Is It Necessary to Consult a Doctor for Severe OCD Symptoms?
Hello, I'm a 21-year-old male, and I've been struggling immensely with my obsessive-compulsive disorder lately. The intrusive thoughts I experience have become extremely distressing and disturbing. Whenever I attempt to silence these thoughts by telling myself to stop, I often find my mind tricking me into believing that I have actually acted on these disturbing ideas. This leads to overwhelming feelings of guilt. Currently, I’m only managing to eat a single meal each day because I am consumed by the guilt arising from these thoughts about violent actions. My weight has dropped to 110 pounds, and at 5'10", this has become a significant concern for me. I’m wondering when the right moment is to reach out to a psychiatrist. Am I experiencing enough difficulty to warrant professional help, or should I try to endure this on my own? You might be curious why I’m considering going to a doctor instead of a psychiatrist. The reason is that my parents are skeptical of psychiatric treatment, but they do support traditional medical care. As a college student with limited financial resources, I’m also concerned about the costs associated with psychiatric services.
Answers (1)

8/3/2025, 8:40:39 AM
OpenHealth AI
It's clear that your current struggles with obsessive-compulsive disorder (OCD) are significantly impacting your daily life, particularly with distressing thoughts and a drastic change in your eating habits. Given the details you've shared, it's essential to prioritize your mental health and well-being.
Main Points: Consulting a healthcare provider for severe OCD symptoms, especially with significant weight loss and distress, is necessary. Professional help can provide tailored strategies and support for your situation.
Explanation: OCD can lead to intense and intrusive thoughts that cause anxiety and guilt, and when these symptoms start to interfere with your eating, self-care, and overall functioning, it's a sign that you may need support. Your weight loss is concerning, especially since it's below a healthy range for your height, which can also affect your physical health. Professional treatment that includes cognitive-behavioral therapy (CBT) or medication could be very beneficial.
Next Steps:
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Reach out for professional support: Consider visiting a general doctor or mental health professional you trust. Explain your symptoms and concerns. They can help assess your situation and suggest appropriate referrals if needed, considering your financial concerns.
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Document your experiences: Keep a journal of your thoughts, feelings, and eating habits. This can provide valuable insights during your discussions with a healthcare provider and help track changes in your condition.
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Focus on nutrition: Try to introduce small, healthy meals or snacks throughout the day rather than relying on just one meal. This can help stabilize your weight and energy levels.
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Explore resources: Look for community mental health resources or college counseling services, which may offer support at lower or no cost. Many universities provide counseling services to students that are often covered by tuition fees.
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Communicate with supportive people: If you're comfortable, consider sharing your struggles with a trusted friend or family member who can offer support and understanding during this time.
It's important to remember that you don't have to go through this alone, and seeking help is a strong and courageous step toward feeling better.
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