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Suggest treatment for anxiety and depression

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Posted on Mon, 28 Jul 2014
Question: Sir i am 21 years old and i just finished college a month back. I think i am suffering from homosexual ocd, i read about this on the internet. About 2 months ago a friend mentioned about another friend of his coming out as gay and another as a bisexual and then somethin triggered pf inside my head and started having these question whether i cpuld be gay and am i doing something which could make me gay possibly . And since then i have had these crippling thoughts suspecting myself whether i could be gay or not. Sometimes i feel extremely depressed and and then i start praying and i dont know what to think of myself. I really dont think i am gay i have never had any such thought or feeling in the paat which would
Make me feel so. But eveyday i go theough this battle in my head, reviewing past situations, talking to myself constantly, praying so that i stop thinking these things but these thoughts are not going away and i feel i am becoming worse by every passing day. Its like i am falling into depression because of this. I am scared of going out and facing people especially males, i fear something bad would happen and i have become very distrustful of strangers(males) and lately i have also had some disturbing dreams .. Sir i am not comfortable at all with the idea of being gay and i dont think i am and i am not able to live normally and happuly because of this life crippling thought, can you please help me ?
doctor
Answered by Dr. Ashish Mittal (12 hours later)
Brief Answer:
hi

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

Important aspects of your query are:
•     21 year old male
•     Duration of suffering 2 months
•     Complaints of: repeated thoughts of being homosexual, anxiety and depression.

Your main problem is having repeated thoughts of being XXXXXXX which triggered anxiety in you. You are right, these repeated thoughts occur in patient because of OCD. In OCD, nature of repeated thoughts differ patient to patient, in your case it is thought/fear of being homosexual.

I have many patient who have similar complaints like you. Although they know, that these thoughts are wrong and baseless, but in-spite of that thoughts intrude in their mind and make them anxious, like in your case. But good thing is, patients improved with treatment. OCD occurs due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter.

There is need for treatment, if symptoms cause significant personal distress or affect personal/professional life (like in your case). Both drug and non drug treatment like cognitive behaviour therapy (form of psychotherapy) are used for treatment. Choice of treatment depends on severity of symptoms, personal preference and availability of treatment.

In drug treatment of anxiety two types of medicine used. For immediate relief of anxiety benzodiazepines group of medicines (like clonazepam) are used for short duration (due to risk of dependence). For long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect, till that time benzodiazepines control the anxiety symptoms. All these medicines are prescription medicine and given after in person examination by psychiatrist.

So, do not worry. Meet psychiatrist for treatment. If you can come in XXXXXXX you can meet me personally for treatment. My website is 99doctor.com (for address related info).

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.
Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ashish Mittal (2 hours later)
Sir, is this only a creation of my mind or cpuld i be truly homosexual. I am extremely troubled with this thought and i dont know what to believe, i am losing belief in myself. I am not comfortable with the idea of becoming a homosexual at all and leading that kind of life. I face this battle everyday and things have become so bad that i dont know what to make of my feelings and inner voice, i am cery confused and depressed with this thought of feeling like i am a XXXXXXX person. What is the reality ?
doctor
Answered by Dr. Ashish Mittal (32 hours later)
Brief Answer:
hi

Detailed Answer:
Hello.
Thanks for follow up.

Your problem more likely obsessive thought as it is:
-You have it only in last few months.
-You don't have any history of homosexual behaviour in past.

My advice in primary reply will help you greatly. Just work on this.

All the best.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Ashish Mittal

Psychiatrist

Practicing since :2004

Answered : 1859 Questions

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Suggest treatment for anxiety and depression

Brief Answer: hi Detailed Answer: Hello, Thanks for your query. I appreciate your efforts for medical consultation in so much distress. Important aspects of your query are: • 21 year old male • Duration of suffering 2 months • Complaints of: repeated thoughts of being homosexual, anxiety and depression. Your main problem is having repeated thoughts of being XXXXXXX which triggered anxiety in you. You are right, these repeated thoughts occur in patient because of OCD. In OCD, nature of repeated thoughts differ patient to patient, in your case it is thought/fear of being homosexual. I have many patient who have similar complaints like you. Although they know, that these thoughts are wrong and baseless, but in-spite of that thoughts intrude in their mind and make them anxious, like in your case. But good thing is, patients improved with treatment. OCD occurs due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter. There is need for treatment, if symptoms cause significant personal distress or affect personal/professional life (like in your case). Both drug and non drug treatment like cognitive behaviour therapy (form of psychotherapy) are used for treatment. Choice of treatment depends on severity of symptoms, personal preference and availability of treatment. In drug treatment of anxiety two types of medicine used. For immediate relief of anxiety benzodiazepines group of medicines (like clonazepam) are used for short duration (due to risk of dependence). For long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect, till that time benzodiazepines control the anxiety symptoms. All these medicines are prescription medicine and given after in person examination by psychiatrist. So, do not worry. Meet psychiatrist for treatment. If you can come in XXXXXXX you can meet me personally for treatment. My website is 99doctor.com (for address related info). 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. Regards,