Need Some Advice On OCD

Male pelvic pain, prostatitis, IC
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ZR
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Need Some Advice On OCD

Post by ZR »

I have done some reading on this forum about OCD as well as looking on the internet about OCD to get to know the disorder better. I have been going to a psychologist for over a year now and he has told me that I have the obsessive part of the disorder and not the compulsive side of the disorder. The obsessive side for me is in my thinking about different things in my life as well as I obsessive think about things in the past and regrets that I have about different things. He has told me that the compulsive side of the disorder is like when you do different rituals every day and can not stop doing them every day which I do not do. My doctor has mentioned for the last several months that maybe I should see a psychiatrist to get the proper meds to help deal with OCD and depression. I also have been taking CELEXA 10mg since February of 2006 to help with my depression symptoms. My Psychologist has told me that he would like me to make a decision this month of June.

QUESTIONS
1) Is there anyone else on this forum that is in the same boat as me with OCD that has obsessive part of the disorder and not the compulsive part of the disorder?
2) I have never been a big fan of taking meds and really never have been should I just give in and go see a psychiatrist and see what he prescribes me?
3) My psychologist has told me he has had patients that have taken Effexor, paxil, zoloft, prozac for both OCD and depression has anyone else heard of this?
4) Or maybe should I just up my dosage of celexa from 10mg to another level since I been on this since February of 2006?
5) Is there any one anti depressants that are out there that help with OCD and depression that people know about?

ANY ADVICE ANYONE CAN GIVE ME WOULD BE GREAT THANKS.
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damien6
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Post by damien6 »

Hey dude,

I don't really have any advise I just thought I'd say high and good luck. Does the anti-depressent medication do anything for you? I was very reluctant to take meds too so I don't have very much history or knowledge of that stuff. I went to a psyciatrist for a while and basically before I had properly sat down he diagnosed me with ADD. It was comforting in a way as it gave me a frame for my thoughts, ok I think like this because... maybe this is because I am a little different. But my feeling was that he diagnosed everyone who went before him with ADD, so what does that tell you. He gave me drugs which didn't really hurt because I don't take them very often but they are a nice saftety devise. If I need to sharpen up or have a boost or whatever I take them and thats fine. Usually I'll just walk around with them in my pocket just as a fall back.

Yes getting in a loop with thinking can be a bitch.

Good luck,
Damien
Age:29 | Onset Age:24 Correct diagnosis Age: 27.5 | Symptoms: pain, burning in genital region | Helped By: Initial cystoscopy procedure which removed stricture and bladder carcinoma 30% better, less stress, getting better gradually | Worsened By: Feeling out of comfort zone/control, stress.
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Post by webslave »

The antidepressant SSRI Zoloft is prescribed specifically for OCD. However, I think Lexapro is a cleaner drug.

Remember though that these SSRIs need to be used at high dosages to combat the anxiety of OCD. For instance, with Lexapro you may need to take up to 40mg daily (starting from 10mg and working up to that over a few months). SSRIs simply do not work against OCD at the dosages normally prescribed for depression.


You really should get specific advice from a psychiatrist.
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Post by carld »

Sounds more like what I have which is ocb obsessive compulsive behavior. I agree w/ WS talk to your doctor. :)
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Age, 44 onset age 37 Feb 2006 Freq. need to urinate. Sensation of having to urinate soon after going. Perineum discomfort/burning/tightness, pubic area discomfort @ times,poor urine stream, post urine dripping/spray. All symptoms have improved with my protocol. At the worst I give it a 1 to 2 on irritation and discomfort and frequency. Helps: Elavil 5mg for anxiety and mast cell protection, (will only take it as needed) self internal PT as needed, stretching, walking, stairmaster cardio workout and light weights, reducing stress, moment to moment relaxation, deep breathing relaxation and using a Theracane. Makes worse: sitting for long periods, stress, over focusing on it. Currently 95%-98% recovered. Stay positive, relaxed and control your anxiety.
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Post by scoobysnacks »

Yes, I have the obsessive side, but not the compulsive side.

No doubt my obsession over gaining muscle and being ripped and big caused this for me. At the height that is what I thought about when getting out of bed and before going to bed.

Now I think I sort of obsess over this condition. So how do you break that? Take meds? Will relaxation break that? I dont know.

Good post.

Ss
Age:29 | Onset Age: 25.5 | Symptoms: Initially burning in prostate/perineum, burning in urethra, uncontrollable muscle contraction before urinating, dual ache in groin, left testicle pain, feeling of golf ball in rectum, soarness in rectum, and muscle spasms, now mainly very mild urinary tract inflammation, burning mildly after ejaculation, some days after physical activity involuntary mild muscle contraction before urinating | Helped By: .5 mg of Ativan, Aleve (naproxen), quercetin, alcohol in large quantities (vodka and soda), stretching, walking, internal massage the perineum area and levators. | Worsened By: sitting, weightraining, jogging, coffee, caffeine in general, alcohol bothered me at first, overdoing sex
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Post by Howden »

Yes, like many others I have the obsessive part of OCD and not the compulsive part. I very much hope this is not going to be considered off topic. After a lifetime of trying to deal with my obsessions I finally decided I was no longer going to handle them by myself. I went to see a psychiatrist (for the most part I did the talking and he listened). At my first meeting with him he offered me antidepressants and I decided against them. At the time I was in a truly untenable situation in my life and, for the sake of others, I just had to live with it (for several years). It was such a relief to be able to talk to someone openly and frankly about my obsessions. Over time the obsessive episodes came less frequently, and I finally learned to control the condition. To come to the point: I would definitely see the psychiatrist, and to start with I would take the antidepressant he/she prescribes. Then, I would get a copy of the book, 'Brain Lock', by Jeffrey M. Schwartz, M.D. This book is billed as a '4-step method to change your brain chemistry' and it is very easy to apply. I found it by chance after several years of therapy. It (quickly) enabled me to take charge and manage my OCD. Just for the record, I do not obsess about my chronic pain. I wish you the best of luck.
Age: 71; age at onset: 65; symptoms: initially rectal spasms; currently anal pain, pereneal pain, buttock pain; all pain on the right side; early diagnosis: chronic non bacterial prostatitis; treatments 4 long courses of antibiotics, accupuncture, naturopathy; current treatments: gabapentin, terasozin, Celeza, PT.
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Post by damien6 »

Cool!
Age:29 | Onset Age:24 Correct diagnosis Age: 27.5 | Symptoms: pain, burning in genital region | Helped By: Initial cystoscopy procedure which removed stricture and bladder carcinoma 30% better, less stress, getting better gradually | Worsened By: Feeling out of comfort zone/control, stress.
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Post by GP2 »

Now I think I sort of obsess over this condition. So how do you break that? Take meds? Will relaxation break that? I don't know.
Meds are not the answer. Some form of psychotherpay / psychiatry iis the only remedy IMO as the above poster said.

I think that many people in the general population at large are prone to obsessing or at the very least over-thinking. In fact there is evidence that we simply think WAY TOO MUCH. We are conditioned to do so and dont know how to stop. That is what I am trying to do - think much less. Not just when meditating but throughout the day :)
Age: 29 | Onset Age: 26 | Symptoms: initially severe burning throughout pelvis - much better; muscles spasms all over region, back pain, chronic IBS (much better) | Helped By: Psychotherapy, SP stretches, swimming, accepting the condition (understanding there is treatment); stress/anxiety management; possibly basic quercetin; valerian root, vit B & calc & magn supplements; gluten avoidance & especially dealing with chronic constipation. | Worsened By: stress / anxiety, too much sex; repressed emotions; personality goodist traits. 80% better
damien6
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Post by damien6 »

Yep,

I'd agree with that, but drugs can be a useful helper to get you there in the short term prob. I don't think that everything can be internally motivated all of the time because that can be exhausting, but internal things I think should be the longer term goal.

Damien
Age:29 | Onset Age:24 Correct diagnosis Age: 27.5 | Symptoms: pain, burning in genital region | Helped By: Initial cystoscopy procedure which removed stricture and bladder carcinoma 30% better, less stress, getting better gradually | Worsened By: Feeling out of comfort zone/control, stress.
ZR
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Post by ZR »

Hey guys thanks for some of the advice you gave me on this subject that I posted about. Howden and Scoobysnacks thanks plus some of the comments you posted do ring true for me.
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Post by save_me »

I have obsessive OCD. I think the stress and muscle tightening (constant, unrelenting fight or flight) caused my CPPS.

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Age: 26 | Onset Age: 25 | Symptoms: Current--Perenial Tightness and dull pains, occasional nerve sensitivities, minor frequency, and some stress. Initial--Urinary Frequency (~12 times per day), Urgency, Nocturia, Back Pain, Penis Tip Pain, Stress Overload | Helped By: Mild Exercise, Yoga, Physical Therapy, A glass or two of alcohol | Worsened By: Ativan (just don't take it), Binge Drinking, Stress, Sitting, Cold Medicine
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Post by webslave »

Anxiety and anxiety-spectrum disorders like OCD are very common in men with pelvic myoneuropathy/CPPS.
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