IOP Treatment & Cis-OCD

I feel like I'm up against an insurmountable mountain. I'm not new to OCD; I know I've had symptoms since at least the age of 8 (probably earlier to be honest, I just know things really took off when I was 8). I dealt with things with no outside help until I was 17, at which point I began seeing a therapist and began to take celexa. I stuck with that therapist for a couple more years before going about my life, though I continued to take the the celexa. Fast forward to 2018, age 29 - I once again began to see a therapist and had my meds adjusted once more, this time switching to Luvox. I also wound up switching therapists after a year or so, though not by choice - my therapist had a personal crisis come up that necessitated the switch. I still see the same therapist I switched to in 2019. Early 2020 brought with it a couple more med changes, going off the Luvox and onto Cymbalta and Intuniv due to concerns about previously undiagnosed ADHD. This was how things were for five years. I'm not going to say things were perfect- there were undoubtedly bumps in the road - but things felt doable, and I mostly found enjoyment in life. This came to a screeching halt recently. Again, as I said, there were bumps in the road. At first, I thought this was all that this was. When I spoke to my psychiatrist in early February, I started Ativan as I just wanted something to take the edge off a little bit. I also went off of Intuniv as we thought that might be contributing to things. It was Saturday, February 8th when things really started to go off the rails. My boyfriend and I were going on a short trip across the state. An intrusive thought popped up - What if I sleepwalked at the hotel and hurt or even killed my boyfriend? This fear stuck with me through the entire trip. I heaved a sigh of relief as we drove back. I'd soon be safe back at home and I'd put it all behind me. If only. On the ride home, my worries shifted to concerns that I would sleepwalk and do something to my parents, who I live with. I fretted for the majority of the trip back, already making up plans to research the subject and how unlikely it would be that something like that would happen, and I'd tell my parents for good measure. They, of course, assured me that I'd never sleepwalked in the past so it was unlikely I'd do so now. I should also note that this is not a new fear of mine, but one I experienced as early as elementary school, though it had essentially disappeared up until this point, decades later. If only it stopped there. I stopped taking the Ativan Sunday evening in the middle of the trip, my thought being that the Ativan might have contributed to this. My boyfriend, in fact, had a reaction years ago where Klonopin actually sent him into a panic, so it seemed possible that I might be experiencing some sort of paradoxical reaction. I also remained off of the Intuniv. Monday was the day I began experiencing loss of appetite. Monday was also the day when things really began to take off and my life began to truly feel like a waking nightmare. Another horrific image from my past reared it's ugly head - an image of my grabbing a knife from the kitchen and stabbing my mom. An image that has continued to haunt me since - and now its 2 weeks later. There's still a bit more to the story - The day after this began, I went to a local urgent care. I was now not only experiencing these horrible thoughts, but I could barely eat lunch, and my stomach was hurting. I also told my parents the latest turn in how things were going. From the urgent care, I was given a prescription for Omeprazole and Hydroxyzine. The following day, I went to my ordinary doctor's office, where the doctor suspected my increase in anxiety and the associated intrusive thoughts had to do with going off of the Intuniv I'd been taking for five years without tapering, and advised me to immediately resume the Intuniv. He also endorsed continuing the Hydroxyzine, which I was taking at night before bed at this point. I'd hoped that going back on the Intuniv would 'even things out' and I'd be back to normal in no time. The thoughts continued, unfortunately. I had an appointment with my therapist as well as my psychiatrist, who upped my dosage of Intuniv to 3mg instead of 2mg and advised on other medication options should this not help. Though I would like to see both of them more, it's difficult with my work schedule and their busy schedules to find time. As of right now, I'm seeing my therapist once every two weeks. My next appointment with her is this Wednesday. I've also made follow up appointments with my regular doctor's office. Last Wednesday (2/19), I had an appointment with an NP who advised I take the Hydroxyzine three times a day rather than just at bed time, so I've been doing that. I thought it might be helping the first time I took it in the afternoon, though this doesn't seem to be the case with subsequent dosages, unfortunately. I also see her again on Wednesday. I apologize for the long post, but I wanted to share how I got to this point. Things aren't great. I'm trying to enjoy life where I can - I recently played board games with my parents yesterday and went to a restaurant with my boyfriend the day before and felt almost normal, but even in those instances it felt like there was something lurking just beneath the surface. I'm going through life, but it feels like I'm barely surviving. I'm going to work but only because I think I'd be worse at home with absolutely no distractions. I wish there was a switch I could flip and things would be back to normal, where I didn't feel this way. In fact, more often that not, I want to be laying in bed asleep, because you can't think when you're asleep, and it feels like the only refuge at this point. It's hard because home was always my safe place, and my mom one of my safe people - and now this. Anyway, if you made it through this long post, thanks for reading. <3

I am a man from the Netherlands and I am in my early 40s. When I was 36 years old I became diagnosed with ADHD. At that period of my life I already have had treatment for borderline personality disorder. I might have an impulsive nature due to my ADHD, though unlike many people with BPD I don't act impulsively but I am hindered in my life by indecision and perfectionism. It wouldn't surprise me if I turn out to have OCD. Thanks to a blog from NOCD in which transgender OCD was described it became more clear to me my doubts and anxiety of possibly being a transgender + a coward because of remaining in denial for that, is more likely the cause of OCD. I noticed as well I made progress during the years, because of course it didn't take my doubts away, however I was able to believe dealing with uncertainty probably contributes more to my well-being than finding the answer of my doubts. This specific type of OCD keeps coming back, because it is a fact that I as a homosexual man am very insecure about my masculinity. I had experienced an unsafe childhood with emotional neglect from a mother with autism and also emotional abuse from a father with definitely traits of a narcissistic personality disorder. As an only child who also turns out to have ADHD I felt chronically lonely and grew up with the belief I was a complete failure: not only my actions were wrong, but also my thoughts and emotions. At school I was an outcast. I felt unsafe everywhere. I often escaped into daydreaming and fantasies, because for me it was the only way to bare the reality. As a child I was introvert, anxious and feminine. That's why I developed a feminine alter ego of myself in which I could escape in my fantasies. However I didn't develop an identity align with my biological sexe. When I hit puberty I became worried about it. I was convinced I eventually have to come out of the closet as a transvestite or transgender. I really didn't want that; I wanted to have a stable self-identity align with my biological sexe instead of regularly pretending to be a woman, because I am not a woman. However as you all know very well the suffering is about not having control over yourself. When I was 17 I decided to look for a psychologist, because I definitely didn't want to waste precious years of my life. I assumed a psychologist can help me, because I definitely am not the only homosexual man struggling with his masculinity and sexual orientation. I felt so much ashamed of myself I repeatedly held myself back explaining my problems, though I forced myself to speak up my mind; after all he can't help me if he doesn't know what it's all about. I was very disappointed he replied with "What are you complaining about? Count yourself lucky you live in the Netherlands where you can be yourself." He was bringing up my perfectionism: in my perception he did so because he refused to admit he couldn't help me, so by bringing up something else he still was able to profit about my suffering. Looking back to it now I can understand why he responded like that. Still I think it's disrespectful, because I feel treated in such a way like a disobedient dog that has to learn to obey. I have had a lot of therapists and they regularly responded similarly. What I find striking is that my perfectionism and worrying is one of the first things they notice, but it doesn't occur to them that I may have OCD. I have now signed up for another treatment and at the intake I indicated that I suspect OCD in myself and am open to following exposure therapy, but so far they just don't seem to take it seriously. Over the years, my fears have become less strong. By that I mean that it no longer leads to panic attacks and street fear. The more confident I feel, the more comfortable I feel with my masculinity. But when I feel less good about myself, I get doubts again and especially shame and guilt. It makes me hesitate going to the gym (in the past the gym was too much confrontational) and I cannot at myself in the mirror. I am quite sure my so-called borderline personality disorder at least partly refers to complex PTSD. Actually I don't care anymore which name is assigned to my problems. I just want to be helped. I understand bringing up fears like "Am I transgender or not?" doesn't help me. However it doesn't help me either if they refuse to respond to me. Then I feel like it's some kind of test to observe if I am able to figure it out on my own, and if not then I cannot get better.

Hello everyone, I'm writing this because I've been struggling heavily for the past two months. I went through a breakup that I won't go into vast detail about. However, it was very abrupt with little "closure" or reasoning. It was simply based off of intuition from the other person, which is completely valid - he also said I didn't do anything wrong. This uncertainty already sounds like an OCD nightmare, which is why I'm sharing my story. There was no incompatibility, unshared values, patterns. Probably just no communication on his end towards when he started having this feeling. I thought this person was MY person, and it certainly was heavily reciprocated and initiated by him. He is also my coworker, and someone I went into a relationship with massive intentions, the slow burn and serendipity of it was special to me. This connection was a safe space and I put all my trust into him, he was my rock romantically and when things were good, he really built that trust up with me and I never wanted to let it go. I also thought I was a good partner, and tried my best. Of course I still had my family/friends, school, apartment life, career. I really felt like everything in my life had lined up and this relationship was the cherry on top for a while. Obviously we both made mistakes and there was ups and downs, but I never once questioned my love for him or thought he might suddenly leave. Which is something that can happen to anyone. After our breakup, I felt completely lost, betrayed, blindsided.....and to make matters worse, I blame myself for everything and my OCD immediately went into max gear. The uncertainty of the entire situation was so scary to me, all I could say or think was that I was scared. And I wasn't ready to face the pain that was about to come, not to mention the OCD already creeping up into full panic mode, especially without a person I considered a huge support system. OCD looks for clarity - not just me as a human looking for clarity. It felt like there was layers and layers of complexity for me that I couldn't face, if that makes sense. Unfortunately, I made a horrible mistake and attempted S. After going through an extremely vulnerable situation at the hospital, I went through inpatient and found it extremely difficult to accept my old life was simply gone, out of thin air. After I came out, I couldn't even be in my own apartment. I didn't feel safe, in a place I worked hard to get and felt "independent" in. Independence was one of my biggest personal values, now I feel anxiously attached. I also didn't feel safe at work, which was once a good distraction for me and something I also worked hard towards, I can't quit. And not to mention, the loss of an important relationship. I sought support from my family, who has been so unbelievably supportive and I also started to try to figure out what I was going to do. It was extremely hard trying to find an Intensive Outpatient Program that would work with my schedule, and also I was set to start my new semester in school again soon. I ended up setting up therapy with NO OCD twice a week. My therapist has been EXTREMELY helpful, and I honestly did not think that finding someone specialized in OCD would be so life changing. Anyway after everything that happened, I'm still struggling with feeling like a BAD person. It's my reoccurring theme. I thought that I was somehow a manipulator because of my attempt. I know I reacted poorly, but I'm also learning to give myself grace for the pure pain anyone would feel and know that it was an isolated incident (never talked about it before, especially not in relationship). I also try to remind myself that my situation is unique and only I know the pain. I also think back again and again, to every little thing I could have done wrong and it hurts me. I think about isolated mistakes or things I said, and think that's the reason why my whole relationship failed. I take the blame for everything. And it all ties back to me being a bad person. It feels like it's never ending. Sometimes I feel good, but it's still really hard to stop the cycle for me. I think about every little thing. I honestly couldn't even slightly comprehend how someone can vastly change their behavior - it felt like he truly died. That person who I got into a relationship, was no longer here. Interpreting his behavior, actions and words has been difficult, not to mention my own - but It's easier for me as I continue to give myself grace knowing that I did what I could within the relationship with the information I had. I also try to remind myself that I took a lot of accountability, and would have listened if things were brought up. The same mistakes I made, were not the same he made - but OCD keeps trying to make me overly reflect on myself only, if that makes sense. Taking OCD away completely - interpreting that is already complex. Adding OCD, it's horrible...my brain keep trying to find certainty in SOMETHING, anything. So little things come to my head, and suddenly I'm a bad person. Suddenly, he's reached happiness and I lost him because....I'm a bad person. Suddenly I was too needy, too much, showed my OCD, and he thought I was a bad person. It's honestly exhausting. I've never hid my OCD, but I did feel like I was actively working on it and also trying to be a good partner, sister, daughter, friend. I was content, and I wasn't expecting this or maybe I would have been more prepared, I've had breakups before with longer relationships. It's hard to know how OCD just came into FULL gear after this hardship, it's hard to know that - although I was working on it - I felt content and wasn't experiencing symptoms regularly. Suddenly, I was in full panic mode all the time. It's made me question my entire reality, I hope this makes sense. I know the levels of this were traumatic, and I am doing A LOT better just two months in. I'm looking forward to more progress and hope that I can accept uncertainty more and more. Regardless of how I felt, he can suddenly leave and without reason. And I'm learning that not everything is my fault, and that I have so many good things in my life I should be grateful for. Although when I came out of the hospital everything was flipped upside down, I still have a job....an apartment and family/friends and school, not to mention the work I need to do on myself and OCD. Maybe one aspect of my life (relationship), is gone - but everything else is still there. It's hard, I've been staying with my mom and this weekend I'm going back to my apartment to face my loneliness. With the help of my therapist, I'm learning to be uncomfortable in my apartment. I think this experience has COMPLETELY broken me as a person, but because of it I was able to face my OCD head on in a way I've NEVER had to do before. I could have probably kept it symptom free for the most part, but this has challenged me in a way I never thought possible - almost as if - I get through this, I might be able to defeat it. And also understand pain on such a deep level, that I can be there for my family, friends, etc in a new way I never thought possible. I probably forgot to include a lot of stuff, but lets just accept that it's extremely complex to explain - and all I know is that I'm not a bad person because OCD says so.....separating the relationship from the attempt. In the relationship, I tried my absolute best and we both made mistakes. In the attempt, I can acknowledge my pain and move forward from it in a non judgmental and graceful way. Even though I delt with extreme guilt for putting my family through something they couldn't understand and guilt for myself and for everyone involved, even though I know it's okay.