Psychiatrist | Psychiatry Questions Ocd

Ocd or something else

Why do i have become so obsessed with
having a girlfriend or wife? I am 22 years
old male. When i was 8, i had my 1st crush.
Everybody do have crush at some age but
i think i have become obsessed with those
thoughts. since then i have become alot
obsessive about having a girlfriend. I use
to create imaginary scenario in my mind
and had emotions according to those
scenarios. I never had any girlfriend and i
never approached anyone.I have no crush
now.My day to day life is stick to think
about how things would happen, when will
happen, what if something bad happen. I
have intrusive thoughts about my family
and myself and future wife and i have
arithmomania from the young age of 10.
I use to count stairs, letters in the book,
ceiling tiles and patterns. Even now i make
pattern on curtains hanging next to my bed.

Male | 22 years old
Medications: No

3 Answers

It sounds like you might have obsessive compulsive disorder. This is characterized by severe obsessions (and that could be about anything). These thoughts are unwanted and you severely impact your life. The compulsions have to do with behaviors....that you feel you'd have to do otherwise something "bad" may happen. Also they are unwanted and you recognize that they are excessive. These obsessive thoughts and compulsive behaviors are impacting your life. Some people with OCD have counting behaviors, some have "magic numbers" - where they have to do that *something* a certain number of times. OCD can be managed by both therapy and by medications. You won't completely get rid of them but you can manage them. If you're anxious about medications, start first with going to therapy. But ideally for some thing severe, it should be managed by both meds and psychotherapy.
I would recommend seeking treatment with both a therapist and psychiatrist to explore and further address these concerns, including potentially medication management to help manage the anxiety and ocd symptoms you describe. Thank you.
As a psychiatrist, based on the information provided, it is possible that your preoccupation with having a girlfriend or wife, along with the intrusive thoughts and counting behaviors you describe, may be indicative of obsessive-compulsive disorder (OCD) or a related anxiety disorder.

Obsessive-compulsive disorder is characterized by the presence of recurrent and intrusive thoughts, images, or urges (known as obsessions) that cause significant distress and anxiety. These obsessions often lead to engaging in repetitive behaviors or mental rituals (known as compulsions) as a way to alleviate anxiety or prevent perceived harm. In your case, your obsession seems to revolve around having a romantic partner, while your compulsions involve creating imaginary scenarios, excessive rumination, and engaging in counting behaviors.

The presence of arithmomania, the compulsion to count, further suggests a potential association with OCD or related conditions. Arithmomania is characterized by an irresistible urge to count or perform repetitive numerical rituals.

It is important to emphasize that a definitive diagnosis can only be made through a comprehensive evaluation conducted by a qualified mental health professional. They will consider the specific nature and duration of your symptoms, as well as any associated impairment in functioning. Seeking a professional evaluation from a psychiatrist or psychologist is essential to receive an accurate diagnosis and personalized treatment recommendations.

Treatment for OCD typically involves a combination of therapy and medication. Cognitive-behavioral therapy (CBT) is often the first-line approach, focusing on identifying and challenging irrational beliefs and engaging in exposure and response prevention techniques to gradually reduce the distress associated with obsessions and compulsions. Medications, such as selective serotonin reuptake inhibitors (SSRIs), can also be prescribed to help manage symptoms.

I encourage you to seek the assistance of a mental health professional who can conduct a comprehensive assessment and provide you with the appropriate guidance, support, and treatment options. They will be able to tailor an individualized treatment plan to address your specific concerns and help you work towards symptom reduction and improved quality of life.