[FAQ]疑似强迫症Obsessive-compulsive disorder (OCD)

（以下是我和某位顾客的FAQ问与答）
女士A：我的妹妹半年前开始突然变得很奇怪，开始一直洗手，害怕脏东西和担心使用他人的私人用品。她也不敢出外使用厕所，每天一

定要确认自己做了一系列清理身体的动作才愿意出门。这严重影响了她的正常作息，甚至她的脾气也变得很暴躁。我们透过朋友介绍找到了你，可以告诉我现在该怎么做吗？

我的回答：
虽然我不会标签你妹妹任何病症，但依你的形容，她很可能面对强迫症问题。强迫症是很常见的问题，许多人都体验过一些轻微的强迫症症状；一直反复检查车子有没有锁好等等。当然，强迫症有许多种不同的心态，不一定是重复洗手而已（可以联络我告知你的情形）。

 

而你的妹妹，半年前很可能发生了一些事情，这些事情或许是很偶然或很简单的一句话。很可能这一句话，当事人的意识状态上也忘了是什么。当然详细的原因我会再和你妹妹详谈。运用临床催眠，可以帮助他们调整心理和潜意识的情绪状态。除了心理情绪等方面，生理方面的状态也不可忽视。而生物反馈仪器可以透过安全，非侵入性的方式去改变个人的脑电波与教导当事人的脑袋学习控制自己的脑电波。脑电波和一个人的行为与想法是息息相关的。
通过改变脑电波，可以改变一个人的习惯与大脑功能；如想法变得更正面等。
我的中心是不使用任何西药的，但在了解你妹妹的情况后，除了安排她做ESTeck Screening探测她的serotonin level，我也可以和顺势疗法医生探讨并给与你顺势疗法药物（不是西药，无副作用）。在透过心理，生理和顺势疗法的治疗下，通常都会有很好的疗效。我也会教导你妹妹如何自我催眠和其他可以自行减轻烦恼的技巧。因为我最终的目的是希望顾客不再需要依赖我，也可以继续过他们美好的人生。

Obsession symptoms

OCD obsessions are repeated, persistent and unwanted urges or images that cause distress or anxiety. You might try to get rid of them by performing a compulsion or ritual. These obsessions typically intrude when you're trying to think of or do other things.

Obsessions often have themes to them, such as:

• Fear of contamination or dirt
• Having things orderly and symmetrical
• Aggressive or horrific thoughts about harming yourself or others
• Unwanted thoughts, including aggression, or sexual or religious subjects

Examples of obsession signs and symptoms include:

• Fear of being contaminated by shaking hands or by touching objects others have touched
• Doubts that you've locked the door or turned off the stove
• Intense stress when objects aren't orderly or facing a certain way
• Images of hurting yourself or someone else
• Thoughts about shouting obscenities or acting inappropriately
• Avoidance of situations that can trigger obsessions, such as shaking hands
• Distress about unpleasant sexual images repeating in your mind

Compulsion symptoms

OCD compulsions are repetitive behaviors that you feel driven to perform. These repetitive behaviors are meant to prevent or reduce anxiety related to your obsessions or prevent something bad from happening. However, engaging in the compulsions brings no pleasure and may offer only a temporary relief from anxiety.

You may also make up rules or rituals to follow that help control your anxiety when you're having obsessive thoughts. These compulsions are often not rationally connected to preventing the feared event.

As with obsessions, compulsions typically have themes, such as:

• Washing and cleaning
• Counting
• Checking
• Demanding reassurances
• Following a strict routine
• Orderliness

Examples of compulsion signs and symptoms include:

• Hand-washing until your skin becomes raw
• Checking doors repeatedly to make sure they're locked
• Checking the stove repeatedly to make sure it's off
• Counting in certain patterns
• Silently repeating a prayer, word or phrase
• Arranging your canned goods to face the same way

Symptoms usually begin gradually and tend to vary in severity throughout your life. Symptoms generally worsen when you're experiencing more stress. OCD, considered a lifelong disorder, can be so severe and time-consuming that it becomes disabling.

Most adults recognize that their obsessions and compulsions don't make sense, but that's not always the case. Children may not understand what's wrong.

When to see a doctor

There's a difference between being a perfectionist and having OCD. OCD thoughts aren't simply excessive worries about real problems in your life. Perhaps you keep the floors in your house so clean that you could eat off them. Or you like your knickknacks arranged just so. That doesn't necessarily mean that you have OCD.

If your obsessions and compulsions are affecting your quality of life, see your doctor or mental health provider. People with OCD may be ashamed and embarrassed about the condition, but treatment can help. 

(Source: http://www.mayoclinic.org/diseases-conditions/ocd/basics/symptoms/con-20027827)