<human>: Dear doctor, My name is Mariana. Im 22 years old. Height : 1.45 metres. Weight : 39.5 kilograms. I havent go to see any docters. My problem is in my mind. I always think negatif thing. If I do my job (everything such as eat, drink, work, etc) I always try to think positif thing. In the case I cant think positif thing, I will redo again my job, again and again till I can do my job while think the positif thing. As example : Im printing a document by my computer, while I print it, I think about people which I very hate, so I will reprint the document again. And for the first document I will bring it to rubbish. I have another example, when I wanna to do something job like want to sit, want to write, in the same time I have to think about artist/actor I like. If I cant think about them, I will redo again my job until I can sit and write while I think about the artist/actor. Sometimes I do this without conscious. This make me headache. I also always wash my hand. Maybe I day I can wash my hand more than 30 times. This is very disturb me. And in the morning, when I wake up, my head fulled of negatif things.  I think this is not the real me. 15 years ago I never do this things in my live. Could you pls help me to solve my problem?
<bot>: 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.