OCD or clinical insanity?

hello everyone

i know no one can give me a proper diagnosis online but i am just seeking a deeper insight from people who might have gone through the same thing...

i have these disturbing thoughts that i might suddenly lose control and do some weird $#%^ in public like screaming, cursing, mumbling to strangers or acting on unwanted sexual impulses.. these impulses feel very real and imminent that i can't dismiss them as just thoughts and that's when i start to think i might be crazy to have them and as a result i refrain from any situation that might trigger those fears.. i stay housebound most of the time now and i am not sure this is helping me..

when i looked up for these impulses i found 3 possible diagnoses:
1- is a late case of disorganized schizophrenia where people suffer from it do those sexual things in public and the other things i mentioned earlier.
2- a specific type of OCD called pure OCD.
3- Impulse control disorder.

i have already seen a therapist and he totally dismissed the diagnosis of schizophrenia and said it's OCD but i still can't get it out of my head even with medication (i take 100 mg of Fluvoxamine)

my questions are:
1- how to differentiate between obsessing about something and actually being aware of it's early symptoms?

2- assuming the worst case scenario which is for me having disorganized schizophrenia, is it possible to get help and being on treatment?

3- does having those thoughts and impulses indicate that i am a danger to people and myself? giving the fact i have no experience with being remotely violent in the past and never did any sort of drugs?

Thank you so much

Hello and welcome,

1- how to differentiate between obsessing about something and actually being aware of it's early symptoms?

Being aware of what early symptoms? Obsessing? The first part of the sentence is already admitting to that.

2- assuming the worst case scenario which is for me having disorganized schizophrenia, is it possible to get help and being on treatment?

There is help and treatment for most mental afflictions. But why would you dismiss what your doctor is saying? When you say, but i still can't get it out of my head , that is a part of OCD. So it should help prove your diagnosis, not disprove it. It also helps that you don't seem to have any symptoms of schizophrenia.

3- does having those thoughts and impulses indicate that i am a danger to people and myself? giving the fact i have no experience with being remotely violent in the past and never did any sort of drugs?

I doubt very highly you are a danger to others. Most people who are a danger to others don't have to think about whether they are, or not. Some know they are and their actions prove it, and other don't care and still act out.

Have you been on meds long? It can take up to six weeks+ to work.

Sorry you are suffering.

Otter.

OCD could also be considered "clinical insanity". The definition of insanity is as follows-craziness or madness is a spectrum of behaviors characterized by certain abnormal mental or behavioral patterns.

that doesn't mean you will act on your thoughts though.

I have had experience with worrying about shouting or mouthing out inappropriate things as well. typical OCD and anxiety...

it's funny no matter how much reassurance i get about this my mind can still find an escape, so for example when i realize that everyone including the doctors are dismissing the idea that i might have schizophrenia and i start to gain a perspective, my mind goes like.. oh that's actually might be another proof that you are delusional!! so the next question pops up how can i tell the difference between obsessions and delusions since in both cases the sufferes tend to dismiss any reasons that their beliefs might be wrong or even open to discussion..
i am not a psychologist but i think the difference lies in that obsessions oiginally stem from anxiety which often pushes the sufferer to look for reassurance in a try to lessen the anxiety..
delusinal people on the other hand don't ask for or welcome any discussions about their delusions, thery are non-arguable FACTS for them i guess

the reasons i first suspect that i am developing schizophrenia are:

1- i carry nearly all negative symptoms incluing lack of motivation (avolition), lack of interest in doing things, inability to feel pleasure (anhedonia), flat effect and lack of self care.
2- not responding to the antidepressants i have tried so far to treat the mentioned symptoms.
3- Paternal age, i was born when my father was 40.
4- dropping out of important activities like college, work and social activities.

So do you think my fear is still valid or it could be anything else?

Thanks again