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Depression with OCD - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Depression
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
User :   hello
Doctor :  
How can i help you?
User :   i am having problem in falling and staying asleep
Doctor :  
ok
User :   and also difficulty in concentration
User :   actually this is my second chat
Doctor :  
ok
User :   as per my first chat i was told to see a psychiatrist for a OCD
Doctor :  
ok
User :   possible ocd*
User :   i was seen by the psychiatrist today
Doctor :   ok
Doctor :  
what did he say
User :   he prescribed me cipralex 10 mg
Doctor :  
ok
User :   actually i thought if the problem is not that severe
User :   psychologist might help me
Doctor :  
ok
User :   i have visited one psychologist 2 years back
User :   he told me that he would be teaching me some meditation techniques
User :   but i refused to carry on with it as the fees was very high
Doctor :  
ok
User :   can you access my first chat?
Doctor :  
yes i can and i have gone through it
User :   great
User :   so i should come directly to the point that i dont want to take medication
User :   is there any better alternative availble
Doctor :   i shall help you
User :   like yoga meditation or seeing psychologist
User :   please
Doctor :  
what you are suffering from is because of imbalance in the chemical transmitter in the nerve endings
Doctor :   this needs a medication for a short duration
Doctor :   only medication also will not help you
User :   have you gone through the first chat i have already said i was on medication for about 3 years
Doctor :  
yes
Doctor :  
as i said medication is not complete treatment
User :   k so
Doctor :  
and only medications will not help
Doctor :  
you also need a counseling and as well as CBT
Doctor :  
but everything should be timed properly
User :   coginative behaviour therapy
Doctor :  
yes
User :   ohk so what should i do
Doctor :  
presently the psychiatrist has decided to put you on a drug
User :   ohk
Doctor :   this drug takes at least 4 weeks to produce its optimum effect
User :   actually he is a neuro-psychiatrist
User :   ohk
User :   so after 4 weeks?
Doctor :   once the desired effect what he wants if he observes in you he will guide you for the next stage of the treatment that is counseling and CBT
Doctor :   it may take more that 4 weeks,
User :   oh
Doctor :  
what i said is the effect of the drug will be appreciated by you and the doctor in 4 weeks time
User :   k
Doctor :   for how many days has he prescribed the medication and when has he asked you to follow up
User :   1 month
Doctor :  
same as i said 4 weeks
Doctor :   i say again medications is part of a treatment and not complete treatment
Doctor :   as far as psychologist is concerned he will not be able to help you in your present situation
User :   as far as i got the review from the patients they were taking medicines from 2-3 years but never told by the doctor for counselling
User :   ohk
Doctor :   counseling is the sessions which you attend the psychiatrist
User :   sorry i meant to say he never referred a psychologist
Doctor :   usually the doctors combine their consultation with the counseling so that the patient will not miss it
User :   oh
Doctor :  
counseling is done by the psychiatrist only not a different person
User :   k
User :   any other advice would you like to give? for the present scenario i am willing to do anything which can cure me
Doctor :   yes definitely there is a cure for the condition which you are suffering from

Doctor :  
you can join the yoga programmes
User :   what is it?
User :   ohk
User :   yoga and medication are same thing?
Doctor :   let me complete
User :   ssorry
Doctor :  
no meditation is not same as yoga
Doctor :  
yoga will relax the body and in turn the mind
Doctor :  
this will act has a additive effect to the medications you are taking
Doctor :  
i do not suggest you to go in for mediation classes
Doctor :  
because meditation is to strengthen the mind
User :   oh
Doctor :   now the mind being unstable due to the imbalance of the neuro transmitter it may cause more harm than the help
Doctor :   so avoid the medication
User :   medication or meditation?
Doctor :   i shall use the term drug for medication to avoid confusion
Doctor :   meditation to avoid
User :   k
Doctor :  
meditation means the technique which psychologist told you
Doctor :  
for the present
User :   ??
Doctor :  
continue the drugs prescribed by the psychatrist
Doctor :   and you can join any of the yoga programme
Doctor :  
after 4 weeks time lets assess the effect of the drugs
Doctor :  
than to decide next course of managemant
User :   ohk
Doctor :   is there anything else i can help you with?
User :   we have different yoga ashrams here they all teach different type of yoga asanas

Doctor :  
ok
User :   which one would you suggest

Doctor :   here what i suggest is choose the one which is convince for you
Doctor :   and there is less crowd
User :   kk thank you very much this chat has helped me a great deal
Doctor :  
please fill the feed back form
Doctor :   thanks for consulting health care magic.
Doctor :  
bye for now
User :   bye
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