Dear doctor, My name is Mariana. Im 22 years old. Height
Dear Mariana, I went through your query in detail and can understand your distress with your symptoms. You seem to be suffering from Obsessive Compulsive Disorder (OCD) which is causing your symptoms. The repeated thought of having to think of a positive thing or about a person you like while doing a task is the obsession and doing the task again and again till you do so is the resultant compulsion. In addition, you also have obsession of contamination which is resulting in washing and cleaning repeatedly. You should seek a psychiatric consultation for initiating treatment. Treatment with medications like fluoxetine are effective for OCD. In addition, you can also opt for treatment with cognitive behavior therapy in form of exposure and response prevention. It will consist of sessions in which graded exposure to your obsessions will be made which will help in reducing the occurrence of obsessions. I do hope that I was able to answer your query. Best wishes for speedy recovery.