Patient's question:
Problem Description: Sometimes I think about something repeatedly, and I think I might have OCD. But every time I keep thinking about something and then think about the outcome, I feel uncomfortable all over, start sweating, and after a while, I feel like I'm about to ejaculate. It makes me very troubled. I don't know why—after thinking about something and overthinking it, how could it lead to ejaculation? Is this a disease? It has happened many times! Every time I repeatedly think about something, this situation occurs!!!Doctor's answer:
Obsessive-compulsive disorder (OCD) is a neurosis characterized primarily by obsessive thoughts and compulsive behaviors. It is marked by the coexistence of conscious self-imposed pressure and conscious self-opposition. Patients are aware that the persistence of obsessive-compulsive symptoms is meaningless and irrational, yet they cannot control their repeated occurrence. The more they try to resist, the more tense and distressed they become. In cases with prolonged courses, ritualistic behaviors may become the main manifestation. Although significant relief from mental suffering may be achieved, social functioning is severely impaired. Treatment primarily involves supportive psychotherapy, and behavioral therapy can be applied to compulsive behaviors, with response prevention being particularly effective.