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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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1699033 tn?1514113133
Great!  Let me know what you think of the book.  It has CBT techniques in there as well and does a good job at explaining why we are the way we are.  Have a wonderful day.  
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Avatar universal
Well I did ask her about CBT and she said she was using it but I don't know.  She gave me a couple packets on OCD.  She said she'll be transferring me to an OCD specialist mid September.  Maybe use ERP which is a form of CBT she said.  I'm just upset that I'm constantly preoccupied with these thoughts and that it just hit me.  

Oh and I just ordered the Self-help book, seems like a good book with 4.5 stars on Amazon with 85 reviews.  Hopefully that will help.  

Good luck to you too and we'll be back to "normal" sooner rather than later :)
Helpful - 0
1699033 tn?1514113133
Next time you visit your psychologist, ask if she teaches CBT...if not, then it might be worth looking into someone else that does.  Anyway, you know what reality is and what it is not so just keep self-communicating and replace all those bad thoughts with good ones.  "I know this is only my OCD."  "I know this is an irrational thought and I don't give into irrational thinking."  Be your own motivator.  Yell at yourself if you have to.  

Good luck!  
Helpful - 0
Avatar universal
Thanks for the reply JFG25.  It's greatly appreciated.  I do have a psychologist/therapist too but I don't know if it's helping.  She just listens to what I say and tries to explain why OCD is doing this to me and what OCD is.  

I know it will go away.  I have been getting better, but the idea of not knowing what getting better is and always waking up with the anxiety is awful.  I don't know what I'm feeling and whether my feelings are "normal" which fuel the anxiety.  

As for the Prozac, I don't know, I've been on it for 3.5 weeks (1st week 10mg, 2nd-3rd week 20mg, and from Friday 40mg) but that increased dosage of 40mg gave me 3 extremely depressive states where I felt like I wanted to die.  Twice after taking a nap in the afternoon.   But the Klonopin seems to help, it calms me down.  

The funny thing is I feel better at night, and worse during the day.  Although I'm still anxious at night, probably anxious about the anxiety, it's manageable.  The scary part is I don't know what to believe and what I'm believing in.  I just want to take things as face value and think simply but I can't.  It's like I opened another dimension of thoughts which scare the heck out of me.

Well, thanks for the reply and good luck with your bout of "OMG" ;).  I'm doing everything I can to get rid of this OCD and get back to normal.  (ie Exercise, eating healthy, nutrition supplements, meds, psychiatrist, psychologist, etc).  It just seems like it's taking forever to get rid of which is the agonizing part which fuels the anxiety I guess.  
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