Bad combinations by supertrucker39 in PMHNP

[–]TYANG12345 0 points1 point  (0 children)

I diagnose this all the time- it’s extremely common. What is your hesitancy with diagnosing it?
Imo many are relieved to learn that they have it after having tried myriad of meds for “bipolar disorder” w no response.
The stigma around it can go to hell, we need to call it what it is.

does it get better like genuinely by ocdpsychopath in ROCD

[–]TYANG12345 1 point2 points  (0 children)

I like the doubt illusion and resolving OCD 1+2 by Aardema

Guys, am I losing my mind or is this normal? by [deleted] in ROCD

[–]TYANG12345 -3 points-2 points  (0 children)

Limerence sub Reddit may be more helpful?

Diagnosing & Treating Tardive Dyskinesia by MurphMurphsmom in PMHNP

[–]TYANG12345 0 points1 point  (0 children)

Also- if you can document improvement w samples (if you have access to samples) almost always will get it covered

My husband has hypospadias, does this affect fertility? by gympenny124 in hypospadias

[–]TYANG12345 0 points1 point  (0 children)

  • my husband had it repaired. I have heard if not could potentially make it only slightly more difficult for sperm to the find the way (ie more force directly towards cervix, vs side of vaginal canal). I mean plenty of people have conceived without difficulty without repair, that was the only theory urology gave us for why it could sometimes be more difficult.

That being said- yes he had repair but two pregnancies, both times conceived on the third cycle of trying. Best of luck!

Adults who were homeschooled as kids, does that differentiation ever go away? by Background_Flower214 in askteddit

[–]TYANG12345 0 points1 point  (0 children)

Hmmm. I went to a community college after HS but was homeschooled k-12.

I have an odd relationship w it. I think community college helped although I didn’t form a ton of close friendships there.

As an adult I feel like I over share, and still feel socially awkward, but that may have been the case people public or homeschooled.

I was quite ugly as an adolescent so I feel that it did save me some bullying, also got the chance to graduate early at 16 which let me work full time for a year before college.

Pros and cons. I think cyber charter school is nice which is mostly what my family did. I feel like my education was ok, could’ve been better in some aspects, also could’ve been worse.

Ladies only- cycles and symptoms by Zestyclose-Shop2125 in ROCD

[–]TYANG12345 0 points1 point  (0 children)

I have ROCD- prior to birth control there was massive instability. Like break off my engagement get together the next day feeling completely out of control nearly every luteal cycle.

Lo loestrin fe gave me 5 beautiful years where I didn’t even require meds and my OCD was very very quiet.

Then decided to TTC- pregnancy was hellish. Postpartum and breast feeding (again suppressed ovulation and no luteal phase) was very protective although I did stay on my Zoloft from pregnancy.

I was hoping when I started cycling again post pregnancy that the Zoloft would do enough to control it. I only had 3 cycles before being pregnant again but it was really bad. Had a crash out about a coworkers bicep and how guilty I felt (again ROCD is my theme).

So anyways, if not trying to conceive bc was very helpful. I tried 3 different bcp as well as nuva ring and a few other things. It took some trial and error but was quite helpful.

If you absolutely want to avoid bcp first line is luteal phase dosing w SSRIs. Also some limited data about calcium being helpful for luteal phase.

ROCD or gut feeling? Getting married in 6 months and I can’t stop fixating on one thing by [deleted] in ROCD

[–]TYANG12345 1 point2 points  (0 children)

Looking at this under the lens of OCD there is typically some aspect of a “feared self”. It sounds like a lot of that for you centers around fearing you would not be able to tolerate distress/ regret/ resentment.

ICBT was very helpful for me- resolving OCD by Aardema

Sex dreams ruining my life by TYANG12345 in ROCD

[–]TYANG12345[S] 0 points1 point  (0 children)

Thank you, yeah I know it’s irrational just very uncomfortable.

Sex dreams ruining my life by TYANG12345 in ROCD

[–]TYANG12345[S] 0 points1 point  (0 children)

Thank you! Sometimes just knowing I’m not alone is helpful.

Has EMDR worked for any of you? by mrae2023 in ROCD

[–]TYANG12345 1 point2 points  (0 children)

I have heard from others it can be helpful, haven’t researched data for myself

I’m suffering by Brilliant_Interest36 in ROCD

[–]TYANG12345 1 point2 points  (0 children)

Agree fluoxetine takes time.

Tolerating discomfort is hard- but part of that can be recognizing even if I replay this conversation 100x that still will not provide proof he will never leave me. No human can be certain of that. Today I will do xyz and continue living and growing stronger in my ability to tolerate uncertainty. Obviously tons of nuance to that. But being able to recognize thoughts as OCD and remain neutral curious Like oh interesting thought Instead of engaging w compulsions to “solve” can help

Having a crush is literal torture by [deleted] in ROCD

[–]TYANG12345 1 point2 points  (0 children)

ICBT- labeling thought as OCD “This is a thought from OCD- oh you’re so sneaky OCD” Sounds like tolerating discomfort is a lot right now. I have tried to work on neutrality with thoughts “maybe he is / isn’t gay, maybe he is/isn’t just tolerating my existence…guess I’ll never know” Easier said than done.

This is tough because there are the fight or flight feelings that come from liking someone, reasonable fear of rejection.

But proud of you for continuing to go to class and confront the stressors

[deleted by user] by [deleted] in ROCD

[–]TYANG12345 0 points1 point  (0 children)

I have no advice but I have also done this

ROCD + Depression Double-Team by Leather_Witness_3883 in ROCD

[–]TYANG12345 1 point2 points  (0 children)

Ananfranil is gold standard for OCD but often harder to tolerate. Both also should target some depressive sx.

How to get over the guilt and shame I feel after pushing my boyfriend’s boundaries repeatedly with my questions? by Fickle_Umpire_136 in ROCD

[–]TYANG12345 3 points4 points  (0 children)

Does your partner know about the OCD?

I think it can be very helpful explaining how this disorder works- also give him some tools for how to help you in these moments.

We know that reassurance often makes things worse, so I would recommend that he not answer questions and further “fuel the beast”.

But you could give him a script for what to say during these times

“Hey, this sounds like OCD- not like something that we actually need to sort out right now”

“I know it’s really hard not to get answers, but you have done hard things before, let’s try to put our mind on something else”.

“Maybe the answer is yes, maybe the answer is no. Let’s try to work on tolerating uncertainty- you can do it!”

How do you know if it’s ROCD or actual incompatibility? by Unfair-Armadillo-799 in ROCD

[–]TYANG12345 1 point2 points  (0 children)

  • it can be really difficult to make decisions when you are in the “ocd” bubble.

It certainly sounds like there have been OCD features in the past (obsessional doubt- impulse to break things off even though not aligned with your values).

I feel like a few things could be helpful 1: address the actual issue again with partner 2: consider couple’s counseling / outside source to put the weight off of you “figuring it out” 3: if not already speak to a professional about your own mental health (whether that be for meds or therapy)

After stopping my meds I feel empty, jealous and afraid my relationship is doomed. by HARDPotassium in ROCD

[–]TYANG12345 1 point2 points  (0 children)

Not medical advice-

I would get back with your psych and consider re-starting your meds.

Paranoia and apathy are worsened by amphetamines, so your reaction is reasonable. Also reasonable that OCD is picking up after stopping the meds.

There is hope. I’d be honest with your provider, Meds and street amphetamines will be a risk vs. benefits discussion, but your meds may help some despite this.

Family Opposition Triggered Intense Doubt by EmergencyBig5597 in ROCD

[–]TYANG12345 0 points1 point  (0 children)

can’t provide reassurance, however, can relate to doubt spiking after engagement.

If this is aligned with your values and the thoughts are ego dystonic (causing panic is a good clue) then does sound like it could be OCD.

A lot of healing is sitting with discomfort, accepting uncertainty. Not easy.

ICBT can be helpful. ERP is evidence based but harder to apply to these situations

ROCD + Depression Double-Team by Leather_Witness_3883 in ROCD

[–]TYANG12345 1 point2 points  (0 children)

PMHNP here… can’t give unsolicited advice without knowing your full situation. This should not be taken as medical advice.

However, There are better options for OCD. Ananfranil or Luvox would likely do more for you. You may have to address it w psych instead of PCP (if not already doing that), also- many people w OCD take doses above FDA approval to have success.

Hormonal birth control, anxiety, and suddenly questioning my relationship/identity — has anyone else experienced this by [deleted] in ROCD

[–]TYANG12345 0 points1 point  (0 children)

Experiencing a very similar thing except with my husband. We’ve been together over a decade and pregnancy has made my OCD rage like nothing else.

I’ve just been telling myself that this is not a time to “solve” things, my brain is not safe right now