I’m really not feeling well at all because of my OCD. How do you know when you need intensive treatment? I guess I follow up with my doc and therapist.

Hey, I’ve been doing some research on OCD and think I may have it. I’m not 100% sure, but I have a lot of the symptoms. I want to get myself diagnosed, but my parents won’t let me. They agree that it’s very likely that I have OCD, but they think that if I try hard enough, I can get over it. I don’t know what to do anymore or if what I have even is OCD, and I want to be somewhat sure before a I do anything. Right now, I’m a junior in high school, but freshman year was when my “OCD” was the most severe. I think I had (and still do) the symmetry/order subtype and “just right” subtype. I was obsessed with writing things neatly to a point in which I kept forcing myself to erase and rewrite things until all the letters were straight and all the graphs were neatly drawn (typing wasn’t safe either because I use Notability and felt the need to align every text box and make them all the same length). Handwriting was especially a problem in calculus A, and it got to a point in which I couldn’t keep up with the notes, and the homework was taking hours a night because I was obsessed with making my work perfect. Needless to say, I didn’t get a good grade in calculus A and didn’t build a good foundation for future math classes. This makes me really sad because I was previously really good at math and had a bright future in the subject. Eventually, I just stopped trying in calculus A, but by then, I felt burnt out, couldn’t concentrate on anything, kept putting things off, and lost the ability to properly manage my time. I think it may have escalated to executive dysfunction at that point, and it carried over to all my other classes. As someone who was previously pretty productive and good at planning, this was a huge hit on my self-esteem. I was also obsessed with symmetry. If I touched one side of my body, I had to touch the other side in the exact same place. If I was coding something, I would have to evenly distribute touch across each key on the keyboard. It felt like everything was a heatmap, and the colors had to be kept in balance at all times. I also avoided odd numbers because they were considered “asymmetrical”. I was obsessed with routine and had to complete tasks in a certain way, a certain order, and a certain amount of time. Even something as small as combing my hair for five minutes instead of six caused me extreme distress. Writing one word that “sounded off” on an English paper left me unable to keep writing until I fixed it. I had to keep the sound of my phone at a certain volume (6 normally, 10 when exercising, and 12 when cleaning, divide everything by 2 when using a computer) and had to walk a round number (any number that ends in 0) of steps a day. I kid you not when I say that some days I woke up and didn’t want to live anymore. Sophomore year, my mental health improved and I probably seemed overly perfectionistic but not to a point of concern. However, this year, the handwriting issue relapsed in all its glory during physics, and I’m not able to keep up with notes or homework. I feel the same way that I did in calculus A, and I don’t want history to repeat itself. I want to ask my teacher to let me do my homework on paper rather than the iPad (it’s easier for me to write on paper due to increased friction), but I’m scared to ask because I don’t have a formal diagnosis. I don’t know what causes my behavior. I feel like if I can’t do things perfectly, no one will like me. I’ll lose all my friends, and no boy will ever want to go out with me. I know it’s irrational. Literally no one cares what my notes look like or how long I spend on each step of my morning routine or whatever, but I constantly feel like people are judging me and will hate me the second I mess up. There are two more times in my life that I can think of when I displayed symptoms of OCD, contamination OCD when I was 9 and pure/religious/magical thinking/health concern OCD (they all just kind morphed together) when I was 11. I can go into more detail if you wish. As of now, I just want to know my behavior sounds like OCD, and if so, how to more forward. If not, I would love to know what I do have and how to treat it. Thank you so much.

I've gotten diagnosed with OCD and I'm in therapy. But I'm worried that I don't have OCD/that I got misdiagnosed. And recently I'm worried that I've just gotten myself into a habit of thinking of dirty minded or just plain old terrible things after I see/hear certain things because I feel like I need to prove I have OCD or else I'm faking(sometimes this goes away). Or that I'm just mimicking symptoms of ocd to cope with real problems I may have and that im just really deep into denial. I don't know...I'm just so tired. I mean, what if I really am what I think I am and this is my brains only way of coping? I don't even really feel anything towards most of the thoughts anymore either I just know they go against my values and I don't want them. I don't know if that's because I'm so mentally exhausted, I just don't care, or that the thoughts are true and I'm comfortable with them.

My therapist isn’t specialized in OCD. I’m her first OCD client. She told me she’s taking courses in ERP and specifically sexual OCD since a lot of my themes are sexual in nature. I want help, I need help. It feels like every time I meet with her I get set back. I make progress a lot on my own. Sitting with discomfort, trying to accept the thoughts and uncertainty. But every single time I meet with her, it feels like I’m explaining OCD to her. She even went as far as to suggest that some of my thoughts that bring me distress are mine. I am not a cheater. They are not mine. Why on earth would they not be intrusive if I was in tears about having this thought? I feel bad. I really do because I can see that even though I can very much see her mistakes, I can also see that she’s trying to help me. I’m just so scared of getting worse. I’ve been in therapy for 5 weeks now. I feel like had it been with a specialist, I would be doing so much better. Instead it takes me days to come backs to whatever progress I’ve made alone after meeting with her. She’s a great person, she tells me she experiences intrusive thoughts too and she doesn’t have OCD which helps me feel less alone but I don’t think that’s enough for me. She’s always available for a call whenever I’m in extreme panic. I just don’t think this is working. I trust her and I tell her everything, but it feels like she’s just listening to me talk the whole time. We’re doing a workbook but she gives me absolutely 0 input. I just read my replies and she just sits there. I don’t understand the point in that. I feel so anxious right now. She wants me to get properly evaluated for anything that may be going on because on top of the severe OCD, I was also diagnosed with PMDD, GAD, and MDD by my primary care doctor but I guess she doesn’t trust those diagnoses? My psychiatrist also told me I have ADHD, which I’ve suspected my whole life but it sounds like my therapist doesn’t know how to handle OCD much less OCD, MDD, GAD, PMDD, and ADHD. She’s questioning the validity of my diagnoses instead of helping me figure out how to deal with all of it. This is so suffocatingly difficult. I’m also a huge people pleaser so how on earth do I end this thing?