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Irrational thoughts-ocd

12 replies

mummytopebs · 10/01/2009 23:26

I had ocd as ateenager and 2 years ago due to stress pnd etc i had a breakdown and lots of irrational thoughts-thought nothing was real x i am glad to say i came threw it mixture of drugs and therapy. I am currently on clomprimine only 1 tablet a day (2 tablets if feel stressed-my dd has health probs), i want to try for another baby but had 2 mc last year, was just wondering if anyone knows if clom can cause mc? I have tried to come off them but start to have irrational thoughts so need to be on them-even though i am only a low dose at the mo

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gigglewitch · 10/01/2009 23:30

sorry don't know, wondered if there is an alternative? - several of us on another thread tonight have taken sertraline through pg and bf for sever anxiety and depression, is it worth checking out?
good luck

mummytopebs · 10/01/2009 23:52

i had severe anxiety and depression but does sertraline work for irrational thoughts, ocd like symptoms?

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lessonlearned · 11/01/2009 00:11

Maybe stating the obvious, but how about CBT (cognative behavioural therapy?)???

mummytopebs · 11/01/2009 00:29

it only works when i am on the tablets, when i am not on them the irrationality takes over unfortunatly

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morningsun · 11/01/2009 00:47

what sort of irrational thoughts?

mummytopebs · 11/01/2009 00:55

i didnt think anything was real in the world, that when someone walked out of my bedroom they just disappeared, really questioned things like are we really here? Weird stuff really

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Servalan · 11/01/2009 01:04

I have OCD too and am on a low dose of clomipramine which I find fantastic - I have been on and off it for years. I tried coming off it again at the beginning of the year but have just gone back on it due to unmanagable thoughts, so you have my sympathies.

I personally didn't take clomipramine when pregnant and would feel happier not taking it if I became pregnant again. I couldn't tell you if there is any link to miscarriage or what other risks there might be though - and not being a medical professional I think it best that I don't hazard a guess!

What are the mental health services like in your area? I have had CBT in the past and found it very helpful. You might find that CBT would give you the support you needed while pregnant if you needed to come off the clomipramine.

I stopped my CBT earlier in the year, but my therapist put on the letter back to my GP that I can start having it again in the event of becoming pregnant so I can get the extra support, because, as I say, I personally wouldn't want to take clomipramine when pregnant.

In your position, I would sit down with my GP, establish exactly what the risks would be if taking clomipramine when pregnant. See if it's possible to get put into the system now to get some kind of CBT so you could have talking therapy as a support through pregnancy (probably best discussing your options and putting things in place before becoming pregnant because often these things take time to sort out)

If you didn't want to get therapy through the NHS you could search out a decent private CBT therapist.

Wishing you the best of luck

mummytopebs · 11/01/2009 01:09

Thanks i will def book in the docs. Had discussed with gp before the mc last time and he had said it was safer me been on it than not being on it (he saw me when i was at the lowest point and has been my gp for years even when i was a teenager with ocd), he said i would have to come off it a few weeks b4 i was due. I did do some cbt but through mind but didnt find it helpful,found the therapy with mental health better.

What unmanagable thoughts do you get, are they similar to mine?

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Servalan · 11/01/2009 01:25

I cross posted, but no, my unmanagable thoughts are different.

Mine are more to do with contamination fears and fear of invadvertently harming other people. Not much fun anyway

I guess the thing with talking therapies is its effectiveness can depend very much on your therapist. My CBT therapist was through my local mental health team and she was absolutely fantastic. I saw her when DD was a small baby, and it did me no end of good.

Before that though, during my pregnancy (I moved areas after having my baby - the local mental health services where I was before were crap) I was referred to a really useless surgery counsellor who had "done a bit of CBT training". Her stock response was - "but you're having a baby - think how wonderful that will be". Yes, of course it's wonderful, but that's not really the point I actually ended up walking out on her during a session because she really got on my nerves.

Anyway, having proper CBT was great. It sounds like our experiences of OCD are very different, and of course what works for one person doesn't work for another, but I found it very helpful having a practical therapy that was about positive action rather than reliving my childhood etc (though I know that type of thing works brilliantly for other people of course!)

My OCD is very much linked to my low self-esteem and rock-bottom self worth, and one thing my therapist got me doing was writing out positive affirmations about myself, so if I did a good thing that day, however small and silly, I was to write it down a few times to reinforce the good things I did and what I could achieve. I have started doing similar recently and that is actually helping lots too. (I don't know if that would be relevant for you at all though)

Anyway, sorry, I'm rambling - I've got that small hours of the morning wondering brain thing and I should probably get some sleep.

I hope you find a solution that works for you.

lessonlearned · 11/01/2009 01:40

How about Solution Focused Brief Therapy then (SFBT)?

mummytopebs · 11/01/2009 18:32

What is sfbt, i have never heard of that?

Thanks for all your kind words,it is nicew to know i am not the only one

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lessonlearned · 11/01/2009 21:13

Your therapist will have heard of it mummytopebs.
It's a talking therapy which builds on your experience and helps you choose the best outcome. It's a great one for helping you to aquire (sp?) skills and coping strategies that will be transferable to all your day to day situations. Your therapist will collaborate with you in choosing your actions and attitudes and help you test out your theory about the possible outcomes for these.

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