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Symptoms and treatment of Obsessive Compulsive Disorder - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   I constantly keep getting unwanted thoughts about a guy I havent seen in years and no matter how many times i try to forget about him he doesnt leave my mind. it makes me feel like I have no control in my life and i even struggle to walk down the street worried ill see him and was too upset to go into a building to get something i wanted because i worried id bump into him.
paradoxically, I feel angry I will not go out with this person or there is no relationship going on. I am annoyed hes rejected me and feel that hes let me down. I build up in my mind some relationship is going on and will happen (even though i know its unreal - I dont want the pretent relationship going on in my head) and i feel extremely disappointed inside there is nothing happen between us.
Also, back in 2005 I had a psychotic episode and I had strong symptoms of erotomania/ de clerambault syndrome
I believed this guy was in love with me. I thought he was so on love with me he was going to kill himself over me and that I had to save him. then I went to hospital and was diagnosed with psychosis. when I contacted him online despite how many times he told me they didnt fancy my I wudnt believe what he was saying.
The guy was annoyed with me but he forgave me (i think likely because I forgave him for bullying me in school).
This makes it harder for me to move in with my life because ive labelled myself a stalker and struggle to forgive myself.
Im not deluded anymore as im away he isn’t in love with me even though i still live in false hope id be with him one day.
I really want to see this guy again, but at the same time too scared to see him. One time he walked past me and looked at me for a long time but i went into a state of shock and blocked him out. I think I upset him by ignoring him, as he responded upset in the past if i ever rejected him. (which led to him bullying me in
User :   school).
I always go into complete shock every time i see him and don’t know the best way to behave when im round him which can be manageable for both of us.
I always keep thinking bout how to behave if we do bump into each other, but i always go into shock if we do. In the past he was interested in me but because i had difficulties trusting him his interest in me vanished. I look back and get angry because i keep thinking bout how things shudve been in the past.
I do feel really angry and upset because its like this is taking over my life and i cry in bed at times because i just want the pain to go away. I hope some1 can please tell me whats going on here and maybe it could be OCD but i don’t know. I want to forget about this bloke but nothing I can do stops it.
Ps I also have aspergers syndrome
Doctor :   Hi
Doctor :   Let me read what you have typed.
User :   sorry there is a lot of information there
User :   ok
Doctor :   May i know your age?
User :   23
Doctor :   Since how long do you know this guy?
User :   since i was about 14
User :   same form as him in school
Doctor :   Ok
Doctor :   First of all you have to be determined that you have to move on in life and not just think about him.
User :   ok
Doctor :   He is not the only one in this life.
User :   yes
Doctor :   Start thinking and enjoying those things which you are fond of.
User :   yes
Doctor :   Spend your time more with friends and family who will always be there to support you.
User :   ive not got a lot of friends, and dont take to family much bout these things
User :   i also dont want to think bout this guy
User :   but its like hes always there
User :   i hate it
Doctor :   This is the age when you should have fun and be happy and not just be busy thinking about him.
Doctor :   Only your self determination can lead to this.
Doctor :   1)Daily practice Yoga or meditation.
Doctor :   2)Exercise regularly
Doctor :   3)Indulge in activities like listening music, watching movie or swimming
Doctor :   4)Go for a outing with your friends
User :   yes i do try some of those things
Doctor :   Take Vitamin B12 daily for few months.
User :   what does that do
Doctor :   You need to open your mind and speak to your friends
User :   i will
Doctor :   It helps in maintaining natural metabolism
User :   ok
Doctor :   You definitely can meet a counselor who can talk to you face to face.
User :   yes i might do that
User :   im hoping to get CBT
User :   because i believe i might have ocd
Doctor :   While sitting in front of you she can observe you and also give some therapies
Doctor :   That might be of great help
User :   yes, i think so
User :   do u know how cbt works?
Doctor :   Do you mean Cognitive behavioral therapy?
User :   yes
Doctor :   Ok
Doctor :   CBT) is a psychotherapeutic approach that aims to solve problems concerning dysfunctional emotions, behaviors and cognitions through a goal-oriented, systematic procedure.
Doctor :   Treatment is often manualized, with specific technique-driven brief, direct, and time-limited treatments for specific psychological disorders.
User :   so it doesnt just help obsessive compulsive disorder?
User :   other things too?
Doctor :   Yes
User :   like sexual anorexia?
Doctor :   Yes
User :   if i have ocd, why do i get unwanted thoughts?
Doctor :   Sometimes OCD does have unwanted thoughts?
User :   why does ocd cause people to have unwanted thoughts
Doctor :   OCD is an anxiety disorder and manifests like this.
User :   does the anxiety cause the thoughts or the thoughts cause the anxiety, or is it not known?
Doctor :   A typical person with OCD performs tasks, or compulsions, to seek relief from obsession-related anxiety. Within and among individuals, the initial obsessions, or intrusive thoughts, can vary in their clarity and vividness and may be interrelated.
User :   do you think its possible i could have ocd as i keep trying to avoid this bloke to deal with my anxiety
Doctor :   It can be commented after your proper examination only. Since i am not examining you it cannot be said.
User :   ok
Doctor :   But the symptoms what you have explained indicate that you need a counselling
Doctor :   That will help you
Doctor :   All the Best
User :   I did see a counsellor
Doctor :   Ok
Doctor :   Then
User :   but i think cbt may help
User :   but thanks
Doctor :   Yes it will
Doctor :   Thanks fo5r consulting
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