Dr. Seikhoo Bishnui
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
Hi doctor,
I am suffering from OCD and intrusive thoughts. Recently they have gotten a lot worse since I had an abortion, and my family thinks my mind is trying to punish me for what I did. They resurfaced after six years, and now they are a lot worse. I am getting thoughts, and I like them, maybe even smiling or smirking at them for a minute, but I feel completely terrible when I snap out of them. My thoughts are about liking kids or wanting to cheat on or even kill my boyfriend. I hate these thoughts, but it has gotten so bad. I think I have managed to convince my mind they are true. I sat there today, looked over at a 9 to 10-year-old, and started thinking about how attractive he was and why, and then did this for about five to six seconds, unsure of whether I looked back and thought something else. Still, I thought certain things, specifically that he was sexy with the way his hair was and that he was good looking, it is terrible, and I hate it. Still, I just looked away, considering I was already stressing and upsetting myself over another thought. So, I turned around and forgot about it until 15 minutes later, when I saw the little boy again. Then I confessed it to my boyfriend and felt so guilty. I do not want to be abnormal, I want to be normal, and I do not want to have an attraction to kids. I am 18 years old, and my worst concern is that I am a pedophile or a murderer because I hate the thought of both in a normal and stable mind. I have been diagnosed with intrusive thoughts and OCD, but can my mind prolong the time it takes for guilt to set in? I am so confused and scared. Please tell me it is an illness and not that I am strange, pedophilic, or weird because I do not want to be.
Thank you.
Hello,
Welcome to icliniq.com.
I can understand your concern and would like to tell you that you can prolong the time for guilt to set in, and even your intrusive thoughts can be controlled. You have a lot of intrusive thoughts and magical thinking. Proper treatment helps to control obsessive-compulsive disorder (OCD). You are on Sertraline, which is a selective serotonin reuptake inhibitor (SSRIs) drug. If you cannot control your thoughts while on this drug, then treatment must be reevaluated. Other SSRIs drugs like Fluoxetine or Fluvoxamine can be tried. Fluoxetine is the drug of choice for OCD and has better tolerance. You can talk with your doctor about this drug and take these medicines with their consent. Apart from this, you can try behavior therapy, like relaxation exercises. Thought-stopping techniques can help to reduce unwanted thoughts. If properly followed, behavior therapy has efficacy similar to medicines. Talk to your doctor again, and do not remain hopeless. The thoughts will be controlled.
Thank you.
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Psychiatry
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