Psychiatrist Questions Psychiatrist

OCD?

I am an 18-year-old female. I was diagnosed with depression when I was 15. For the last few months, I have been concerned that I have OCD or something similar. I took an online test recently that said I had a high chance of having it. I just need answers so that if needed I can be treated. I have been afraid to reach out for help because I was worried people would think I was crazy.

Female | 18 years old
Complaint duration: 8/23/2021
Medications: Zoloft
Conditions: Depression

9 Answers

Thanks for reaching out! OCD is pretty common but so are OCD Traits. The actual disorder can be treated by an SSRI such as Zoloft. I would follow up with the provider treating you for depression. They may want to switch SSRI or change dosage. Hope that helps!
This link should help you see some light as to your question:
https://www.amenclinics.com/conditions/obsessive-compulsive-spectrum-disorders/?gclid=CjwKCAjwmqKJBhAWEiwAMvGt6CBYPe_PxVFwc8O_XsgNFYPcF3KaLl4JccM6N5e8CbWjQ4RtiWEjIBoCl5sQAvD_BwE
or
https://iocdf.org/about-ocd/ocd-treatment/
It is not unusual to have both depression and OCD. But please do not hesitate to seek out a professional evaluation to confirm your suspicion. And, yes, OCD can be treated with a combination of the appropriate medication(s) and Cognitive Behavioral Therapy.

Marilyn Benoit, M.D.
First, good job asking. Second, when it's time to do the right thing, including take care of yourself, what people think shouldn't be a factor. Some homes do create that kind of shame over any endeavors to address family issues, but people who have broken through to heal, didn't care, and in healthier families, they'd rather see you get better than see you pretend to be fine when you aren't. In most cases, the seeds of depression are set before the age of five. The most common cause is a broken attachment. If mom goes back to work before the age of five, or worse three, or even worse in the first year of life, it's as if the ground moved out from underneath. There is then broken trust, broken security, and broken self-worth. When memories lack words (infancy), they are stored as foundational, but too inaccessible to create self-awareness. This is also the case for generalized anxiety disorder. Both depression and anxiety have been on the rise since babies entered daycare en masse, something never before seen in the history of civilization. I am a feminist, but I know every baby needs their person, whoever that is. Their person is irreplaceable. Mother Teresa could not stand in for the parent. Their person has to an ever-present presence in their life, until they are ready to outgrow their parent (ages three to kindergarten). This is the reason why we have so many social issues developing: depression, anxiety, dependency, stalking, social phobias, substance abuse and overdoses, tattoos and piercings, suicides, domestic violence, mean girls, bullies, and shooters. I regret to tell you that thus far, graduate schools are not addressing this problem in training therapists, so you need to find someone who understands the long-term effects of broken or insecure attachments (which require attunement as well as continuity) and knows how to treat attachment trauma. Otherwise, the going treatment is medication. There is a cause for depression, so if it's not the cause I just identified, you need to do some detective work, within yourself and perhaps with interviews of family members. Find the cause and address it. Causes always lie, by the way. Healing always requires honest acknowledgement of causes, despite loyalties.

Dr. Faye
Well, good for you taking the step to reach out! If you have a good major hospital in your area, you can contact them to ask for a referral for a consult. Tell them you think you may have OCD and want someone who could offer some guidance about that - tests that are more specific than the ones on line for example. Many successful adults have some amount of OCD, so get help managing it and you will be glad you did!

Peace,

Dr. Marian Shapiro
If you see a psychiatrist, that person will not think you are crazy. OCD can develop for someone who has been or still is depressed. I would encourage you to seek professional help.
Please do not think you will be judged. If you are struggling it is best to get help. That's what us therapists do! We are here to support and help you. Are there any therapists in your area?
If you are already seeing a mental health provider for depression, it will be prudent to inform them that you might be having new symptoms. Your mental health provider is the best way to determine if there are other emerging mental health conditions and needs the two of you can work on together. I also need to assure you there is no such diagnosis as "crazy," so don't let that fear get in the way of you getting good health care.
I would recommend talking with your primary care doctor or school counselor if you are still school. Online searches provide a limited scope of insight and often confirm what we are looking for. If your doctor or counselor confirms, it is easily treatable either with talk therapy and/or antidepressant medication.