SZA or OCD

I’m diagnosed with schizoaffective disorder but I think I have strong OCD traits. I want to try and distinguish if my obsessive thoughts around a microchip in my armpit is OCD or delusions or both. The microchip I obsess about a lot. When I’m tipsy or drunk that’s the only thing I think about and it starts small but becomes so overpowering. Can you give me some advice on how to tell my pdoc without getting him worried, I have pretty much kept these thoughts to myself recently. He might be worried because last time I discussed it I ended up being rushed to hospital trying to cut It out.

I don’t know much about ocd but trying to cut out a microchip sounds like schizophrenia. You don’t have a microchip in your arm pit.

Talk to your doctor about this.

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You could have SZA and OCD.
I have both.

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ive heard there’s pretty high co-morbidity? i have what is suspected to be sza as well as severe ocd and i dont think its uncommon to have both sz/sza and ocd

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Can you have SZA plus OCD plus Dissociation?

Yes but talk it over with your pdoc.

Do you think I should go straight to my pdoc about a lump under my armpit. I think I want a unbiased docoter to look at it somebody who doesn’t know my history. The I’m worried they will ask about the scar tissue and dismiss me. Do you think if I went to a different doctor will they ask about it because under my armpit is bumpy minus the lump I think I have.

I think that you should see a doctor about it.
You can first tell your pdoc about it.
Maybe he can refer you to a physician.

That sounds more like a paranoid delusion. OCD obsessions are typically non-bizarre, like feeling like your hands aren’t properly washed, like you didn’t lock the door when you left, like you left the stove on, etc. (Those are examples of common ones)

Furthermore OCD doesn’t just involve obsessing over something, but also some sort of compulsion. For example, a person with the obsession that they didn’t lock the door may check if the door is locked exactly 40 times before leaving the house.

Having a microchip is in my opinion a fairly common psychotic delusion. If you also experience things like hallucinations, negative symptoms and the like, that further confirms it is sza. You can always try to get a second opinion from another doctor though, if you’d like.

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It is a delusion and it is common for schizophrenics to be obsessed by their delusions.

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Last year I had an operation on my knee which required pins in the joint I’ve suffers from depression and anxiety all my life but this is when I started hearing voices.i believed it was an RFID chip in my leg but after analysing it for quite some time I realized it’s impossible for the voices to be real these people I hear live there own lives and surely wouldn’t have the time to harras me 24/7 well this is my belief on my good days

Same for me! You could ask your doctor to try you on a low dose of whatever SSRI is most compatible with your antipsych. That’s what helps me with my OCD.

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does medication really helps with ocd?

For me Celexa has helped a lot with my OCD. It definitely hasn’t gone away or anything like that, but it’s much easier to recognize and control my obsessive thoughts.

aii, i also have obsessive thoughts. But not to the point that i do act and stuff like checking the door. But intrussive thoughts when talking to somebody and when i am alone it doesn’t bother me

@bobbilly I think the symptom appears to be psychosis. OCD is a bit different. Generally the patient knows that the the symptom is wrong but he cannot desist from doing it. He feels guilty after doing it. For example the patient suffering from OCD symptom like washing hands many times like 50 to 100 times knows that it is not necessary to wash hands that many times. But he cannot desist from doing it. Later he feels guilty for doing it. This is the main difference between Psychosis and OCD.

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So, you could get a psychosis kind of ocd. Where you think of delusions while you know those are not real?

An example for me is when I became convinced they were injecting poison into the produce at my local grocery store. I quickly acknowledged the thought as delusional, but I couldn’t make it go away. I just kept thinking about it and getting more and more upset even though I could acknowledge that it probably wasn’t real.

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@stefan24 OCD is a very minor thing for a psychiatrist. It can be easily diagnosed and it is very easy to treat. Generally anti depressant drugs belonging to the class called SSRI (Selective Serotonine Reuptake Inhibitor) are used to treat the OCD.

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So actually a psychosis is an out of control OCD?