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Repetitive negative thinking, avoidance behavior and depression. How to come out of this?

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Practicing since : 2004
Answered : 1835 Questions
SIR PLEASE READ MY ALL INFORMATION: I was in 2nd year of BE and i was preparing that time for examination &that time my real brother was suffering from sever depression so that he had to left MBA course&he returned home,he was telling all about his deppresion& negative thoughts to me .so that time i was laughing at him & telling him this is all about how we think not any fault in brain ,so he refused me that u will understand when u wll get such deppresion ,at the same movement i got so feared &depressed & was getting -ve thoughts that whethet i wll go crazy ,i was getting feared of every things ie fear of pictures in TV ,fear of of songs ,fear of people ie feeling as if i was talking with some mad people ,fear of any object etc,in such situation i gave exam & after end of examtion there was holidays so i rested & all thoughts were vanished.
same picture again came back when next exam came closer ,i started felling whether i will get same -ve thoughts again .THAT time i was seeing TV serial in which girl fall in love to a person of his father age &same thought came in my mind that if this happens to me than what & next day i was feeling the same ie having so much attraction to any person ie even my dad,uncle etc& was unable to study.But after examination that thought too vanished.
Again in next semister i was preparing for exam & was thinking whether i will get that thought again & at that time i read a news in newspaper that a girl killed her parents for loveone&same day i had fought with my mom and had the thought that i will also kill my mom whom i loved the most & that thought became so strong that it was not allowing me to keep knife beside me as i was thinking that i kill with that knife if i loose my control.But after examination that thought also vanished completly .Today as i think about that thoght i laugh at myself.
Again when i was in final yr .in ur class there was a girl looking similar to boy &she was starring at girls and so we all friends were gossiping about her that is she a lesbin .Next day i got the thought that if such things happen in my case so every friends will gossipe about me also and from next day i got so feared that i was unable to do eye contact with my friends and even with family members ie mom anti etc with whom i was chating a lot.And it got so worsed that i was unable to talk with mens and boys too .When i see or talk with boys, mens i think my eyes are flattering and seeing sexual body parts .It is very difficult for me to do eye contact with mens and womens bz i think i am starring their body parts .Even the open neck portion of men and women disturb me while talking.Now i mostly say at home, i am not attending any parties nor weedings.First i took this thought causally,i thought after end of examition it will go like previous thoughts ,but these thoughts are not at all going from 1 yr .PLEASE help me out of this problem.I am not able to share this thoughta with anybody and now i think that nothing has left in my life bz i was so well mannered girl that everyone in our house use to say that her character is too good,but now i think that some body will gossipe about my character.PLEASE HELP ME PLEASE SIR..I dont want to die..

Posted Thu, 31 Oct 2013 in Sexual Problems
Answered by Dr. Ashish Mittal 1 hour later
Brief Answer:
Your condition is treatable.

Detailed Answer:
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.

Important aspects of your query are:
•     22 year old female
•      Family History of Depression
•     Complaints of: Repetitive negative thinking, avoidance behavior and depression.

Your repetitive fear related to self image/eyes and seeing sexual organs appears to obsessional thought. Your repetitive avoidance behavior appear to compulsive behaviour to decrease anxiety related to obsession. Obsession and compulsion are seen in OCD).

OCD is a type of anxiety disorder and frequently associated with like in your case.

Common symptoms of anxiety disorders: anxiety, nervousness, restlessness, mild irritability, excessive worry regarding own wellbeing, tremor, muscle spasm, heaviness in body, easy fatigability, palpitation, sleep difficulty and dry mouth. Many of your complaints may match with this.

Your problem occur around 4 % population. If Pune population is 10 Lakh, then around 0000 people having problem similar to you. You need not worry as very effective treatment is available for this condition and people become well after treatment. Same will happen in your case. Just stop worrying, stand and take step in the direction of treatment.

You need treatment from psychiatrist to treat your anxiety and fear. As you are already having history of depression then family members will be able to understand you and will help you in treatment seeking. As you are having multiple severe symptoms then combined treatment in form cognitive behaviour therapy and drug therapy will be best in your case.

You can XXXXXXX your existing family psychiatrist. As you are in Pune, you can also visit psychiatry department of Sassoon general hospital (near railway station) which have good team of psychiatrists.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Above answer was peer-reviewed by
Follow-up: Repetitive negative thinking, avoidance behavior and depression. How to come out of this? 9 hours later
Sir,is it necessary to consult a doctor for this cognitive behaviour therapy or can it be done by consulting you online?for how many days will i have to take drugs to cure this problem?as i am doin masters in engineering will these drugs affect my studies?is itneccessary to take complete rest leaving my studies or along with my studies i can take this treatment and live a normal life? please answer my above question as i want to start treatment immediately
Answered by Dr. Ashish Mittal 14 hours later
Brief Answer:
Inperson CBT is best.

Detailed Answer:
Hello again,
Thanks for follow up.

Considering severity of your symptoms combined treatment in form cognitive behavior therapy and drug therapy will be best in your case. These treatment take 4-6 week to show improvement on regular compliance. Your treatment duration will depend on treatment response. But at least 9 months treatment is needed.

Although there is many online forum for CBT on net, but in-person CBT is best. Medicines will not affect your studies, in fact these medicines will improve your academic performance by decreasing symptoms and distress. There is no need for rest and treatment can be continue with routine life.

Wish you good health.
Above answer was peer-reviewed by
Follow-up: Repetitive negative thinking, avoidance behavior and depression. How to come out of this? 8 minutes later
can u suggest good pyschatrist in pune for my condition and lastly thnx for such a good help ..
Answered by Dr. Ashish Mittal 24 minutes later
Brief Answer:
Psychiatrist who is near and known will be better.

Detailed Answer:

It is better to consult psychiatrist who is near and known. As you mention about history of psychological problems in family, you can take their help.

Or you can visit government institute (they provide free, unbiased and latest treatment) like: Psychiatry department of Sassoon general hospital (near railway station)

Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.

Wish you good health and future.
Above answer was peer-reviewed by
Follow-up: Repetitive negative thinking, avoidance behavior and depression. How to come out of this? 11 hours later
is this problem caused bcz of losesing 15 kg weigt just in 2 months? how to lose weight in my case as my weight is 60 presently?is exercise benefical in my case?and which type of exercise?can u give some diet tips for my problem?after taking medication it will cause me any problem in future as my family member are refusing me to take medication as i am a girl.
Answered by Dr. Ashish Mittal 11 hours later
Brief Answer:

Detailed Answer:

Usually person should loose 2-3 kg in a month. Fast weight loss may add stress but it will not cause your problem alone, it may increase severity of your problem, as you was having problem for long time.

In exercise aerobic exercise like brisk walk, dancing and jogging will be helpful. In diet avoid excessive sweet, fat and junk food. Include high fiber diet like fruits and salad in meals.

If your family members are not agree with medical treatment, you can start with CBT, or you can use our conversation to convince them.

Wish you good health and future.
Above answer was peer-reviewed by
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