45 Yr Old, Suspect OCD, Habit Of Constantly Washing Hands And Feet. Any Different Line Of Treatment ?
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
Important aspects of your query are:
• 45 year old female
• Known case of OCD (depression and psychosis. Her anger outburst may be related to that.
OCD occur due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter.
In drug treatment two types of medicine used. For immediate relief of anxiety benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect. Non drug treatment like Exposure and Response prevention (ERP) also takes weeks to show its effect.
All these process is complex. I have just simplified it to make you understand it.
Some time patient (40% cases) did not improve with initial treatment (like in her case), in that case one of the following steps are used:
-Start concurrent Non drug treatment like Exposure and Response prevention (ERP). But trained therapist is not easily available for ERP
-Increase the dose of current medicine
-Change of existing medicine
-Addition of other medicine
-Admission of patient in psychiatric facility for few weeks
-Treatment of medical conditions if any
All this process take time. But we have seen many cases improving by persistence with treatment.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Regards,