Dr. Awadhesh P. Singh Solanki
Psychiatry
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am experiencing unsettling thoughts about reality, where I question everything, and despite not leading to anxiety or panic attacks, they still make me feel scared. These thoughts persist consistently. I find myself pondering the possibility of nobody around me being real and the notion of living in a dream. Additionally, there is a concern that there might be something happening around me that I have yet to comprehend. These thoughts evoke a great deal of fear, as I am genuinely afraid of fully embracing them and potentially becoming psychotic. They significantly impede my ability to function normally, placing an overwhelming amount of pressure on me. Even when I manage to convince myself that these thoughts are irrational, there are instances where I sink into a profound depression that becomes too much to bear. Currently, I am not taking any medication. Despite having periods or days when I feel completely fine, these thoughts persistently resurface and refuse to dissipate, no matter how hard I attempt to dismiss them through logical reasoning. These thoughts are particularly distressing because I am unable to provide answers for all of them, especially those that delve into existential aspects that science is presently unable to fully explain. The fear of losing my sanity and descending into psychosis is terrifying to me.
Kindly help me.
Hello,
Welcome to icliniq.com.
I read your query and understood your concern. Based on the information you provided, I can make out that you are experiencing repetitive intrusive thoughts that are causing distress. These types of thoughts are commonly associated with obsessive-compulsive disorder (OCD). It is highly treatable through behavioral therapies and counseling. I suggest you learn techniques like relaxation therapy and stress management which can help you overcome these negative thoughts. For faster recovery, I suggest you take medication such as Fluoxetine hydrochloride (selective serotonin reuptake inhibitor). I suggest you consult a specialist, talk with them and take medications with their consent. Please remember not to worry, as with therapy, you can expect to see improvements within a week. I hope this has helped you. Kindly follow up if you have more doubts.
Thank you.
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