Psychiatrist Questions


I don't know why it happens but whenever i
think about a person my mind says that They should die or what if they die, even if have no bad feelings for them. Starts imaging death images. these thoughts come on theirown and come anytime whenever i watch tv or videos. i don't force myself to think about it. But when they come i had to do some rituals to feel relax. its happening from childhood but now its disturbing me.Can someone tell me what ami suffering from. I have arithmomania too. I count patterns on wall, stairs ,tiles, count words on my teeth with my tongue, i add vehicles number.All these things makes me angry andfrustated.Now i regularly outburst my anger on my parents. i want to cry but i can't only few drop that's it. I am 21 year old male.

Male | 21 years old

4 Answers

Thank you very much for your consultation with FindaTopDoc. Our role is to help people with difficulties and we hope to be useful for everyone. Even though as a standard rule we do not diagnose or treat people without seeing them personally or through virtual means (Zoom, etc), the description of your condition is so detailed and thorough to the point that.
I can provide some help at this time.
- Based on your account, you seem to be suffering from a condition called Obsessive-Compulsive Disorder (OCD). OCD is a condition that features a pattern of unwanted thoughts and fears (obsessions) that lead you to do repetitive behaviors (compulsions). Its manifestations often lead to severe impairment and to conflict in the family and others.
- OCD affects 2.5 million adults or *1.2%* of the U.S. general population but in young people can get up to 3%.
- Experts aren't sure of the exact cause of OCD. *Genetics, brain abnormalities, and the environment* are thought to play a role.
- Researchers know that OCD is triggered by communication *problems between the brain's deeper structures and the front part of th brain.* These parts of the brain primarily use serotonin to communicate. Therefore increasing the levels of serotonin in the brain can help to alleviate OCD symptoms.
- *Symptoms related to Obsessions can be the following:*
- Fear of contamination or dirt
- Doubting and having difficulty tolerating uncertainty
- Needing things orderly and symmetrical
- Aggressive or horrific thoughts about losing control and harming
yourself or others
- Unwanted thoughts, including aggression, or sexual or religious
- *Symptoms related to Compulsions can be the following:*
- Washing and cleaning
- Checking
- Counting
- Orderliness
- Following a strict routine
- Demanding reassurance
- *Treatments*
- 1) *Medications: *Antidepressants that work on serotonin, the
so-called selective serotonin reuptake inhibitors (SSRIs) and clomipramine,
are the pharmacologic first-line treatment of OCD. You usually start the
treatment with medium to large doses of SSRIs for initial acute treatment
for at least 3 months to assess efficacy. Afterwards, your physician or
psychiatrist will determine the right dose to take it long term. At times
and in some cases, you may need to augment the effect of SSRIs with other
- 2) *Psychotherapy: *
- a) Exposure Therapy.
b) Imaginal Exposure. ...
c) Habit Reversal Training. ...
d) Cognitive-behavioral Therapy.
- 3) *New treatments*: Transcranial magnetic stimulation (TMS) is a
non-invasive brain stimulation technique that has shown promise as an
adjunct treatment for the symptoms of Obsessive-Compulsive Disorder (OCD)
- The success of the treatment depends on your compliance with both
medications and psychotherapy and a good therapeutic rapport with your
psychiatrist and therapist.
- Hope this is helpful for you and, if you need additional information,
do not hesitate to contact me again.

Best, Jose Apud MD, PhD
It sounds like you suffer from various forms of OCD. sometimes certain thoughts or images or sounds or smells or any stimulus can trigger your mind to reflexively respond with images, thoughts, feelings, etc. these reflexive responses are usually very upsetting and can sometimes linger on in the form of ruminations and further anxiousness. OCD is generally a familial disorder that runs in families and is believed to be a manifestation of a complicated neurologic system of a persons brain. On one hand it causes anxiety, until certain compulsions or behaviors are done, or certain thoughts take place. By ultimately doing certain thoughts or actions, the stress and tension and anxiety get better; however, OCD can make an individual feel imprisoned.
OCD is so very common, most of us consider it a common variation of being quite human! The amazing thing is that a form of therapy is unbelievably successful in helping with both the unwanted thoughts as well as behaviors. Please search for a specialist in cognitive behavioral therapy with exposure response prevention and mindfulness. This treatment is highly highly highly helpful! Sometimes medicine may also be used in addition. Find an expert in this form of therapy, commit to it, and you will hold the key to your freedom! Also, it’s good to remember that medication‘s like selective serotonin reuptake inhibitors may dramatically alleviate a lot of OCD symptoms. Lots and lots of hope! Feel free to contact the international OCD foundation. Good luck!

Lance Steinberg MD, Inc.
Assistant Clinical Professor
UCLA (Geffen) NPI
It sounds like you may be suffering from obsessive-compulsive disorder or even some other form of anxiety disorder. You should seek a psychiatric evaluation to do a deeper dive into your history and possibly explore medications to help you manage your symptoms.
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