Respected doctor, I have more problems with mind. I got repeated thoughts. If the situation happens to me means, I think lot of times about that. And also I got repeated thoughts unwontedly. Have unwanted thoughts more times daily and it is un reasonable. That time I get breath problem and fairness. I taken sertraline 100 mg tablet daily once per doctor advice. Depression only gone by taking this tablet. But still the repeated unwanted thoughts and mind confusion is a big problem to me. And I do not know what kind of problem is it. Kindly help me doctors. Pls save my live.

Ms. Akansha RawatPsychologist10yrs exp

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Hi. Good day. Thanks for reaching out here for help. It's because of rumination. It is one of the symptom of ocd. Rumination�is focused on past events. It is a preoccupation with perceived mistakes, losses, slights, actions taken or not taken, opportunities forever lost. The feelings associated with�obsessive rumination�are guilt, regret, anger and envy. When we try to avoid a thought while in an obsessive state, the brain keeps reminding us about the unwanted thought so we don?t forget to stop thinking about it. It?s the same basic principle behind being told not to think about something ? say a pink elephant ? and our next thought becoming exactly what we are not supposed to think about. The secret is that like all thoughts, what we?re ruminating over has no meaning by itself. ?thoughts are just fleeting mental images. They have no consequences until you choose to make them important.? write down your thought in diary. Practice meditation at least 10 minutes daily it will relax your mind. You may try some breathing exercise and yoga for relaxation. Exercise is a natural and effective anti-anxiety�treatment�that helps to control ocd symptoms by refocusing your mind when obsessive�thought and compulsions arise. For maximum benefit, try to get 30 minutes or more of aerobic activity on most days. Several types of psychotherapy can be used to help someone with ocd manage obsessive thought. The most common is cognitive behavioral therapy (cbt).�you may consult with any mental health professional or me for psychotherapy.  

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Dr. Suresh Kumar G DPsychiatrist22yrs exp

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Hello Anwar - Your problems are suggestive of anxiety disorder and obsessive thoughts . It is quite common and can also cause bodily symptoms when you feel panicky, breathless and feeling faint. - Overthinking can happen in this situation - Sertraline is a good medication. Discuss with your doctor about increasing the dose to 125 mgs once daily. If you are able to tolerate, can go upto 150 mgs once daily. Increase in dose can sometimes help to reduce anxiety and obsessional thinking - In addition to medication, also get counselling/ CBT psychological therapy. - Also regular exercise will help Take care - 

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Dr. Urmil BishnoiPsychologist15yrs exp

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Dear user you are talking about the problem of overthinking and irrelevant thoughts. Or it may be some kind of obsession that I would be able to confirm after a proper conversation with you. When we are aware about our problem we are able to control but we have to control it in a proper way, if you don’t want to take medication for life time then please wake up yourself, medicines are not a perfect solution for mental health, you have to work on your own, your will power, your mind and thoughts. You have to take some extra care of yourself. I don���t know what are the circumstances under which you are taking medicines, I want to know the whole details about your disorder. But I must say don���t depend on the medicines and don���t make it a habit for future. You need counseling session for a better control on this disorder and medicines. Medicines are not the only solution, counseling is a best option for you so that you could better understand yourself and save yourself from the side effects of medicines. Please call and discuss your problem in detail and then i���ll be able to help you better. My contact no is mobile.  

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