How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Z Your Own Question

Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 6078
Experience:  Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
74815544
Type Your Mental Health Question Here...
Dr. Z is online now
A new question is answered every 9 seconds

I think I have OCD........how can I tell and what can I do

Customer Question

I think I have OCD........how can I tell and what can I do about it?
Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Z replied 1 year ago.

DoctorZ :

Hello again, I believe I can help you with your concern

DoctorZ :

So Obsessive Compulsive Disorder (OCD) does have different severity levels and for some it can be very mild and for others it can be very severe.

Customer:

hi..........sorry I have so many questions

Customer:

ok

DoctorZ :

It is okay, I am here to help you. Here are a list of the symptoms for OCD

Customer:

I'm probably middle of the spectrum

DoctorZ :

To get properly evaluated you would want to see a mental health professional, like your therapist or a psychiatrist

Customer:

ok

DoctorZ :

So your therapist can provide you with a variety of behavioral techniques to help you overcome OCD, like Cognitive Behavioral Therapy (CBT)

Customer:

sounds good

DoctorZ :

You can also see a psychiatrist and be prescribed medications as well

Customer:

really? I didn't know meds could help

Customer:

that's good to know

DoctorZ :

Yes some basic medications to start that could help are the SSRI antidepressants like Zoloft, Lexapro, Luvox, or Paxil

Customer:

I'll look into them, thanks

DoctorZ :

May I ask, why do you think that you may have OCD?

Customer:

oh boy.........well, I have had a strange obsession for years

Customer:

and it's not getting any better or going away

DoctorZ :

Okay, well I do want to say that because you have suffered a trauma some obsessional thoughts could be related to PTSD and not necessarily OCD

Customer:

I have an obsession with a...............certain body part

Customer:

oh, I didnt' realize that

DoctorZ :

Yeah, and if it is that body part that causes you trauma it most likely is related to PTSD then

DoctorZ :

The medications can still help though and so can your therapist

Customer:

ok. that's good to know

DoctorZ :

Is there anything else you need help with?

Customer:

.....................not sure.....my brain is going nuts right now and I'm not sure how to deal with it..........have thought about checking myself into a hospital, but haven't decided for sure

DoctorZ :

Okay, well why dont you describe what you are experiencing right now?

Customer:

lots of anxiety........I feel like I want to jump out of my skin.......these feelings are making me want to cut............

Customer:

fear

Customer:

just a whole mess of emotions that I can't deal with

Customer:

irrational thoughts and urges

DoctorZ :

I am sorry that you are feeling this way, I can imagine how distressing this is for you. I think because you have you are having feelings to cut or your alter has these feelings, then checking into a hospital could be a good idea.

DoctorZ :

It sounds like you may need a medication adjustment to help with this anxiety and to help regulate your emotions

Customer:

they won't do a physical exam on me, will they?

DoctorZ :

No, for mental health reasons they will not do a medical exam

Customer:

i can't stand the idea of being touched right now

DoctorZ :

No the only medical exam they will do is probably take your weight, blood pressure, and temperature.

Customer:

oh, ok. I think I can handle that

Customer:

alright.........well, as always, thanks for being willing to chat................

DoctorZ :

I am always willing to help out. But you forgot to rate me on our last chat session, so I would like to remind you do that because if you do not rate, the website may not allow you to post future questions

DoctorZ :

Also do not forget to bring your journal with you if you want to check yourself into a hospital

Customer:

so sorry about that......I'll rate you know for both

Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 6078
Experience: Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
Dr. Z and 2 other Mental Health Specialists are ready to help you
Customer: replied 1 year ago.

I decided not to go to the hospital........I'm working on controlling my emotions at home. While the urge to self-harm is still there, I haven't acted on it since Wednesday. As long as I don't think much, I feel I can stay safe................but that's much easier said than done. Anyway, just thought I'd check in today since I saw you were online

Expert:  Dr. Z replied 1 year ago.
That is good, I am glad that you are checking in. I am so sorry that you are feeling the need to self-harm, try to journal a bit and talk to your alters to help them realize that they do not need to self-harm to get your attention. Also try that Progressive Muscle Relaxation exercises I mentioned earlier as well to help. So far the goal here is to reduce your stress, so that an alter does not take over and try to use self-harm on you.
Customer: replied 1 year ago.

thanks. I'll be sure and try your suggestions

Expert:  Dr. Z replied 1 year ago.
Okay, let me know if you have any issues, concerns, or questions. I will be sure to answer you as fast as I can.
Customer: replied 1 year ago.

thanks

Expert:  Dr. Z replied 1 year ago.
Anytime, I am always here to help
Customer: replied 1 year ago.

I do actually have a question..........................you said that these "ocd-like" thoughts could just be related to the trauma I've experienced? could one alter potentially have OCD where the others do not? I'm not sure if this is the case, but it might be. the obsessive thoughts have plagued me for years and drive me crazy. So far, no therapist has been able to help me successfully reduce the obsessive thoughts or the anxiety created by them.

Expert:  Dr. Z replied 1 year ago.
It is possible that one alter may have OCD. Also though it is not uncommon for individuals with PTSD to develop OCD or OCD-like behavior, and that is why I think your OCD behavior and thoughts were related to your trauma because it also does involve that specific part of your body that experienced the trauma, so if we successfully treat the PTSD then hopefully the OCD thoughts and behavior will diminish as well.
Customer: replied 1 year ago.

ok. so what does "successfully treating the PTSD" look like? I've been in therapy for years with no resolution

Expert:  Dr. Z replied 1 year ago.
Well successfully treating the PTSD will have a better management of your symptoms or complete resolution of your symptoms. Your alters also started because of the trauma as dissociation and Dissociative Identity Disorder is often a response to trauma as well, so when you successfully treat the PTSD then your alters will have less control or may go away completely. It is possible that you are not receiving the right treatment in terms of medication or therapy to help you with your mental health issues, although this does take time as these are tough disorders to treat.
Customer: replied 1 year ago.

ok..........is there medication for DID? I've never heard of any before. And, what would you say is the best treatment for my issues? I've tried almost everything I can think of.

Expert:  Dr. Z replied 1 year ago.
There are a number of medications for DID, like anti-depressants, benzodiazepines, and antipsychotics (e.g. chlorpromazine). While there is not specific medication for DID, there are a variety of medications that can be used to help control the alters better. The best form of treatment for your issues is Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT).
Customer: replied 1 year ago.

Thanks. I'll look into the meds. As well, I'll research the two therapy methods you suggest. I've been in CBT for a while, but haven't ever done DBT.

Expert:  Dr. Z replied 1 year ago.
DBT can help manage your emotions better than CBT, but both are very similar. I think a change in medications may help you control your symptoms better. Let me know if you have any questions or concerns, I am happy to help
Expert:  Dr. Z replied 1 year ago.
For DBT I wanted to recommend these two books and also this website as well for you.

http://www.amazon.com/Overcoming-Trauma-PT SD-Workbook-Integrating/dp/1608822869/ref=sr_1_1?ie=UTF8&qid=1377975243&sr=8-1&keywords=cbt+ptsd

http://www.amazon.com/Dialectical-Behavior-Therapy-Workbook-Anxiety/dp/1572249544/ref=sr_1_2?ie=UTF8&qid=1377975254&sr=8-2&keywords=dbt+ptsd

http://www.dbtselfhelp.com/

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 
Chat Now With A Mental Health Professional
Dr. Z
Dr. Z
Psychologist
5461 Satisfied Customers
Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.