A Family’s Journey with Mental Health

For Dr. Kurt Leim­bach, Inter­nal Med­i­cine physi­cian at Quin­cy Med­ical Group (QMG), the top­ic of men­tal health is an ongo­ing con­ver­sa­tion among his fam­i­ly. His per­son­al expe­ri­ence has led him to share his sto­ry in hopes of help­ing oth­er fam­i­lies just like his.

Sev­er­al mem­bers of the Leim­bach fam­i­ly have been impact­ed by obses­sive com­pul­sive dis­or­der, or OCD. OCD fea­tures a pat­tern of unwant­ed thoughts and fears (obses­sions) that lead one to do repet­i­tive behav­iors (com­pul­sions). These obses­sions and com­pul­sions can inter­fere with dai­ly activities.

On my mom’s side of the fam­i­ly, she’s one of eight kids, they all had OCD. I’m one of five kids, and I think prob­a­bly all five of us have OCD to some extent,” Dr. Leim­bach shared.

Dr. Leim­bach and his wife, Jan, have three grown daugh­ters — Kathryn, Diane, and Susan. They began to notice signs of the dis­or­der in their old­est daugh­ter, Kathryn at 10 years old. The age of 10, Dr. Leim­bach shared, is the aver­age age for the onset of OCD.

When she was in fourth grade, my wife and I noticed some­thing was going on, but she didn’t tell us. When she was in fifth grade, we saw, again, that some­thing wasn’t quite right. We asked her and talked to her about what was going on. She would say, I’m okay,’ because she doesn’t know that what she’s feel­ing isn’t nor­mal because no one’s talked to her about what’s nor­mal,” he said.

The fam­i­ly kept the con­ver­sa­tion going and sup­port­ed their daugh­ter. When sixth grade came, her symp­toms were more pro­nounced, and she opened up about some of her thoughts and behaviors.

It was clear that she was just real­ly strug­gling. When we final­ly asked her, What’s been going on for these last cou­ple years?’ She expressed she was expe­ri­enc­ing exces­sive wor­ry, specif­i­cal­ly regard­ing the health and safe­ty of our fam­i­ly, and an exces­sive count­ing,” he shared.

Oth­er symp­toms man­i­fest­ed as fre­quent hand­wash­ing and wor­ry­ing. Some of those wor­ries were illog­i­cal, which Dr. Leim­bach said is com­mon­ly asso­ci­at­ed with OCD.

She also thought that if she looked at some­body she might make them sick. She didn’t seem wor­ried about get­ting sick all the time her­self, but more about oth­ers get­ting sick,” Dr. Leim­bach said.

Through­out all of this, Kathryn con­tin­ued to do well aca­d­e­m­i­cal­ly, but her men­tal strug­gles became over­whelm­ing. The Leim­bachs sought the help of a coun­selor, and she start­ed on med­ica­tion to help her deal with her ongo­ing symptoms.

We got her into coun­sel­ing and she told us that helped some,’ but to quote her, she said, I need­ed the med­i­cine to qui­et my brain before I could lis­ten to coun­sel­ing,’” he said.

Her mind was so revved up with her anx­i­eties and her fears. Once she start­ed med­ica­tion, she said it was just like night and day. She said she could then lis­ten to what the coun­selors were say­ing. I thought that was so insight­ful on her part.”

Dr. Leim­bach said every indi­vid­ual and every expe­ri­ence is unique, so find­ing the right sup­port is impor­tant. Beyond coun­sel­ing and med­ica­tion, Jan imple­ment­ed anoth­er help­ful tool at home — a wor­ry journal.”

Jan had this idea that they would write down every­thing she’s wor­ried about in this jour­nal. Then we would both show her that even though she was wor­ried about these things, noth­ing bad hap­pened,” he said.

The Leim­bachs began watch­ing for signs in their younger two daugh­ters. Their sec­ond daugh­ter, Diane, didn’t show signs of OCD, but they did notice signs in their third daugh­ter, Susan, who is eight years younger than Kathryn.

We start­ed watch­ing her like a hawk, and sure enough, we’re on a vaca­tion out to the Pacif­ic North­west. She’s like five years old at this point. We’re at a Denny’s hav­ing din­ner and get­ting ready to come home,” he shared. We’ve been out there for two weeks, and all of a sud­den she just gets real­ly anx­ious. And she’s say­ing, There’s some­thing in my throat.’ We didn’t know what it was unless it was sinus drainage or acid reflux, but it just sent her over the edge. We were then like, Okay, this is the first symptom.’”

Susan also start­ed on med­ica­tion and began coun­sel­ing. Just like her old­er sis­ter, the change she felt was like night and day. Her most over­whelm­ing wor­ry was a fear of eat­ing in public.

She was afraid about get­ting sick, but she didn’t actu­al­ly care about get­ting sick. She didn’t want to cause a scene if she got sick and she didn’t want to dis­rupt oth­er people’s enjoy­ment of a meal if she got sick,” Dr. Leim­bach shared.

The Leim­bach fam­i­ly has been open about their sto­ry and expe­ri­ences with OCD. Dr. Leim­bach empha­sized that lis­ten­ing to kids is incred­i­bly impor­tant in order to ensure par­ents can catch ear­ly signs of poten­tial struggles.

Kids do have self-aware­ness. Just because they have anx­i­ety, OCD, depres­sion, or what­ev­er, it doesn’t mean they don’t have self-aware­ness of what is real and what is not. It’s just that the anx­i­ety might intrude upon what is real, and so, again, don’t ignore when they com­plain of some­thing that’s plau­si­ble,” he said. We tell par­ents, please don’t ignore these kids because they are mis­er­able and they don’t know why they’re miserable.”

For oth­er fam­i­lies who may see the Leim­bach family’s expe­ri­ences in their chil­dren, Dr. Leim­bach wants them to know they’re not alone.

I would say if you talk to peo­ple, even just friends, you’re going to find out that your friends know at least one per­son who can iden­ti­fy with this. It is so preva­lent,” he said. One in 200 kids have OCD, full-blown, OCD, anx­i­ety, and depres­sion. So, with one in 200, odds are, some­body at school has sim­i­lar experiences.”

Today, Kathryn, Diane, and Susan are all suc­cess­ful adults who went on to col­lege, earned post-grad­u­ate degrees, and now have suc­cess­ful careers and fam­i­lies of their own.

If you or some­one you know have con­cerns regard­ing your men­tal health, a good place to turn for help is to your pri­ma­ry care provider, who can help point you to the right resources. For more infor­ma­tion on Pri­ma­ry Care and Behav­ioral Health ser­vices at QMG, vis­it quin​cymed​group​.com.

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