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History of OCD, social anxiety. Taking medications. Facing learning difficulties, unable to maintain professional relationship. Cure?

hi i m 25 yr old male with a history of OCD& social anxiety since 10 yrs and i am taking tab.veniz XR 75 mg1-0-2,t.clofranil XR75 mg 0-0-0.5,t.sizodon 2 mg 0-0-1 since 2 yrs.Now i m studying speciality nursing.i faced lot of learing difficulties and i cannot maintain professional relationship with any handwriting get detoriated from day by day.really i m very much frustrated
Asked On : Sat, 16 Mar 2013
Answers:  2 Views:  58
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Psychiatrist 's  Response
Dec 2014
Welcome to HCM

OCD or obsessive compulsive disorder is an anxiety disorder. It is characterized by recurrent anxiety due to some intrusive dominant thought, idea. In order to get rid of anxiety individual is compelled to to some ritualized behavior that is called as compulsion. You are on right medicines and in right doses. Like Clomipramine 37.5 mg per day, venlafexine 225 mg per day and resperidone 2 mg per day. If you are not having proper relief then addiction of some SSRI drug like Fluoxetine or Paroxetine can be done. But take opinion of your psychiatrist for that.
Behavior therapy is most important step in treatment of OCD. Exposure and response prevention is one of modality of Behavior Therapy. Thought stopping is also useful.
Hope I cleared your doubt, if have any more doubts you can ask me a question.

Dr. Seikhoo Bishnoi
Answered: Mon, 18 Mar 2013
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2 Doctors agree with this answer

Psychiatrist Dr. Sundar Gnanavel's  Response
Thanks for your query. Both OCD/ obsessive compulsive disorder as well as social anxiety disorder are anxiety disorders. The management currently is on expected lines (on standard regimen). However, if you do not perceive adequate improvement, other options like fluoxetine/fluvoxamine can be considered for management.
Most importantly, psychotherapy techniques like exposure and response prevention for OCD as well as cognitive behavioural therapy for social anxiety disorder would be valuable adjunctive treatment options. Hope you found the information useful. Do discuss these options with your psychiatrist.
Dr Sundar
Answered: Fri, 22 Mar 2013
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