Dear Alison,
thank you for your query. From your description, it appears that you are suffering from Generalised anxiety disorder (GAD) with anxious ruminations along with some components of
Major Depressive Disorder.
However,
Obsessive Compulsive Disorder (OCD), a disease characterised by repetitive, intrusive, distressing, irrational thoughts, images or impulses (regarded as products of patient's own mind), needs to be ruled out before making a final diagnosis in your case.
If I would a seen a patient with your complaints, I would have first confirmed the diagnosis by a detailed work up including thorough history taking and mental status and physical examination. If confirmed, I would have started with an SSRI (antidepressant) like
Sertraline or
Paroxetine or Escitalopram along with a
benzodiazepine like
Clonazepam or Etizolam to decrease the anxiety and induce sleep. Over weeks, I would have escalated the dose of SSRI and deescalated the dose of benzodiazepine.
I would have also suugested a behavior therapy, like biofeedback, as means of non pharmacologic treatment to aid the management.
Please remember that GAD is a very common disorder encountered in clinical practice, and most cases are manageable with 6- 8 months of compliant therapy.
Therefore, I would request you not to lose hope, and to consult a competent
psychiatrist near you for detailed evaluation and management of your problem. Moreover, I would also suggest you for an evaluation of your daughter for any anxiety disorder or depression, as these are quite common in children and need a detailed evaluation and treatment as soon as possible.
Hope I've been able to satisfy your query. Please feel free to contact me for any further clarifications. best wishes,
Dr. Sourav.