i’m taking hydrocodone for pain bc i got surgery yesterday, and i’ve been diligently keeping track of times i take them and how much. but i keep getting an ocd thought that i’ve taken several and “haven’t realized it,” or taken more in my sleep, leading to an overdose. i don’t usually count things but i counted the bottle twice already after taking one pill to make sure that’s all i took. i tried not to but i thought it’d help me, but i’m still obv anxious and still mistrust my counting/am convinced i’m taking more. what subset of ocd is this? anyone else experience something similar?

I have a lot of compulsions that seem hoarding-esque but I can’t figure out which subtype of OCD they fall under. The two major drivers of this for me seem to be a fear that I will forget about them or the memories attached to them or that the things and their significance will be lost to time, and that I might need or want them in the future. I compulsively make lists of things (ex. things I like, things I don’t like, who I am, the contents of my ideal fridge - very plain with lots of fruit) just in case. I heart nearly every song I hear on Spotify (except the ones I actively strongly dislike, of which there are not many) just in case I will forget about them later on (and because I feel guilty about not hearting the song and supporting the artist if I have no valid reason not to but that’s a whole other can of worms). I have a couple containers of “good” boxes of all shapes and sizes that I’ve collected that, as it turns out, I never actually look at or use. When I was very little, before my family and I knew I had OCD, I had a “sticker book” in which I would put every sticker I ever got - because I didn’t like the idea of putting them on anything that I might lose access to. I even found my mother’s stamps and obsessively put one of each kind in my sticker book (there were soo many, it took me hours). I have trouble letting go of things, especially if I have any sort of memory attached to it whatsoever. Because, my mind says, what if I forget? My camera roll consists, in large part, of an enormous amount of screenshots of far too many little things that I encounter, and it is extremely rare that I actually look back at them. But the other data I was looking for something I thought I took a screenshot of and I couldn’t find it, so this compulsion is back and much worse. On my computer I can’t open the photos app without it crashing and the number of screenshots I have on there is shown in eight digits. I also have tens of thousands of tabs open in my browser at any given moment (I can’t close them, what if I forget?). I really wish I were exaggerating. I also take an excessive amount of photos of many things throughout my day (I counted once and I took 46 pictures of the same tree when I went on a walk). These are just some little examples of how this obsession manifests in me and my life. Does anyone else experience something similar? I’d love to hear about it.

but is it OCD if when i get a thought that makes me anxious i have to hit my head a certain number of times to get it out of my head to relive my brain that everything is fine now (doesn’t always help though). or am i just being dramatic?

I am having an appointment with my psychiatrist this afternoon and I am obsessing about what to do with my medication. I think it’s also very ocd like obsessing. I am currently on 30mg mirtazapine. Ive been on this for years (because of insomnia, anxiety and depression) (15mg) and after we tried to switch to another (amitryptiline) because of nerve pain, I went down the road of insomnia and later on ocd again. So I am back on mirtazapine, and weaning off of the amitryptiline. This is/was a very traumatic experience. Because the switch caused a mental breakdown. Now my psychiatrist has mentioned to up the mirtazapine to 45mg. And my obsessive self has done a lot of research and a lot is saying that the higher the dose, the more you can experience anxiety. And for ocd it’s obviously not the first choice. I am obsessing all morning about it. I am too scared to go up. But I am also too scared to try another and to wean myself of off mirtazapine. I feel stuck at this point. Taking two meds is also not something I want. I could really use some words of encouragement right now I think. 🥹