Welcome to HCM
In your questions you have mentioned OPCD and it is not clear that it is OCD
. But still from available history I can assume that its OCD. If his problems of cough
, swallowing has started occurring again and he is feeling fatigues along with balance problems most likely the symptoms are reoccurring again. OCD is a disease in which there is waxing and waning course. It is characterized by periods of exacerbation. I would advise you to take him to his psychiatrist
and get him evaluated. OCD is associated with depression
in about50-60% of patients so kindly don't ignore and visit a psychiatrist.