HomeAnswersPsychologist/ CounseloranxietyI have OCD. How can I control anxiety while driving?

What are the ways to control anxiety while driving?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. K. V. Anand

Medically reviewed by

Dr. Divya Banu M

Published At June 21, 2019
Reviewed AtJune 27, 2023

Patient's Query

Hello doctor,

I have been suffering from obsessive-compulsive disorder (OCD), fear of germs, ordering things, and obsessive thoughts. I also have anxiety while driving a car at higher speeds. I have been diagnosed with fibromyalgia, which is linked to general stress, and anxiety levels, causing the muscles to be held tight. I have been able to accomplish most of the daily tasks and be successful in life. However, the anxiety while driving is troubling me. I need to reduce anxiety while driving, while also maintaining focus. Also, the general level of anxiety or stress is causing other physical ailments. Due to muscles being in a constant state of tension. Currently, I do not take any medication. Only supplements 5-HTP (Seratonin) and one sleep aid (Melatonin).

Answered by Dr. K. V. Anand

Hi,

Welcome to icliniq.com.

I understand you experience OCD symptoms, general anxiety symptoms and specific driving anxiety and some anxiety-related physical problems. What is your current profession? Your job timings? How many family members are there in your house? For how many years have you been having OCD symptoms, GAD (generalized anxiety disorder) symptoms, and stress? Do you do any exercise, relaxation, or therapy? Do you have family support? Are any other anxiety-triggering factors present other than driving? Do you have normal sleep? Are you engaged in physical intimacy?

Thank you.

Patient's Query

Hello doctor,

Following are the answers to the questions:

1. What is your current profession?

I am a software engineer and investor.

2. Your job timings?

I work from 10:00 AM to 7:00 PM.

3. How many family members are there in your house?

Three.

4. For how many years have you been having OCD symptoms?

As far as I can remember, about 20 years.

5. Any symptoms of GAD symptoms?

Yes, now that you have mentioned it. The symptoms seem to be more GAD than OCD.

6. Do you have stress?

Yes, mainly mental stress and worry. Just day-to-day problems. Nothing extraordinary here, it is just that I tend to hold the stress in my body.

7. Do you do any exercise, relaxation, or therapy?

I do 30 minutes of light exercise and for relaxation I watch television. I have not taken any therapy.

8. Do you have family support?

Family support is fine.

9. Are any other anxiety-triggering factors present other than driving?

Minor anxiety here and there, but everything is under control. At present it is the driving that is bothering me.

10. Do you have normal sleep?

I sleep for eight hours.

11. Are you engaged in physical intimacy?

Yes, and it is satisfactory.

Answered by Dr. K. V. Anand

Hi,

Welcome back to icliniq.com.

I am astonished as well as very happy to know that you are experiencing OCD symptoms for the last 20 years and for the time being you are managing those symptoms without the help of medicines. Managing yourself. You have got the courage and attitude. Salute for that. According to you, your present problem is mainly driving anxiety. Such anxiety, though specific, comes under GAD. So, the treatment should be based on the trigger. Your trigger is your vehicle or any other vehicle, traveling or thinking about driving or traveling. You already know the vehicle is not at all the factor that triggers your apprehension or anxiety. Whereas it is your thought pattern and the fear arising out of your thought pattern. So, therapy aims at cognitive restructuring. Change the thought pattern so that the thought does not give rise to anxiety or apprehension. For this, you have to start writing a cognitive diary. On the left side of the diary, you will write the trigger, reason, anxiety symptoms, timing, etc., in detail. On the right-hand side, you will logically conclude it as it is not at all a botheration for you. For example, for the driving anxiety, on the right-hand side, you will write "driving was never a trouble for me and I being a good driver, I enjoy driving. These anxiety symptoms are triggered by my mind and not because I actually fear my vehicle or my driving. I have confidence in my driving and I am confident in handling the vehicle. So I am not going to worry about the anxiety at all." I hope you already know that anxiety is your body's defense mechanism. This diary writing will help convincing your unconscious mind. You will have to write different fears and convincing logical conclusions for that for about two weeks every day. Please do not take this lightly. You are only 41 and therefore, please start some rigorous exercises or outdoor games which make you sweat. Such exercises trigger the production of feel-good hormones such as endorphins, dopamine, and serotonin. Long term they help you overcome whole anxiety. You should learn and try mindfulness. Such techniques teach you how to be engaged mentally in whatever task you are doing and thereby helping manage anxiety.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. K. V. Anand
Dr. K. V. Anand

Psychiatry

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