I believe i'm experiencing harm OCD. I was diagnosed with OCD at an inpatient hospital last week. I saw my therapist yesterday and she basically said that I should still have a 51/50 status, but she agrees with the OCD as diagnosed by a psychiatrist. I have obsessive and recurrent thoughts about self harm and harm in general and it's debilitating me. I've never really been a violent person or wanted to intentionally hurt myself or others but people seem to think I am.
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Harm OCD?
Given both the discomfort you are experiencing and the fact that your Therapist also confirmed your OCD diagnosis, the next step would be either a PHP or IOP Day Program provided you were declared not a present danger to yourself or others . The fact that your Therapist is suggesting that you remain in a mandatory hold period until your suicidal feelings subsides makes sense but then planning for the next step is very important . As with any Psychiatric condition , research and clinical studies teach us that a combination of Psychotherapy, or Intensive Psychological Treatment , such as an IOP or PHP Program , combined with medication to help manage your symptoms is recommended . But, the first step is helping you feel more in control of your present "harm" feelings which indicates a continuation of inpatient treatment before considering the next clinical steps .
Many mental health issues can be caused by underlying infections which were never evaluated and treated for. So, all though you should be working with a neuro-psychiatrist or cognitive behavioral psychologist to help with these issues, I recommend that you should be tested for Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal infections (PANDAS) and screened for additional bacteria and viruses which can be triggering an autoimmune reaction within the brain. There is a lab called "Moleculera Labs" which specializes in this and their website has great educational material as well. Additional testing should include lyme disease, cytomegalovirus, EBV, mycoplasma and HHV 6. If any of the above are present they are very responsive to treatment. A skilled chiropractic neurologist can offer the latest advances of neuro-rehabilitation strategies that can identify neurological deficits and customize therapy to selectively target and improve their function. This would be an excellent adjunct with cognitive behavioral therapy.
You might try snapping yourself out of the endless cycle of repeated thoughts with an emotional jolt. When alone, try screaming as loud as you can at the repeated thoughts. Your thoughts will return but over time you can decrease the frequency and intensity of repetitive thoughts. In addition, try the, Rubber-band-on-wrist-trick. Snap the rubber band when thoughts become intrusive. The idea is to make it painful to obsess and thus extinguish obsessing behaviors. These are simple behavioral interventions which need to be complimented with psychiatric, psychological, and/or holistic interventions, especially if you notice that your wrist is becoming red and swollen!
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Your history given here is good enough to advise you to seek particularly specialized help. Take the suggestions you receive here and use them wisely. You have detailed information that suggests intelligence and serious mental health disability. What I take from this are two disorders that need clarification. Asperger's Disorder is frequently combined with intellectual superiority. This is not to say you have a superior intellect but to say that acting out violently is common due to the frustrations confronted during social and meaning interactions with others. Asperger's sufferers receive messages from others of unkindness because they perceive the suffer as normal and intelligent but indifferent. The indifference they experience is met with sometimes disrespectful interactions. It becomes disrespectful because the other person processes the indifference as arrogance and retaliates as a result. The retaliation most of the time is subtle and over time, Asperger sufferers start believing the world as hostile.
Harm OCD is also emotional violence until it becomes physical. With Aspergers and OCD combined, harm is OCD is not a stretch of possibility. There is an online source called the OCD Center. They have offices in Southern California. Their phone number is 310- 824-5200 in Los Angeles. Call them and go to ocdla.com they have the best reading you will find on Harm OCD. Now.
Harm OCD is also emotional violence until it becomes physical. With Aspergers and OCD combined, harm is OCD is not a stretch of possibility. There is an online source called the OCD Center. They have offices in Southern California. Their phone number is 310- 824-5200 in Los Angeles. Call them and go to ocdla.com they have the best reading you will find on Harm OCD. Now.
It is difficult to know enough to give you a proper response. If you have a therapist and trust her, then it may be best to follow her advice.
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