From: Marie on
I have had lately, especially during episodes of high anxiety or
depression, obsessive thoughts that are quite weird. Two especially:

1. That as I go to sleep I will "lose control" of my mouth and I will
spill all the details of my past, including all the wonderfully stupid
things I did.

2. That if I go to sleep before having to go to work I will have a
panic attack
in the middle of the night and that the panic attack won't stop.

These obsessions is very distressing to me. I will sometimes ruminate
about it during periods when I am highly depressed, but also highly
anxious (at night obviously, as I get ready to sleep). Sometimes I will
hardly ruminate about them at all.

I know that these fears are irrational, but I seem to ruminate about
them, especially when I am depressed.

Is this a sign of OCD, Bipolar, or Generalized Anxiety Disorder, or the
product of just a tired mind/body?

Also, how does one deal with (especially) irrational ruminations? I
have had panic attacks in the middle of the night, but much more
rarely. I also take 1.5 mg Klonopin at night to thwart off the
anticipatory anxiety and nighttime attacks. However, the "spilling out
your guts" rumination, much more common when I am depressed, Klonopin
doesn't help.

Am I looking at an SSRI or a mood stabilizer.

From: snerkable on
I cannot answer your question fully, but I will go over what I think,
as I have Obsessive Compulsive Disorder

Basically, I'll start this off by what OCD is for me

You begin to think about something distressing for some people it's
germs--for me its deadly diseases--such as cancer or some thing like
that.

- It is the only thing you think about. From the moment you wake up to
the moment you fall asleep. You try to think about something else, but
you cannot as your brain will jump back to what you were thinking
about. Everything else just dosen't seem as important thats why you
think about just that.

An obsession generally lasts 3-6 months before you eventually forget
about it.. that is the only way you can spare your mind from the
obsession is by forgetting about it.... and if your unlucky to let your
mind wander and you remeber...... the cycle repeats

Now then, I do not think you have OCD for several reasons
-You have multiple obsessions, with me and I think with most people
like me there can be only ONE obsession going on.

- You experience this during situational times during the day... Again
for me It's the minute I wake to the minute I sleep that Im thinking
about the obsession

-your not constantly reassuring yourself, and spending literal hours
weighing the risks of how valid your obsession might be...Like I do

Now then again consult with your doctor for by no means am I a
medical doctor
Im simply giving you my opinon as a person who has suffered from OCD
and the hell
that ensues from that condition......

If you care at all to learn I've been obsession free for 2 years now.
But recent stresses have caused it to repear here and there and now I
have panic attacks.... err well nevermind I wont ramble on.

From: GFX on
SSRI would be my first choice, given the limitations of the information
provided. Many are starting to become generically available now, check with
a pharmacist, and then talk to your doctor.

The reason for my answer to your question is that SSRI drugs show good
results in treating both OCD, as well as depressed and anxious patients.
Some anxiety patients dislike SSRI drugs though, often because the dose is
started too high.

G


<snerkable(a)yahoo.com> wrote in message
news:1130816404.329953.270710(a)g14g2000cwa.googlegroups.com...
>I cannot answer your question fully, but I will go over what I think,
> as I have Obsessive Compulsive Disorder
>
> Basically, I'll start this off by what OCD is for me
>
> You begin to think about something distressing for some people it's
> germs--for me its deadly diseases--such as cancer or some thing like
> that.
>
> - It is the only thing you think about. From the moment you wake up to
> the moment you fall asleep. You try to think about something else, but
> you cannot as your brain will jump back to what you were thinking
> about. Everything else just dosen't seem as important thats why you
> think about just that.
>
> An obsession generally lasts 3-6 months before you eventually forget
> about it.. that is the only way you can spare your mind from the
> obsession is by forgetting about it.... and if your unlucky to let your
> mind wander and you remeber...... the cycle repeats
>
> Now then, I do not think you have OCD for several reasons
> -You have multiple obsessions, with me and I think with most people
> like me there can be only ONE obsession going on.
>
> - You experience this during situational times during the day... Again
> for me It's the minute I wake to the minute I sleep that Im thinking
> about the obsession
>
> -your not constantly reassuring yourself, and spending literal hours
> weighing the risks of how valid your obsession might be...Like I do
>
> Now then again consult with your doctor for by no means am I a
> medical doctor
> Im simply giving you my opinon as a person who has suffered from OCD
> and the hell
> that ensues from that condition......
>
> If you care at all to learn I've been obsession free for 2 years now.
> But recent stresses have caused it to repear here and there and now I
> have panic attacks.... err well nevermind I wont ramble on.
>


From: Marie on

Elliott wrote:

> You should be looking for a better doctor and/or therapist, if this is a
> continuation or escalation of behaviors and/or thoughts.

I hope to get a good one, recommended by someone sucessfully treated,
but it won't be until November 30. Hope this one will finally help me.

Never mind that the pdoc I just saw yesterday brushed off the fact that
I was given a choice (by a wonderful friend) to be Baker Acted or turn
myself into a receiving facility for a screening Saturday night. It
turned out that I was not an imminent risk of hurting myself, but
indeed have just wrapped up the severest part of what seems to have
been a severe major depressive episode, where the worst symtptoms
lasted about a week.

Handed out the usual meds; see you later; next time we'll talk about a
mood stabilizer because you're bipolar and I know it for sure. That
kind of thing.

From: Blues Ma on
Marie wrote:
> Elliott wrote:
>
>
>>You should be looking for a better doctor and/or therapist, if this is a
>>continuation or escalation of behaviors and/or thoughts.
>
>
> I hope to get a good one, recommended by someone sucessfully treated,
> but it won't be until November 30. Hope this one will finally help me.
>
> Never mind that the pdoc I just saw yesterday brushed off the fact that
> I was given a choice (by a wonderful friend) to be Baker Acted or turn
> myself into a receiving facility for a screening Saturday night. It
> turned out that I was not an imminent risk of hurting myself, but
> indeed have just wrapped up the severest part of what seems to have
> been a severe major depressive episode, where the worst symtptoms
> lasted about a week.
>
> Handed out the usual meds; see you later; next time we'll talk about a
> mood stabilizer because you're bipolar and I know it for sure. That
> kind of thing.
>
And you didn't strangle or shot him ??
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