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Q: OCD or schizophrenia ?
asked by: smilecookies on October 16th, 2009
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I have been dating my boyfriend for over 3 years. He is a very orderly person (some describe him as analretentive) and lately experienced a very traumatic loss in his family. While this loss was very hard, he had a very supportive family and many supportive friends. Currently he is frustrated about finding a stable job, and his future. He is not doing drugs, does not smoke, and consumes alcohol very moderately. Lately, he has been describing mental health issues. His main problem, and because of his personality-type, he is convinced he has obsessive-compulsive disorder. This seems logical but, and I emphasize this, he has no compulsions, ONLY obsessions and these obsessions are with "dreams". That's what he describes them as but he talks about them as if they are more disturbing than dreams. He is upset, because he believes the dreams are real. He won't tell me what they are, but he believes whatever happens in them, he causes and that he is therefore a bad person. Now because he is analretentive, and has obsessions, he believes he has OCD. But, again, lately he keeps doing a "reality-check". He gets me to say my name and birthday/place, just to make sure what he is experiencing is real.
I don't think this is OCD. I think it may be paranoid schizophrenia. I think he won't even consider this because of the taboo associated with schizophrenia, and the often misconception of split-personalities (which it is not). He thinks he can overcome on his own, whatever it is that is bothering him. I think he needs to at least see a counsellor or physician. But he won't.
Has anyone had, or known someone who has experienced something similar?
Does anyone know how I can convince him to just see a professional, even if its nothing it will help.

Thanks
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APY
replied on October 19th, 2009
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I think the symptoms are closer to OCD than schizophrenia. First, he had obsession thought as you mentioned. Reality checking is a typical compulsive behavior. He will repeat to ask people around him to make sure something. And this generally does not occur on schizophrenia. OCD sufferers often recognize their thoughts and subsequent actions as irrational, and they may become further distressed by this realization.
Most paranoid schizophrenia will suspect someone out to catch them or take advantages from them. For them, this belief is real. Often, they hear voices; see something that not existing. They often experienced hallucination and delusion. They don�t really view it as �dream� but they think it is �real�. Moreover, most patients won�t upset by this thought because they believe in what they think. However, some OCD does have psychotic symptoms. So, I think you should suggest him to see psychiatric or psychologist. We cannot diagnose a person unless we have the qualification to do so. The stigma that accompanied with the diagnosis has a strong impact to him. OCD is an anxiety disorder that can be treated if he is willing to work on it. Tell him this and encourage him.
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