Request for Help with OCD and Anxiety

Question #28683

53 days ago

168

Request for Help with OCD and Anxiety - #28683

Client_e11006

hi doctor you Subject / Title: Request for Consultation – OCD / Anxiety Message: Hello Doctor, My name is Nasratullah, I am 17 years old, and I am experiencing obsessive-compulsive disorder (OCD). I have repetitive and intrusive thoughts that interfere with my daily life, and I sometimes feel extreme anxiety related to these thoughts. I would like to request a consultation to understand my condition better and discuss possible treatment options, including therapy or medication. I speak Farsi (Persian) and my English is limited. If possible, I would appreciate any translation support during the consultation. Thank you very much for your time and guidance. Best regards, Nasratullah Ansar help me aboutocd

How long have you been experiencing these obsessive thoughts?:

- More than 6 months

How often do these thoughts occur during the day?:

- Occasionally

Have you tried any treatments for your OCD before?:

- No, I haven't tried anything

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Doctors' responses

Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

53 days ago

Your symptoms are consistent with Obsessive-Compulsive Disorder (OCD) that is significantly affecting your daily life, and effective treatment is available, most importantly in the form of Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP), which helps you gradually gain control over unwanted thoughts and behaviors, and in cases like yours where symptoms are severe, medications such as SSRIs may also be required under the guidance of a psychiatrist; with proper treatment, support, and consistency, most people experience significant improvement, so it is important to seek help from a mental health professional as early as possible for a structured and personalized treatment plan.

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Client_e11006

Client

50 days ago

Hello doctor,
I’m sorry to bother you. I have been doing psychotherapy for about three months, but sometimes my OCD becomes more severe. That’s why I wanted to ask if you could prescribe medication for me.
Because I am in Afghanistan, there are very few doctors who specialize in this field.
Thank you.

Dr. Shayeque Reza

50 days ago

I need to have counselling session with you. Your problem needs to be addressed. Then only I can prescribe medicine.

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

53 days ago

سلام نصرت‌الله! واقعاً از شنیدن اینکه شما دچار اختلال وسواس فکری-عملی (OCD) و اضطراب ناشی از آن هستید، متاسفم. خیلی خوب است که به دنبال کمک هستید و می‌خواهید وضعیت خود را بهتر درک کنید. ### درک OCD اختلال وسواس فکری-عملی (OCD) شامل داشتن افکار ناخواسته و مزاحم (وسواس) است که می‌تواند منجر به رفتارهای تکراری یا اعمال ذهنی (اجبار) با هدف کاهش اضطراب ناشی از آن افکار شود. این می‌تواند بسیار چالش برانگیز باشد، اما درمان‌های موثری در دسترس است. ### گزینه‌های درمانی 1. درمان: درمان شناختی رفتاری (CBT)، به ویژه نوعی به نام مواجهه و پیشگیری از پاسخ (ERP)، برای OCD بسیار مؤثر است. این روش به شما کمک می‌کند تا به تدریج با ترس‌های خود روبرو شوید و رفتارهای اجباری را کاهش دهید. 2. دارو: مهارکننده‌های انتخابی بازجذب سروتونین (SSRI) معمولاً برای OCD تجویز می‌شوند و می‌توانند به کاهش علائم کمک کنند. پزشک شما می‌تواند بهترین گزینه‌ها را برای شما بررسی کند. ۳. گروه‌های حمایتی: ارتباط با دیگران که درک می‌کنند شما چه شرایطی را پشت سر می‌گذارید، می‌تواند بسیار مفید باشد. ### مراحل بعدی - مشاوره: توصیه می‌کنم با یک متخصص سلامت روان که در زمینه اختلال وسواس فکری-عملی تخصص دارد، تماس بگیرید. آن‌ها می‌توانند تشخیص مناسبی ارائه دهند و یک برنامه درمانی متناسب با نیازهای شما ایجاد کنند. پشتیبانی ترجمه: اگر در طول مشاوره به پشتیبانی ترجمه نیاز دارید، می‌توانید از کلینیک یا درمانگر بپرسید که آیا می‌توانند مترجمی در اختیار شما قرار دهند یا می‌توانید کسی را که به زبان فارسی صحبت می‌کند برای کمک به برقراری ارتباط همراه خود بیاورید. ### سخنان پایانی شما در این مورد تنها نیستید و کمک در دسترس است. برداشتن اولین قدم برای درمان بسیار مهم است. متشکرم

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

53 days ago

Hello
I’m really glad you reached out—what you’re describing is very consistent with Obsessive-Compulsive Disorder, and it’s treatable, even when it feels severe.
Since your symptoms have been going on for more than a year and are affecting daily life, you will likely benefit from both therapy and possibly medication.
The most effective treatment is a type of therapy called Cognitive Behavioral Therapy, specifically a method called Exposure and Response Prevention (ERP). This helps you gradually face the thoughts without doing the compulsive behavior, and over time your brain learns that the anxiety reduces on its own.
In many moderate to severe cases, doctors also prescribe medications like Fluoxetine or Sertraline.
These are safe when monitored by a psychiatrist and can significantly reduce obsessive thoughts and anxiety.
What you should do next is talk to a psychiatrist or clinical psychologist as soon as possible.
Because you are 17, it’s best to go with a parent or trusted adult. Early treatment can make a big difference and prevent symptoms from getting worse.
Meanwhile, try not to fight or suppress the thoughts—they are not dangerous, just uncomfortable. Avoid doing the compulsions as much as you can, even if it feels difficult at first.
I trust this helps
Thank you

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Dr. Arsha K Isac

53 days ago

سلام
خیلی خوشحالم که کمک خواستید—آنچه توصیف می‌کنید کاملاً با اختلال وسواس فکری-عملی (Obsessive-Compulsive Disorder) سازگار است و حتی وقتی شدید به نظر می‌رسد، قابل درمان است.
از آنجا که علائم شما بیش از یک سال ادامه داشته و بر زندگی روزمره تأثیر گذاشته است، احتمالاً از درمان روان‌شناختی و در صورت نیاز دارو سود خواهید برد.
مؤثرترین درمان، نوعی روان‌درمانی به نام درمان شناختی-رفتاری (Cognitive Behavioral Therapy) است، به‌ویژه روشی به نام مواجهه و جلوگیری از پاسخ (ERP). این روش به شما کمک می‌کند به‌تدریج با افکار روبه‌رو شوید بدون اینکه رفتارهای اجباری را انجام دهید، و با گذشت زمان مغز شما یاد می‌گیرد که اضطراب به‌خودی‌خود کاهش می‌یابد.
در بسیاری از موارد متوسط تا شدید، پزشکان همچنین داروهایی مانند Fluoxetine یا Sertraline تجویز می‌کنند.
این داروها در صورت مصرف تحت نظر روان‌پزشک ایمن هستند و می‌توانند به‌طور قابل توجهی افکار وسواسی و اضطراب را کاهش دهند.
گام بعدی این است که هرچه زودتر با یک روان‌پزشک یا روان‌شناس بالینی صحبت کنید.
از آنجا که ۱۷ سال دارید، بهتر است همراه یکی از والدین یا یک بزرگسال مورد اعتماد مراجعه کنید. شروع زودهنگام درمان می‌تواند تفاوت بزرگی ایجاد کند و از بدتر شدن علائم جلوگیری کند.
در این میان، سعی کنید با افکار نجنگید یا آن‌ها را سرکوب نکنید—این افکار خطرناک نیستند، فقط آزاردهنده‌اند. تا حد امکان از انجام رفتارهای اجباری خودداری کنید، حتی اگر در ابتدا دشوار باشد.
امیدوارم این توضیحات کمک‌کننده باشد.
متشکرم.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

53 days ago

Hello dear
See ocd is not a serious disease but a combination of anxiety and strict habits.
You should consult a psychiatrist and get following treatment options in person for improvement
Cbt or cognitive behavioral therapy
Exposure and response prevention or ERP
Medication like antianxiety drugs but on recommendation by psychiatrist only
But before going for that response please follow below precautions for improvement
Do physical exercise atleast half an hour daily for 5 months
Do meditation
Take good balanced diet for good health
Engage in social media
Indulge in hobbies like reading and writing
Avoid overthinking
Avoid junk food and alcohol/ smoking
Set your goals for every day
Hopefully improvement will occur
Regards

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

51 days ago

Obsesive-compulsive disorder (OCD) and anxiety can be quite challenging to manage, especially when they start affecting your daily life. Firstly, understanding the nature of OCD is crucial— it’s a condition where unwanted, intrusive thoughts (obsessions) lead to repetitive behaviors or mental acts (compulsions) that you might feel driven to perform. For managing this condition effectively, a blend of therapy and possibly medication is often recommended, supported by robust evidence. Cognitive-behavioral therapy (CBT), particularly a subtype called exposure and response prevention (ERP), has shown significant success in treating OCD. This therapeutic method helps by gradually exposing you to the anxiety source and teaching you healthier ways to respond without resorting to compulsions. Moreover, medications like selective serotonin reuptake inhibitors (SSRIs) could be considered to help with both OCD and anxiety symptoms, but any medication decision should ideally be guided by a psychiatrist—in consultation with you. Addressing your preferred languages, it’s indeed important to access good translation support during consultations to ensure clarity and comprehension. You may need to bring a family member or friend who can translate, or inquire if the the clinic offers translation services. To move forward, it’s critical to speak with a healthcare provider experienced in mental health disorders. They can perform a thorough assessment and craft a personalized treatment plan that takes into account any medical history, lifestyle, and your specific symptoms. Remember the importance of following up regularly to monitor the treatment effectiveness and make necessary adjustments.

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