should i pursue a diagnosis?

Hello all, I don’t have insurance at the moment (lost eligibility due to me making more money, but not enough to afford medication and visits) and have been struggling a LOT. When I was going to therapy, I was diagnosed with Bipolar 2 Disorder. I never got to expand on other mental health concerns I had and it bothers me that I can’t receive the proper advice that I need. If this is not allowed, I completely understand (and you may delete) but I figured I’d give this app a shot to get some clarification and knowledge on the topic. I experience MANY intrusive thoughts that destabilize my relationships and daily mood. I always pitched it to be my B2D symptoms, but the more I read into OCD or rather, Relationship OCD, I feel connected to others’ experiences. My boyfriend has been cheated on in the past—to such a bad degree, that it can be hard for him to trust me. I have never been cheated on nor have I ever thought cheating was okay, but I experience nearly daily intrusive thoughts that I am a horrible partner. Even worse yet, the intrusive thoughts often include overanalyzing my body language and making myself believe that I am somehow presenting myself in a way that would make men “like” me and therefore convincing my boyfriend that I am or will cheat on him if given the chance. It gets so bad that when my boyfriend questions an interaction I have with a dude, I freeze and become so panicked that I feel as though I am “giving away” that I did something wrong—even though I didn’t do anything at all. I am fiercely loyal to people in my life and could never imagine hurting anyone, so the very thought that I could “potentially” do this gnaws away at my social comfortability and self-confidence. I always feel as though I’m a horrible person and I am constantly trying to “make up” for something I didn’t even do. I’ll cry myself to sleep ruminating on every detail of the moment I had these thoughts or when I spoke to my boyfriend about it. It just haunts my thoughts honestly and makes socializing impossible nearly all the time. Eye contact has been a huge problem for me lately even—as if eye contact seals the deal on me being an “unfaithful” partner. Or laughing! Because if I show any sort of interest in the conversation—no matter how respectful and short it is—I believe it’ll spiral into my boyfriend leaving me (which is completely ridiculous and not true!) It’s almost like imposter syndrome in a way—because I feel as though no amount of reassurance or truth that I am a kind, loyal girlfriend, I will eventually ruin it anyway so I don’t deserve respect or affirmations. And it’s not even just with my boyfriend. Friends I have lost in the past clutter my mind as well. I have constant guilt and regret over potentially being a horrible friend despite how hard I fought/fight to keep that person in my life. Honestly, it gets to a point now where I’m convinced I will mess up any form of relationship I have eventually so I suppress my feelings or thoughts that could potentially upset people or make them question if I am really valuable in their life (often I can feel detached from people while being physically present with them because I get so lost in my head about what-ifs or where to look or if I’m causing someone to feel uncomfortable or that what they are or I’m saying isn’t satisfying the “ideal” friendship) . I let people walk all over me, deal with uncomfortable settings to avoid conflict and struggle to assert myself or have any sense of who I truly am with other people. It has put such a strain on me and my relationships, especially my best friend and my boyfriend and I’s relationships—which hold highest priority in my life at the moment. It can be hard to “let go” of people because it’s just another person who I have failed—including my own family members whom have definitely given reason for me to be not close with them. I also struggle with perfectionism and order during “stressful” situations, to the point where I will put myself into an anxiety episode over the simplest changes, unexpected accidents or things not going to plan. Again, this could very well be a symptom of Bipolar, but it truly causes me to blow situations WAY out of proportion and convince myself that I will never resolve it or make things better unless I can set it exactly how it was supposed to be in my head. The executive dysfunction is real on that one…To some, it could be procrastination. Or even just my cycles rapidly changing. But it affects my outlook on most things—financial matters, relationships, responsibilities, hygiene, cleaning. I can go from having complete confidence in doing something, to being doubtful that I could even get myself to get out of bed because I know I won’t do what I need/want to do. Sometimes I’ll even elaborately plan a course of action the day before and then when the time comes to do it, I lose control of my will to do it due to my intrusive thoughts. I do NOT expect anyone to “diagnose” me and I’m not sway the audience into agreeing with me in any way. I truly only want to hear your experiences, and if you also struggle to differentiate if you’ve been properly diagnosed or have overlapping symptoms that you can relate in some way. I want to better understand OCD and possibly connect with people who have had the same experiences. I appreciate any feedback—as long as it’s beneficial to this discussion and helping anyone else who struggle with the same thoughts—or even struggling to identify yourself or afford treatment! I just am curious, and honestly needed to have a platform to express some deep stuff I haven’t really discussed with anyone else besides my boyfriend. Thank yall for reading/listening regardless!

Some background: I’m a woman in my 30s who’s been struggling to find the right diagnosis for years. Since 2022, I’ve had multiple psych hospital stays, and with each stay came a different diagnosis and different sets of medications: Bipolar II, CPTSD, MDD with psychotic features, “high functioning BPD,” and most recently, Schizoaffective Disorder (depressive type). Before all of that happened, I had been seeing a therapist for CPTSD and AuDHD traits for 2 years, but after they left the practice, I struggled to find someone I trusted again. Most of my breakdowns happened during my last relationship. Looking back, I was in survival mode with them, leaving who *I* am behind. I got to the point where I started doubting my own reality from the abuse. This eventually added up and landed me in my first episode of psychosis. That combined with my attempts is what got me my schizoaffective diagnosis. After finally leaving that relationship 1.5 years ago, I’ve slowly rebuilt my life: new town, new job, new friends. Many of my old symptoms (major ones) haven’t returned, which makes me believe I may have been misdiagnosed due to reliving past childhood trauma and stress responses from the abuse. Through all of this, I’ve felt like nothing ever truly fit. I journal, I reflect, I replay the recordings and I’ve even watched old vlogs –the puzzle pieces still don’t come together. It’s left me feeling like I’ll never really know what’s going on, and I’ve started to fear that my diagnoses will just keep stacking up without ever leading to effective treatment. Recently, I opened up to a friend about this. She mentioned that her neighbor went through something similar not exactly like me but she thought it would give me a starting point—multiple diagnoses that never felt right—until a new doctor finally identified it as OCD. That one diagnosis changed everything for her. It made me realize I really don’t know much about OCD beyond the stereotypes. I didn’t know OCD could involve intrusive thoughts, rumination, or mental compulsions. My friend encouraged me to look into it, especially as I start searching for a new therapist. Facebook and Google lead me here… So now I’m wondering: could OCD be a better explanation for what I’ve been experiencing all these years? Questions for the community: 1. What steps did you take to find out if OCD was what you were dealing with? 2. If you had a long history of misdiagnoses, how did you finally find a clinician who got it right? 3. How did you advocate for yourself when people dismissed your concerns? 4. Is there anything you wish you had done earlier in your OCD journey? Thank you so much if you made it this far. I’m really grateful for this space and just want to start finding answers and the right kind of help.

So I’m new to this app and I knew there was something wrong w/ my brain for a few years now. I’m a professional volleyball player and was playing in France last year while in a long distance relationship. I would ruminate and think that one small thing was going to ruin my career every. Single. Day. And I have the fear that I NEEDED to end warm ups with a good hit or else I would play terribly. I had constant fears that my teammates don’t trust me and think I’m bad - when in reality and looking at the statistics I was one of the best players on the team - the fearful ruminating keeps me awake at night and it would get so bad that I would break into a rash on my neck. Lots of rashes from anxiety and over thinking :( My relationship was new but it was long distance. I never experienced this in my life: my mind became OBSESSED with the idea he might be ugly. I couldn’t stop thinking that he was ugly and feared that that meant I needed to break up with him and I felt like a terrible person constantly and the thought ate me alive - I was constantly googling about it to try and get some relief which I am now learning is seeking reassurance. I also have struggled with some forms of disordered eating for many years but it got so bad in France. I was binge eating a lot. I gained ten pounds in a month. I knew it and I felt it and I became OBSESSED with the idea that I’m so fat and a weak terrible person for not being able to control my binges. My therapist gave me some screener exams. I scored very highly on the anxiety test and the OCD test which blew my mind cuz I’ve never considered OCD in my whole life. I started taking Prozac which honestly I feel like saved my life. It’s been over 6 months since that point now and everything is so much more manageable. I’ve also recently learned that I may have autism as well. My brother has it and dad is convinced he has it but I was never diagnosed. I also learned I may have a bit of ADD as well recently. I’ve known I think differently for some time but this is just overwhelming and validating and confusing and a bit scary. My current obsession is worrying about my future career - I’m obsessed. I can’t stop thinking about it. I’m so afraid of my making a lot of money in the future. I take aptitude tests all the time when I get anxiety or go on Reddit to hear about other people which makes me feel okay for a little but it always comes back. My head is spinning. I just want to enjoy being 24 and having an interesting career and trust that my life will be okay but I’m so convinced that I’m going to suffer immensely if I don’t start pursuing a high paying job immediately. Im a smart girl - graduated from UC Berkeley - have done tons of networking in different industries - I have a financial plan for the future for when I start a normal job - but I cant stop this cyclical torturous thinking that I’m going to be poor and suffer immensely I also learned a few years ago I have an anxious attachment style which I thought I worked through but in my new relationship I have strong feelings for him and I feel the intense fear abandonment coming up and I’m so scared I’m gonna ruin the relationship - I thought maybe I’m just someone who needs a lot of reassurance but if I have OCD maybe that will make it worse? Feeling like I need reassurance to regulate? I just would like some help - have you experienced this? Is this even OCD? Am I making things up for attention? I’m going to bring it up with my therapist.