question-icon

Suggest treatment for obsessive compulsive disorder

default
Posted on Wed, 13 May 2015
Question: hello sir...
how you doing?
from 5 years ; a day i started to remember bad things happened to me in childhood and crying so much for two weeks then i used in my daydream not two weeks but from time to time to cry and imagine some one i trust and i love telling him bad things happened to me in my chidlhood ; things which i feel so upset from and cant tell in childhood
many things bad happened in my childhood like sexual abuse from my mothers' husband, my mother how she treats me bad and also she and her husband used me in their sexual life (i mean they tused me while having sex)and so many other things i cant talk about in truth and sometimes i imagine telling things didnt happened just to make the story drama and cry more

is this means i need to talk to someone i love about this things or iam drama person or i have a pyschiatrist disorder or even physological one ?
doctor
Answered by Dr. Chintan Solanki (1 hour later)
Brief Answer:
There is definitely need of consulting psychiatrist/psychologist

Detailed Answer:
Hi XXXX,

Thanks for writing to us.I am fine.

I read your query thoroughly and tried to understand your concern.

No one can suffer from such thoughts until he or she had undergone such circumstances. For evaluation of such problem detail history and mental status examination to be done by a psychiatrist/psychologist in personal.

Probably history from your parents are also needed.

It is absolutely not a drama. It may be some psychological problem.

I also need to know following points.

You mentioned your 'mother's husband', Whats does it mean? Is he not your real father?

If you are suffering from such problem since 5 years, have you not consulted any doctor or sought for help any way?

Also describe your family background.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (2 hours later)
no one can suffer from such thoughts until he or she had undergone such circumstances. i cant understand the english could u explain.i cant understand why you ask about mental status you may not understand the problem?? yes my mother husband...on friday my holiday usually not everyday i used to imagine in emotions someone i love telling him about my sexual abuse ans bad treat i got in my childhood who upsets me so much and crying not beliving he is in the room and not telling things didnt happen but in the end so less when i feel bored from the story but not always i imagine telling things not true and not believing in it .my mother husband a bedouin man abused me so roughly when i was 7years. he treats women in sexism and beats us. no mental or schzerphonia in my family but my mother from she got divorced from her husband she started to be angry woman and always complaining from sexism .i cant write more in foloow up answer me i will complete.iam drama i imagine love thriller and stories and i always imagine someone i love and tallk to about things upsets me. i asked a phystiastrist he told me you have depression and a fear from sexual abuse. i told him sometimes i got angry and upset when i rememeber the abuse and i imagine someone i love who i tell about this he told me you dont believe in this so its imaginary part...
doctor
Answered by Dr. Chintan Solanki (13 hours later)
Brief Answer:
your imaginations are based on your childhood past

Detailed Answer:
Hello XXXX,

Thanks for follow up and sorry for delayed response.

"no one can suffer from such thoughts until he or she had undergone such circumstances" meaning of this as follows. You sometime imagine that you are telling to someone you love about your past sexual suffering. This is possible only when you have suffered some abuse in childhood.Without such suffering you can not imagine such feelings.

For diagnosis of depression following symptoms should be present for more than 2 weeks continuously.

-Sad mood most of the time of the day

-Lack of interest in routine or other pleasurable activities

-Lack of sleep or appetite or more sleep and weight gain

- Feeling fatigue

- Hopelessness,worthlessness

- There is disturbance in routine social or occupational life

- Excessive guilt

- Death wishes or suicidal idea
For diagnosis detail history of symptoms,education, family background is needed. Mental status examination is detail psychological examination of person like physical examination. It helps in confirmation of diagnosis of a psychiatric problem.

From your narration it seems that you have lot of family issues,abuse and suffering. Currently your behavior and feeling to be inquired in detail to reach to some conclusion of your problem.

One possibility of masochism should be ruled out. In this person gets orgasm with painful feelings.

Other possibility is obsessive compulsive disorder.In wish rumination of same thoughts which are intrusive, irritating and bothering.
Co morbid depression can be there.

If I were your treating doctor I would like to go with psycho dynamic psychotherapy for treatment.

The best approach is to consult psychiatrist/psychologist who can understand your problem, give you sufficient time to diagnose your problem and counsel you.

Wish you early stability and good health.

Feel free to discuss further.

Take care XXXX

Http://bit.ly/drchintansolanki
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (6 hours later)
thank you so much .. i wouls ask questions1-what psycho dynamic therapy is?2- you didnt answer me why do i imagine someone talking to about my sexual abuse is because i need to talk with?3-why you talk about mental status is their any think serious? about masochism what painful feelings is?as i think i am not masochism ....i dont like to be treated harmfully or to be beated or violence but i enjoy little rough in emotions (while i feel he loves me not hates me or slur or violence)like in forplay i love the man to take me by force and i love the feeling iam enjoying and i want to moan and cant scape from moaning to him(or even force position i feel his strength not violence)(i mean by force little rape ; i mean by rape a positon i cant escape from him not violence )and this from time to time not always because im so emotionally and moody . and i didnt try virginal penetration but i got orgasm from rubbing even in my hand job while rubbing toys or my fingers.
doctor
Answered by Dr. Chintan Solanki (15 hours later)
Brief Answer:
psychodynamic therapy is there to treat unresolved conflicts

Detailed Answer:
Hello XXXX,

Thanks for writing back and sorry for delayed reply.

I am sorry to say that it is somewhat difficult for me to understand your English.But I am trying my best.

Ans -1
Psychodynamic psychotherapy is designed to help patients explore the full range of their emotions, including feelings they may not be aware of. By making the unconscious elements of their life a part of their present experience, psychodynamic therapy helps people understand how their behavior and mood are affected by unresolved issues and unconscious feelings.
In psychodynamic therapy, therapists help people review emotions, thoughts, early-life experiences, and beliefs to gain insight into their lives and their present-day problems and to evaluate the patterns they have developed over time. Recognizing recurring patterns helps people see the ways in which they avoid distress or develop defense mechanisms as a method of coping so that they can take steps to change those patterns.

Ans-2
By this question I understood that you sometime imagine that someone is talking about sexual abuse to you and you need to reply.
This is mostly due to your past experience and we can say they are obsessive thoughts or magical thinking likely.

Ans-3
I already mentioned that mental status examination is just only type of psychological examination which helps to check person's psychology and diagnose any psychiatric problem if it is there.

Ans -4
Masochism means the tendency to derive sexual gratification from one's own pain or humiliation. From your narration there is less likely possibility of masochism.Just for your information you can go through below mentioned link
http://www.minddisorders.com/Py-Z/Sexual-masochism.html

I again want to mention that your problem is not serious but proper diagnosis you need to consult psychologist/psychiatrist personally.

And yes one more thing if you know hindi/urdu you can write like this," Muje ye problem bhot salo se pareshan XXXXXXX rhi he, muje appki madad ki jarurat he" when you ask question next time on this site if you are not completely comfortable with English.

In future if you wish you can contact me directly on this site with this link: Http://bit.ly/drchintansolanki

Wish you good health.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (16 hours later)
my questiin two isnt likr this... not someone talking about sexual abuse sorry isnt like this.. i mean i talk with some and express my feelings and upset from the sexual abuse i got ... i thought its clear sorry. 2-what mental status examination?4_ is what i mentioned mosachism or not?
doctor
Answered by Dr. Chintan Solanki (9 hours later)
Brief Answer:
not masochism

Detailed Answer:
Dear XXXX,

Thanks for writing back.

If you upset with your talk of abuse to someone it is something like compulsion. Normally person does not want to talk about the things which he/she does not like and is upsetting. But you frequently do/imagine the same. This suggests possibility of obsessive compulsive disorder.

About mental status examination (MSE) I already mentioned. It is just a type of examination which helps in diagnosis of psychiatric disorder if it is there.

You can see basics of MSE in this link

http://en.wikipedia.org/wiki/Mental_status_examination


From available history it seems that you do not have masochism. I referred you a link in previous answer to check for yourself also.


Hope now you are clear about your all questions.




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (4 hours later)
i feel upset from talking to you iam sorry ... i explained to you from the beginning about my case and you not understand from the first message i told you i imagine a friend i talk to and express the things upset me like sexual abuse... not he talks witb me about sexual abuse or even i feel upset from talking with him i told you i talk about the things upset me but you sont understand i talk about my own the abuse i got not he talks about his abuse .... i should mentioned it in the last message i tolk about the abusr i got in chikdhood which upset me not he talks with me .... and i told you i express the things upset me from long time not i talk with him and feel upset mm you should read very carefully from the first you understood it wrong for so many!!! fist pshyocological problem why u didnt go to a dr??second u imagine a friend talking about abuse?third u talk about abuse and feel upsrt??? pls read carefully next time
doctor
Answered by Dr. Chintan Solanki (18 hours later)
Brief Answer:
I got your point now, sorry for misunderstanding

Detailed Answer:
Hi XXXX,

Thanks for clarification.Sorry for not being able to understand your answer clearly.

Actually grammatically your arrangement of words are different an various meanings can be concluded from the same.I read your all questions two times to reach to conclusion.

Now I understood completely. You have suffered sexual abuse in childhood. You are feeling discomfort and pain by remembering those thoughts. As there is no one to whom who can share your upsetting thought and feelings, you imagine some friend to whom you love and in imagination you express those painful feelings to your friend. Actually by this way you try to calm yourself from those thoughts subconsciously.
Hope I have understood right now.

This thing suggests that you are suffering from your past and likely depression is there.
You need counseling sessions to resolve these past conflicts. You can express your abuse to understanding therapist and you will feel relax.Therapist will guide you in right direction and help to resolve conflicts, guilt and sadness arising from past experience. After that you will not undergo such imaginations.

Psychodynamic therapy will really help a lot.

If your depressive features as I mentioned previously are there in significant degree, anti depressant medicines can help also.

Hope this answers your concern.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (3 days later)
thank you so much... iam sorry about my english language.. yes that what i mean maybe really i need to talk with a therapist... also not only sexual abuse...i got shocked in my age of 8 or 7(in two things i saw) when i saw my mother husband having sex with her and beating her with sadism and listening to her voice (not from my point of view i see him a bad man but true he has so many mental illness)... as i felt and thought "it was my first time to see woman treated like this...is it normal to treat my mother like this?" because before 6 in my childhood i used to be spoilt innocent and so feminine as lil XXXXXXX and my family even my uncles they treated me so fair...and i saw so fair treat from them to females as a civilian palastenies and as simple family wants their doughter to be doctor or intellegent in future... do you think is it normal to get shocked and has a bad feelings ?(because i always ask if iam normal to get shocked or no as i read books about frued castration complex and like this, isnt about the idea or the complex it self, its about they treat females as a hated human being and who should feel bad and anger from t the bad way they get treated and this bad way they deserve it ) because before 7 i didnt saw any think like this or even feel bad way i used to be innocent XXXXXXX who sees life so pink.
doctor
Answered by Dr. Chintan Solanki (20 hours later)
Brief Answer:
to beat someone is absolutely not right

Detailed Answer:
Hi XXXX,

Thanks for follow up.

Sorry for delayed response again.

In my opinion it is absolutely wrong to beat woman. Whatever had been done in past by your mother's husband is shocking. And your current symptoms of imagination likely have some relation with that.What he had done is offence or not is depend on country's law.
It is absolutely normal to be shocked after such incident. But long lasting impact of such incidents in your case is not normal.


Freuad's concept of castration complex is difficult to understand by normal person. And for me it is also difficult to explain here about that to you on this forum.

In my opinion every woman should be respected in the world.

You need to see therapist to come out of these imaginations and shocked feelings of past.

Hope you will see again your life pink.

Good luck.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (1 hour later)
i still see it pink not black but from time to time i remember. not always i remember its so moody.... but i want to understand how can we respect females and ask men to respect if(two things) --->>>1- from castration complex ; males hate females from early childhood ages(which is innocent ages couldnt know hate) because of their castration complex? 2- males think women as a castrated boys or a boy without a penis(all men not just bad or bedouin society) and this makes them feel hate /// but as i remember my childhood due to my strong memory---->> i remember that my family learned me their is difference between females and males in body before i ask about those differences(i didnt thought iam castrated or my beighboor male friend thought iam castrated because we always was taking shower with each other(i know shower with my neighboor is strange but we were like a family) he loves me from childhood untill now but for me i feel he is my brother
doctor
Answered by Dr. Chintan Solanki (14 hours later)
Brief Answer:
you have misunderstood castration complex

Detailed Answer:
Hi,

Thanks for writing back.

You have misunderstood the castration complex. It does not mean that all males hate females. By definition castration complex is, " an unconscious anxiety arising during psychosexual development, represented in males as a fear that the penis will be removed by the father in response to sexual interest in the mother, and in females as a compulsion to demonstrate that they have an adequate symbolic equivalent to the penis, whose absence is blamed on the mother(in Freudian theory).

It means boys fear that due to attachment with mother father may remove his penis. It is psychodynamic theory and in reality it is not like that. By that freaud just wants to convey psychosexual development.
It is view of freaud's theory that male sees female as castrated boy but there are lots of arguments against this part.
And again I want to clarify that it is practically impossible to clarify the deep meaning of castration anxiety here. It requires hours of discussion. With each explanation new question will arise in your mind.

It is not feasible that we can convince all males to respect women in specified manner. It is a social and cultural issue. But to understand woman, not to abuse her verbally and physically is respect.

Young Children do not see opposite sex genitalia in perspective of sex. For them it is difference between boy and girl. Your bathing with neighbor boy is completely normal. It is also normal that family teach children differentiation between boys and girls according to culture.

I request that please do not go into detail and think about freaud' theory on your own. It will create more doubts in your mind. Better to discuss with some psychologist or psychiatrist in personal who has deep knowledge in this regard.

Take care.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for obsessive compulsive disorder

Brief Answer: There is definitely need of consulting psychiatrist/psychologist Detailed Answer: Hi XXXX, Thanks for writing to us.I am fine. I read your query thoroughly and tried to understand your concern. No one can suffer from such thoughts until he or she had undergone such circumstances. For evaluation of such problem detail history and mental status examination to be done by a psychiatrist/psychologist in personal. Probably history from your parents are also needed. It is absolutely not a drama. It may be some psychological problem. I also need to know following points. You mentioned your 'mother's husband', Whats does it mean? Is he not your real father? If you are suffering from such problem since 5 years, have you not consulted any doctor or sought for help any way? Also describe your family background. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.