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Suggest Treatment For Severe Anxiety Disorder
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I really need some help. I am scared that it is the psychosis, even though such a lovely gentleman from this site confirmed that he does not believe it to be the psychosis at all. He is a psychiatrist as well.
thank you so much for your help and support!!!
I reconfirm it is obsession
Detailed Answer:
Hello,
Thanks again for posting at Healthcaremagic.
We have discussed at length during last two days and I have confirmed along with Dr Bishnoi that it is not psychosis.
Rather than saying it simple anxiety I would say that it is definitely obsession with main theme of hurting self and loved ones despite having no intention to do so.
As The definition of obsession goes on "
1. recurrent and persistent thoughts, impulses, or images that are experienced, at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress
2. the thoughts, impulses, or images are not simply excessive worries about real-life problems
3. the person attempts to ignore or suppress such thoughts, impulses, or images, or to neutralize them with some other thought or action
4. the person recognizes that the obsessional thoughts, impulses, or images are a product of his or her own mind (not imposed from without as in thought insertion)"
The above four criteria I have pasted from major classification system of psychiatry and I hope you will agree with me that your description meets word by word.
As suggested today morning I will request you to discuss same with your psychiatrist as venlafaxine have little potential in obsessive thoughts and SSRI are warranted.
I hope this reassures you that it is not psychosis.
As always I am ready to take more questions.
Thanks again
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Which part of definition you want me to explain
Detailed Answer:
Hello,
Thanks for reverting back to me.
Let me which part of the definition is not understood by you. As I can see that it is simplest terms but it is possible that you are not able to comprehend one or another part.
I request you to go through it and let me know which part not clear to you.
Thanks again.
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I apologize for sounding repetitive. However I have never experienced this sort of thing and I am quite scared. I have never suffered from any mental illness and I am afraid that I may have something wrong with my brain.
you.
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
I understand that you never experienced these thoughts but we need to understand that anxiety was always there and they are directly related to your anxiety. In other words the obsession are part of anxiety spectrum disorder and occur due to same pathology characterised by deficiency of serotonin in certain brain areas.
I do not think your repetitive question are deliberate or you want to annoy somebody. Infact they are the part of pathology which you are experiencing.
We also need to understand that they are not normal but treatable condition like other anxiety disorders.
I hope this helps you further.
Thanks again.
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At this point I am not sure if this is what is defined as depression? I have never had it before so I don't know if it is that.
Thank you kind sir for all of your help. It is most appreciated and I would really like to know if what I am experiencing are suicidal thoughts because I am terrified that it is what I am having.
hope to hear from you soon. Thank
It is anxiety with secondary obsessive ruminations
Detailed Answer:
Hello,
Thanks for reverting back to me.
There is no doubt regarding their origin and association with anxiety. In refined terms the obsessions are most closely related to anxiety disorders when it comes to pathology and treatment options.
The recurrent suicidal thoughts are just one part of these obsessions and I think major impact on your brain.
I must clarify again that none of the described symptoms point toward, depression, psychosis, bipolar disorders and schizophrenia.
I hope this helps you again.
Thanks again.
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Follow up
Detailed Answer:
Hello,
Thanks for follow up.
You do not need to go to emergency for suicidal concern. There is no plan for such acts and it can be reassured.
As I can see from your post over the last 48 hours I feel you need to be touch with health services so your health concerns can be addressed.
I hope this clarifies.
Thanks again.
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thank you for your clarification on this.
Follow up
Detailed Answer:
Thanks for your feedback.
I mean to say that keep in touch with counsellor at this time. It is important as we sitting thousands miles away may not of any help.
Thanks again.
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thank you as always.
Follow up
Detailed Answer:
Yes definitely.
I will be more than glad to assist you further.
Thanks
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For example, since having my baby, if I see a blanket, it triggers a mental image in my head of me suffocating my baby with it. If I see anything that could potentially be dangerous, I see myself hurting her with it. I love my baby more than anything in the world and I would NEVER want to see her get hurt, especially by me.
I also get the flashing mental images of seeing myself dead, which I don't know where that one is coming from. I see myself wrists being slit, myself in a coffin, or myself hanging by a rope. It is very scary and frightening and I hope it does not indicate that I wish to kill myself. If I see the word 'SUICIDE', it gets me all scared and worried. I start sweating.
would you call this severe (extreme) anxiety or something like that? another example of something that had recently happened was when I was at the hospital where I work. I saw a man at the cafe that was staring at me and looked very creepy. All of a sudden, I got a mental image of the guy putting his arms around me and choking me! I hadto shake my head I was so scared. I don't know why my brain is looking for something fearful EVERYWHERE now. it's not even focused on my baby anymore. everything seems so scary and causes these intrusive images.
What about the severe dissociation that I am experiencing as well? can you provide any insight on that at all?
Thank you so much for your help. it means so much to me. Hope to hear from you soon.
Follow up
Detailed Answer:
Hello,
Thanks for follow up.
The mental images of any form including scary ones represent obsession and rather than calling it severe or extrene anxiety I would call it a different form of anxiety.
The simplest explanation for them is that' they occur because there is ongoing anxiety'. As we are aware that post partum period is significant life event and it is possible that it acted as precipitating factor for onset of new set of symptoms.
Dissociations do occur with them probably to nullify the impact of intrusive thoughts and images. In other words they do occur to protect the integrity of affected individual.
I hope this helps you further.
Thanks again.
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