OCD and apparent psychosis?!


Question: OCD and apparent psychosis?
Hello all,

A few months ago I was having a major OCD episode and related to that episode I was having irrational but unshakable impressions about a person being, or possibly being, next to me. These were not tactile, auditory, or visual hallucinations, more like thoughts. During the sensations I had a grip on reality -- cognitively, I could dismiss the "people" by checking to see that no one was there, and yet there was always the fear that the person was there, impenetrable by any reasoning.

I was diagnosed with psychosis, hospitalized, and given Risperdal to take. The Risperdal has eliminated the "senses" for good, yet I wonder whether I am really psychotic. Could it be that the apparent psychosis was really just a branch of the OCD that would have worked itself out in time? I know that no one on this forum can know for sure, but maybe someone has some experience that could help me out?

Answers:

Actually the other poster is somewhat wrong.
There is OCD with psychotic features. But the psychosis is a separate entity. It complicates OCD and they are related (people with psychosis have OCD at a higher rate than the general pop)
I would say that you should seek a second opinion. I have known people to be diagnosed with psychosis, but later found out it was just OCD.
So it is definitely possible.
Speak with your doc--lots of times psychosis isn't permanent or chronic. Of course, many people with these two conditions believe that they aren't psychotic (that it is just OCD).
Psychiatrist would know best..be clear that you knew that they weren't hallucinations. But they could have been delusions..'OCD with poor insight' is kinda like that. Look up that too.



OCD is completely unrelated to psychosis. OCD is in a different class of psychiatric disorders- it doesn't cause any form of hallucination (tactile or otherwise).
This means that your diagnosis has either changed, or a new diagnosis has been added. You need to discuss this with your psychiatrist.



You have problems because you think too much. If I stuck you in USMC bootcamp, you'd be just fine and get over that ridiculous crap doctors label. You're just fine, you don't need "special" help. Go outside and get some air.




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