Hi, Thank you for the information which is very helpful.
You seem to be having some symptoms possibly suggests mixed depressive disorder
with some obsessive ruminations. Some of the symptoms you mentioned have obsessive quality which is recurrent,repetitive,intrusive thoughts that are excessive,difficult to stop, you recognizes they are of your own and makes you distressed. The paranoid symptoms you mentioned appears secondary to your repeated thoughts than independent symptoms.
You also have some depressive symptoms in the form of low mood and lately increasing difficulty with coping.
We do know that these symptoms can be exacerbated by the stress
and sometimes alcohol.
I am glad to hear that you already contacted your GP who referred you to the community psychiatrist.
I want you to contact your GP to expedite the appointment with the Psychiatrist if your symptoms are worsening. I also want to inform you that you contact either GP or OOH services including A&E if you develop any thoughts of harming yourself.
If your situation deteriorate rapidly(I sincerely ***** *****) I want you to be aware that your GP can request involvement of home treatment team via CMHT.
It is important to clarify the diagnosis with an assessment by a Psychiatrist .
If the diagnosis would be OCD the best possible evidence is for Cognitive behavioral therapy and a medication either or an SSRI.
In the mean time I will inform you about a self help book some of my patients find beneficial.
Overcoming Obsessive Compulsive Disorder: A Self-Help Guide Using Cognitive Behavioral Techniques
David Veale (Author), Robert Willson (Author)
Please do not hesitate to ask me if you require any more information.
I wish you all the best. If you are happy with the answer please leave a positive feedback.