Talk to Psychiatry on OCD, Husband Have ED

I want to consult you for my sister condition, but i want you to kindly contact to me first so that i can explain you her condition properly. I want to help her but I don’t know will she be able to deliver properly to you what she’s going through. Kindly understand my situation sir.

Ehsan Zafar Awan - Psychologist

MSc (Applied Psychology) Certification in Psychiatry Post Graduate Diploma in Applied Psychology, MS Level in Subjects organizational Behaviour & Management | Islamabad | Book Appointment

909 Positive Reviews

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okay you may book an appointment through Marham, I'll discuss with you first then we would decide future plans

1. Her obsession is related to cleanliness, whenever she goes to washroom, she cleans everything, she change clothes or wet her clothes, everytime. Apart from that watching ice eating videos all the time on phone and some other.
2. She got married last year, and she didn’t have sex not even once bcz of her husband ED. Its been there from the start of their relationship. He said that he took medication and psychological therapy but don’t tell her anything totally.
3. Emotional manipulation and pressure( he even told his and our parents that she don’t come close to me, maybe she don’t like me. Whenever she says No)
4. We as family supprt her, everyone know about their condition but everyone told her that its your mistake you don’t go near him that’s why he is facing this problem.
5. She took therapies for her OCD, and it git better, but nit after her marriage and now the things are worse. I came here to ask for help from someone.

This situation involves complex interpersonal, psychological, and medical issues that require a sensitive and multi-faceted approach. Here's a structured plan to address these concerns:

### 1. Understanding and Supporting OCD

- OCD Management: It is crucial to continue with therapy for OCD, focusing on cognitive-behavioral therapy (CBT) with exposure and response prevention (ERP). This is the most effective treatment for OCD, particularly for compulsions related to cleanliness.
- Family Education: Educate the family about OCD to foster a supportive environment. Understanding that OCD is a mental health condition, not a choice, can help reduce blame and stigma.
- Relapse Prevention: Work with her therapist to develop strategies for managing stressors that exacerbate OCD symptoms, such as marital issues.

### 2. Addressing Marital Issues

- Couples Therapy: Consider engaging in couples therapy to improve communication and address marital issues. A therapist can help navigate the emotional manipulation and pressure she is experiencing.
- Sexual Health: Her husband's erectile dysfunction (ED) should be addressed openly. Encourage him to seek further medical evaluation and treatment if necessary. Transparency about his treatment and progress is important for rebuilding trust.
- Emotional Support: Ensure she has access to emotional support from friends or a support group, especially if family dynamics are challenging.

### 3. Family Dynamics and Communication

- Family Counseling: It may be beneficial for the family to participate in counseling to improve understanding and communication. This can help address any misconceptions about the situation and reduce pressure on her.
- Reframing Blame: Shift the narrative from blame to understanding. Encourage family members to support her in finding solutions rather than attributing fault.

### 4. Professional Guidance

- Therapist Involvement: Her therapist can provide guidance on managing the intersection of OCD and marital stress. They can also help her develop coping strategies for dealing with emotional manipulation.
- Legal and Social Support: If emotional manipulation continues, consider seeking advice from a legal or social services professional to understand her rights and options.

### 5. Self-Care and Personal Growth

- Personal Therapy: Encourage her to continue individual therapy to work on self-esteem and personal boundaries.
- Mindfulness and Relaxation: Techniques such as mindfulness, meditation, or yoga can help reduce stress and improve overall well-being.

### Conclusion

This situation requires a coordinated effort involving mental health professionals, family support, and possibly legal advice. Encourage her to continue seeking professional help and to communicate openly with her support network. Each step should be taken with sensitivity to her emotional and psychological needs.