrate 20mg, as prescribed, one tablet at bedtime. However, I often only...
Dr. Lin Mianzhang Reply:
Hi there! Regarding the article you mentioned that cites the study from JAMA Neurology, it can be found here: https://jamanetwork.com/journals/jamaneurology/fullarticle/2588683. Upon closer examination of that article, you will find that although SSRIs generally increase the risk...[Read More] Understanding SSRI Risks: Insights on Anxiety Treatment and Stroke
Managing OCD Symptoms During the Pandemic: Finding Balance in Hygiene
Obsessive-compulsive disorder (OCD) has worsened during the pandemic? Hello, I would like to ask a question about obsessive-compulsive disorder (OCD): I started seeing a doctor for OCD in October 2018, primarily with symptoms of fear of dirt. During this time, the doctor graduall...
Dr. Wang Yaoting Reply:
Hello: Obsessive-Compulsive Disorder (OCD) involves obsessions, which are intrusive thoughts, and compulsions, which are repetitive behaviors. There are many types of obsessive thoughts, and they can lead to significant anxiety. It's important not to dismiss medication; sero...[Read More] Managing OCD Symptoms During the Pandemic: Finding Balance in Hygiene
Understanding Intrusive Thoughts: Coping with Anxiety and OCD Symptoms
I previously asked (#178901) whether this can be considered "obsessive thinking" within the context of obsessive-compulsive disorder (OCD)? Hello, Doctor: Last semester, due to the stress of preparing for exams, I came across information online suggesting that masturbat...
Dr. Wang Yaoting Reply:
Hello: I apologize for the late response. The definition of obsessive thoughts in obsessive-compulsive disorder (OCD) refers to the presence of unwanted, repetitive thoughts, images, or impulses that a person experiences. For example, a persistent fear of dirtiness may lead to ir...[Read More] Understanding Intrusive Thoughts: Coping with Anxiety and OCD Symptoms
Concerns About Side Effects of Antidepressants: A Patient's Dilemma
Concern about the side effects of Prozac? Dear Dr. Wu, I am the individual who previously consulted you (case number 174365). As I mentioned last time, I have been suffering from obsessive-compulsive disorder (OCD) for seven years. In the first couple of years, I regularly took ...
Dr. Wu Enliang Reply:
Hello, netizen: 1. If taking Prozac causes emotional flatness or numbness, will it return to normal after stopping the medication? Is it possible that taking the medication changes me into a different person, and if I stop taking it, can I revert back? A: Clinically, I have no...[Read More] Concerns About Side Effects of Antidepressants: A Patient's Dilemma
Understanding Medication Dosage for OCD: Balancing Effects and Side Effects
Drug dosage Dr. Dai: Here's the situation. After taking the medication, I noticed some changes in myself. I am a repeat examinee with obsessive-compulsive disorder, and I take one tablet of Sertraline (Zoloft) daily. Before taking the medication: 1. When classmates would cha...
Dr. Dai Wanxiang Reply:
Hello: Based on your description, the feeling of decreased motivation after using medication for obsessive-compulsive disorder (OCD) suggests a therapeutic effect, as you have become less concerned about things that previously bothered you, and there is an improvement in ruminati...[Read More] Understanding Medication Dosage for OCD: Balancing Effects and Side Effects
Overcoming OCD: A Journey from Anxiety to Understanding
Obsessive-compulsive disorder (OCD) can feel very helpless? Hello, doctor. I apologize for the length of this message. I have been experiencing obsessive thoughts since high school (or even earlier). After resolving one issue, new obsessive thoughts tend to arise after a few days...
Dr. Lin Mianzhang Reply:
Hello Wenwen: Thank you for your hard work! Your situation appears to be symptomatic of obsessive-compulsive disorder (OCD). I'm curious about your reasons for initially choosing not to take medication. The best outcomes for OCD are typically achieved through a combination o...[Read More] Overcoming OCD: A Journey from Anxiety to Understanding
Uncontrollable Speech When Recalling Embarrassing Memories: A Psychiatric Perspective
When recalling embarrassing memories, one may involuntarily speak or make sounds? When I recall embarrassing memories or past mistakes, I find myself involuntarily speaking a series of phrases. Sometimes I repeat the apologies I made at the time of the incident, other times I utt...
Dr. Dai Wanxiang Reply:
Hello Sincere: Based on the symptoms you described, there are initially two possible interpretations. First, it resembles a phenomenon in children's cognitive development where they learn language through social activities. Children often repeat commands they receive (or the...[Read More] Uncontrollable Speech When Recalling Embarrassing Memories: A Psychiatric Perspective
Managing OCD and Panic Disorder: Seeking Help and Treatment Options
Obsessive-Compulsive Disorder (OCD) - Obsessive Thoughts Hello Doctor, I have been suffering from panic disorder for 21 years and have become accustomed to panic attacks. I previously saw a doctor for a year and took Lexapro, and after improving with medication and exercise, I st...
Dr. Wu Enliang Reply:
Hello, online user: It is recommended to see a psychiatrist or a psychosomatic specialist. The new generation of antidepressants is unlikely to cause urinary difficulties. If you prefer non-pharmacological methods, you can ask your doctor for a referral to a clinical psychologist...[Read More] Managing OCD and Panic Disorder: Seeking Help and Treatment Options