How can I persuade my psychiatrist I have OCD instead of Schizoaffective Disorder?

I have a long history with being diagnosed with Schizoaffective Disorder which is written down as chronic. I personally think I haven’t got SZA but OCD because at my worst I’ve had very obsessive thoughts around secret folders and microchips planted by doctors. I do think my care team is keeping secret folders on me. I become obsessed with things, now I’m obsessed around Naturalistic Pantheism. I’m obsessed with where I stand in the universe and if I’m special. I feel a deep sense that I’m the centre of the universe. I think this is OCD?

I want to be off my CTO and being forcible medicated. I have been on a CTO continually since June 2011, I think the antipsychotic is preventing me from being one with the universe. I think they have secret folders on me because they know I’m special. I think they are interested in me because I’m a case study. I have fallen for their tricks in the past. I’m unsure if I have microchip in me? I’m thinking they want me to think I have a microchip to make me sound ill which was the case in 2016 because I hurt myself pretty bad cutting microchip out resulting in air ambulance paramedics coming out.

I don’t want to sound ill. I have been hiding from my care team. I feel it unusual I havent been discharged since 2010 which all the cuts from the government. I do like the support but I wonder why they are so interested in me?

Do you think if somebody with a long standing diagnosis of Schizoaffective Disorder can persuade a different psychiatrist that I actually have OCD and then not have to take medication? Is that a possibility?

You probably have both, Schizoaffective and OCD.
This is what I have and it’s actually a pretty common combo.
If you are displaying delusional type thinking then it’s part of Schizoaffective.

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Good luck with that!

To me that heavily sounds like paranoid delusions rather than OCD. OCD isn’t just being obsessed with something, it’s then having compulsions you do repeatedly to deal with it or else you feel something terrible will happen. So like if you had to check every single folder you ever saw to make sure it wasn’t about you, that would be an example of a compulsion.

Also from what you described your symptoms sound quite severe and unpleasant. It also sounds like your medication isn’t working all that well. Please stay safe and know that you have an illness and let others help anchor you in reality.

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Yes, @bobbilly please keep the lines of communication open between yourself and your care team. Everyone wants to see you do well.

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I don’t understand really. I had my meds upped last September from 75mg invega to 100mg. How can I still be ill?

you sound delusional to me…I would ask for more meds not less if I were you.

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Sorry, but like @anna said, OCD doesn’t come with delusions like that. An OCD type obsession would be if you constantly thought about what would happen if a bad thing happened to you, and how you could prevent it in strange ways. For example, if you were worried your friend was going to be hurt, so you flipped your light switch three times because you thought it would protect them. What you’re describing falls more into delusional thoughts, which is a symptom of schizoaffective disorder.

The easiest way to get off a CTO is to prove you are no longer a danger to yourself or others by staying very safe for the next few years, minimum. There is no quick way for you to get off your CTO. By the time they’re ready to take you off it, hopefully you will have realized you need to keep taking your meds for life.

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