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HELP! Existential/Philosophical/Solipsism OCD

Hello, (Warning if sensitive to Philosophical stuff)

To get straight to the point, I'm 21, I have been diagnosed with Pathological/ Existential/Philosophical/Solipsism OCD. I used to have HOCD, Schizo-OCD, fear of becoming blind, fear of liking my mom (ie sexually) and Pedo-OCD, etc but my current bout is on a whole another level (like 100x more intense, panic attack level). I don't have any physical compulsions, but I do try to fight it through logic in my mind. It's been around a month since I was trying to fall asleep and thought, what if this world was my imagination and everything was a part of my perception. This sent me into anxiety. The next day, while I was taking a shower, I thought of the movie Inception, good movie btw, (Fight Club, Beautiful Mind, Truman Show probably didn't help either) and wondered what if I was in a dream and had a panic attack where I thought my head was going to explode. I wondered if I had to commit suicide to get back to the real world.

These thoughts led to schizo-Ocd or (maybe the Schizo-OCD led to the reality doubts) and doubting my memory (whether certain events actually happened and even though I know I was fine before, my brain finds loopholes to surpass my logic, like you created your memory rather than it is your actual memory even though I know it's my actual memory (ie doubt). There's always loopholes which is OCD I guess.

I had constant anxiety/panic attacks and my memory/concentration is lacking. I question everything (ie Why do I see what I see, why do we stop at a green light?, stupid questions, etc.) My main fear is the false sense of reality (ie Solipsism, living in a dream, and even though I know solipsism is just a thought experiment and people are, in fact, real my mind says you've been teleported into a dream/another reality where everything is the same except it's your perception, ie loopholes). I feel like I opened up a Pandora's Box of thoughts, a 2nd tier of uncontrollable thoughts. I should've just stayed in the 1st tier. My mind is so cluttered with thoughts and hectic. I'm a mess mentally.

My psychiatrist put me on Prozac (fluoxetine) and upgraded my dosage to 40mg and 2x 1mg Clonazapem (klonopin) and I have my ups and downs. However, my downs are really down and low (bad depression where I breakdown and cry, which makes me feel better for some reason) since being upgraded to 40mg on Friday due to school starting soon. I started at 10mg for a week then 20mg for 2 weeks which didn't seem to do much, but you can't tell in that short of a span with these SSRI's and my highs aren't that high. Sometimes I don't have any emotion which also *****. The derealization/depersonalization makes it worse. I have a therapist but she doesn't specialize in OCD but I guess it's better than nothing. I'll be transferred to an OCD specialist mid September.

I care about people and my friends and family so this is why this OCD is latching onto me so hard but I'm in so much pain. My family is in a financial struggle and my mom and dad always fight (hurt me terribly to see my family so disjointed and I'm an only child) which probably added to the stress which led to the attack (maybe subconsciously trying to escape from this reality?). Sometimes I feel if I just black out, the world will end, reality will end.

However, my mom and dad both love me and are doing their best to help me out and not fight and care for me during this time which I appreciate. But I keep doubting whether my parents are real or a part of my imagination (silly but it's painfully annoying). I don't have that "connection" to myself or with people that I used to, especially if I doubt their reality. Also, I'm an introvert, shy, and pessimistic and don't have good stress coping strategies which contribute to my condition.

I'm not interested in anything I was before (ie sports, music, girls, etc.) I just want to reset my brain, like brainwash it to where it was when I was fine. I don't even know what feeling fine is anymore. I'm constantly anxious about something and don't know how to interpret my thoughts (ie whether a feeling is from the family stress or the OCD stress, etc.) I try to match my feelings to before when I was fine but it's so hard. Nothing has really changed in reality except in my mind.

I'm eating healthy and taking in vitamin B, min tran, Protein, along with exercise to help out but sometimes I feel like it'll never end. I ask, "What's the purpose of life, why am I on Earth, why was I born on when I was and not another date, why was I born on Earth, etc. Questioning every single thing imaginable. My psychiatrist says it takes about 3 months for it to go away but it seems like an eternity.

Sometimes I feel like there is hope, hopeless, but then days where my Anxiety/OCD/Depression hits hard, I feel like giving up but suicide is NOT an option, but I just know I can't live like this forever. Sometimes I don't know what I'm thinking, whether I'm believing these thoughts or not, etc. I'm scared if I get better, it'll just come back into another form or this will have a traumatic effect on me.

I'm trying to get back into Christianity to help cope, my family is Christian but my mind says "in your imagination you created Christianity so it tries to negate that belief." My family and friends are the most important thing in the world to me, I just want to be brainwashed back into thinking that the world is real, people are real, life is real. But this past month has been a living hell. I want to believe these thoughts are false but the doubts just bring them back, plus I don't "feel" right. All of you sufferers will know what I'm talking about when feeling "right".

This might sound foolish but I'd rather have cancer than OCD/Depression at this severity. I just want to get back to normal, I'm doing whatever it takes and hope it'll go away with time like the HOCD which was pretty bad but nothing debilitating. It's a month I'd like to forget. I want to chase my dreams and ambition but this stupid illness is preventing me from it and since the mind is more abstract, it's scarier especially when dealing with "false reality" for me. I just wish there was a machine to reset your brain (ie like Reformatting your computer).

Sorry for the long post but need some support and guidance during this time.  It just seems like one long nightmare. I'm just assuming that people are real and that there are people who can help me in this world.

In before TL;DR but please read and support
Thanks,
Best Answer
1699033 tn?1514113133
Hi Sam...I have posted before that I think OCD should be renamed OMG for obsessive mind game and for those Oh My God moments.  I just want you to know that I have thought a lot of the same thoughts you have been through plus others you have not been through which I won't list because as you know, anything we hear or see becomes fuel for the fire that is OCD.  I have wondered whether our current lives equate to purgatory and what we do in the here and now will get us to God.  It even sounds stupid as I write it!  

I think the toughest part is that we know these thoughts are irrational, I mean we are smart people, but knowing that isn't always the answer obviously.  We constantly test ourselves, and when we finally resolve something it is replaced by yet another test.  The key is to not fight it because the more we do the worse it gets.  

I also understand your need for this to go away and to be normal again.  The bonus is that you know you WILL be normal again, it just is going to take some time.  You know this, because you have lived through it before so that in itself should be comforting.  Remind yourself of that when you are in that OCD cycle.  

You are way ahead of the game here.  You may not believe it but you really are.  You know the thoughts are irrational, you are seeing a psychiatrist and you are taking medication for it.  The increased dosage in Prozac will take some time to take effect as you probably know.  You need a really good 4-6 weeks of being at the optimal dose to get the real benefits.  Take the klonopin as instructed.  It will actually build up to a steady state in your system and be more helpful.  I take it myself.  

The other thing I would suggest is seeking out a Psychologist to go hand-in-hand with the Psychiatrist.  There are psychologists that specialize in cognitive behavioral therapy and I think that goes a long way with the medication.  Most Psychiatrists do not teach CBT but you can discuss this with yours and if they don't perhaps they can give you the name of someone that does.  Usually at that point the psychiatrist just takes over the medication and the psychologist takes over the actual therapy part.

Here is a book that I also found very helpful during my last major OCD crisis which was in May.  It is called Self-Coaching by Joseph Luciani and it has a green cover.  I read that thing to death and it really helped me.  

Also, I am glad to see that you know that suicide is not the answer.  Yes, if we were not here we would not be suffering but compared to having cancer or something like that, we are better off.  I know you don't think that now but we truly are.  Your derealization/depersonalization will go away, I promise you!  And you will be able to do all those things on your to-do list.  

If you want to know more about me, then you can read "About me" under my name.  It does not list everything I have been through becasue that would take an entire book, but you will get the gist about me and that I understand you and what you are going through.  

Feel free to post again here if you need to talk or you can PM me and I will respond.  Keep me posted as to how you are doing!  You WILL get over this.  



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Avatar universal
Well I talked through the phone with a counselor from my uni and she told me some relaxation techniques (ie breathing and exercise which I already do).  I then went on a long walk with my mom (1hr 30m) and I feel better.  I still don't feel "comfortable" but I feel WAY better than I did a few hours/posts ago.  I just hate this up and down rollercoaster.
Helpful - 0
Avatar universal
I don't know if the Klonopin helped or not.  I feel my mind racing and I feel like I'm losing control.  I'm thinking way too much.

I'm seeing a psychologist right now but I'll be transferred to a longer term one mid september.  I see her on Tuesday.  

It is dosed as 1mg x2 a day which I have been taking morning (along with 20mg Prozac) and night.  

I don't know what I'm thinking at the moment or if I'm alright and just freaking out or if it is withdrawal symptoms from going to 40mg for 5 days back to 20 mg but I feel like I'm going crazy over analyzing everything.
Helpful - 0
1699033 tn?1514113133
Did the Klonopin help?  It is long acting but by this point it has probably worn off.  What did the doctor say to you as far as dosing goes?  

Something has triggered these symptoms and that is where the psychologist comes in.  You said you will be seeing somebody in September...is it soon?  If not, then I would try to get the appointment moved up.

If there were no clear directions about the klonopin such as it says "take as needed" then call the doctor and get more clarification.  It is usually dosed twice a day.  So if the label is not clear, give the doc a call tomorrow.  I think if you get the okay by the doc to dose 2 times a day it will help you right now but remember I'm not a physician so don't go by what I am saying to you; you need to talk to the REAL doc.  

As always, post again if you need to vent...I'll always listen.  
Helpful - 0
Avatar universal
Yea I took 1mg Klonopin and took it around 11am along with 20mg prozac (told my doc I felt more comfortable on 20mg cuzz I had 3 major depressive breakdowns, where I've never felt such sadness, in 5 days on 40mg)

It's just the thought that the world is fake (living in a dream, another dimension), people are fake (ie family and friends), what is the purpose of life, why am I here, etc (ruminations) along with the mind racing and not knowing what to think is driving me crazy.  I don't know what I'm believing and what I'm thinking.  It's just so hard at the moment and I mean HARD.  I wish I could just go back in time or brainwash myself to think a certain way.  I'm trying so hard (ie exercise, eating healthy, supplements, meds, therapy) but it seems so hopeless and depressing.
Helpful - 0
1699033 tn?1514113133
No problem with venting.  Did you take the klonopin when the breakdown started?  

Remember, you just started 40 mg of Prozac pretty much so it needs some time.  

Over on the Anxiety forum there is a guy, CanuckGuy42, and he has an ongoing post where he chronicles his anxiety.  It took a lot of convincing from a lot of us to keep him going and to not throw in the towel as far as the medication goes...maybe reading it will give you more hope.  I KNOW you will get better but sometimes it is good to read what others have overcome.  

I think you can just cut and past this into your browser and see what he has overcome.

http://www.medhelp.org/posts/Anxiety/Back-on-Cipralex-Lexapro/show/1557045

I hope this helps and feel free to vent anytime.  
Helpful - 0
Avatar universal
Well I just had a major breakdown.  I cried for about an hour straight with feelings of guilt and and sadness.  I was asking why this was happening to me.  I don't even know what feelings I'm having right now.  I'm just so numb and feel so hopeless.  I just want to get back to normal but don't even remember what that feels like.  OCD is just a pain in the @ss.  Sorry just venting.
Helpful - 0

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