I've already visited 3 psychiatrists and I still have doubts.
I had complaints typical of OCD and also felt detached from my feelings. What I described, what made me cry and want to kill myself, seemed like it never happened to me, although I'm telling the truth, but to me It felt like I was lying. Like I was making it all up, even though I had lived through it and hadn't judged it in any way. I also suspect I have ADHD, to this day. I can't keep switching between good and less experienced specialists just to get the diagnosis I want; it's the patient, not the diagnosis, that needs to be treated. He prescribed me venlafaxine (venlaxor) 75 mg, gradually increasing then 2 tablets per day and also prescribed me Risperidone 2 mg half a tablet in the evening. The problem is that despite my hyper-responsibility, I often forget whether I took my pill, and the psychiatrist said that he would also address my impulsiveness. That the drug that will improve cognitive functions and will be suitable, he diagnosed me with OCD and told me not to overuse the calls, because I called him 4 times in these two days and he answered in a minute and ended the conversation. I think it would be stupid to keep calling and I should just start treatment. He seems to know about the impulsiveness, I told him about my childish silly behavior and the need to tease. I'm afraid that I'll stupidly forget to take my pills, as I often do, even though I'm hyper-responsible and have the opportunity to take them, I still miss something and I'm afraid to start taking them. I don't know how my medications work, but they seem to improve dopamine by increasing norepinephrine, which improves my prefrontal cortex, and as I read, venlafaxine worked with ADHD and its symptoms. And he said after 14 days of medication to come back a second time and I think that by that time everything will start to slowly improve and if I really have ADHD, maybe the layer of anxiety and OCD that hides it. I'm from a post-Soviet country, and I try not to call him anymore because I have strange fears and a need for 100% certainty, which is impossible to achieve. I had a thought that he considered me a bad person and gave a combination to kill me and prevent my future murders and turning into a monster, yes, that's the kind of stupidity. As I understand it, he is the son of a psychiatrist, his father is in the clinic, the same last name and his father worked as a psychiatrist for 50 years, and he has 21-23 years of experience, they are from Russia, with extensive experience, evidence-based psychiatry and work. A psychiatrist, as I understand it, can have bad habits, be less empathetic and work quickly, but do his job properly and still build a picture, he asked a lot of questions and confused me when I could've wasted 40 minutes of the appointment on simple stories about life and asked a bunch of questions to understand what's holding me back, because who I am and how I live has already been explained. Because of this, I feel like he's given up on me. Although everything was honest and correct, he asked questions, set boundaries so that I would not abuse the phone number and I managed to say something about life, even though it was hard and it seemed like I had never suffered. However, month ago I was crying in a shower remembering the victims from violent content that was shown to me by my peers or watched out of curiosity and for adrenaline and dopamine. My God, this is so idiotic, I feel like I'm removed from my feelings.
P.S.
The first time I was also diagnosed with OCD, but I didn’t undergo treatment. I was 17 and my mother was against any medication, although I told her everything and constantly added new details and she saw how I suffered as a kid. The second time my mother registered me, I told her about my other side, I didn’t say anything about the terrible thoughts and at that moment there was a slight temporary rise, she gave me F92 ICD 10 and suggested that I might actually have ADHD and secondary anxiety. What she prescribed didn't work at all; it was some Russian nootropics and a small dose of Teralidzhen for sleep and 1/4 In the morning, it had a very weak effect on me, and it seemed to have no effect at all, and as soon as I finished, all my problems remained, I went to therapy, the first one said that I didn’t need pharmacology at all. Quite frivolous and optimistic, plus it seemed like she was a psychologist, she gave me exercises and through the cards I described myself, there was temporary relief, I chose a second psychotherapist, they both with diploma. I contacted a second psychotherapist through my first psychiatrist, and she couldn't do much. I told her about my situation, and she said I needed pharmacology, but he's a clinical psychologist, What I need is to see a psychiatrist, then if I want and consider it necessary, I can come to her, she showed me the 5-4-3-2-1 grounding technique, which I have only done 3 times and always forget, and now I received treatment, felt temporary relief simply from the understanding that I could make my life easier and told everyone what I could, and now I am gradually returning to this eternal circle of calm and fear and anxiety. I have to do something about this, I have to just start drinking them, try them.
I told the psychiatrist about the constant fear that I am a liar, the first time I didn’t even know what OCD was and I just talked and cried, that time I also didn’t think anything and just told everything I wanted to say and what he asked me, but for some reason I always feel like a liar, the feeling that I have no feelings and emptiness, and if I do something, it’s like reflexes. I constantly feel like I'm manipulating, although I'm not trying to achieve anything and have never manipulated people. I'm constantly afraid that I've offended some animal in my life, that I buried my hedgehog alive, that he was in hibernation, I buried him not deep, but I constantly try to remember and I don’t believe my memories, it seems to me that he was tightly sealed, that the package cannot be chewed through, that I killed him and I don’t know about this, I tried to understand whether he got out of there if he was alive, there is a place with trees and grass, quite similar to his environment. I went to it, tried to find the grave, I have never offended animals in my life, I fed them, I had parrots, but one died of illness and that hedgehog turned out to be sick, with ticks and other parasites, I I was a child and I yelled at my dad to just take him to the vet, but he didn't do it. I still blame myself for this, even though I was a child and didn't cause any harm. No one listened to me, they said he died and I justified myself by saying that he was in hibernation, I didn’t have time to check his condition and they already helped me bury him.I tried to tell everyone, but they ignored me, I cried for a long time, and then after some time I remembered it regularly and couldn’t forgive myself.