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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat OCD And Delusional Issue?

My daughter is covered by PeachCare. She has a problem with OCD and delusional issues. Washes her hands and her feet 30 - 50 times a day lies constantly, and I sees things that are not really happening believes there s bugs crawling on her. I m looking for help that my insurance will cover but not just someone who s going to give her medicine and leave her on her own. I believe this needs to be more in-depth care what do you think
Fri, 27 Oct 2017
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Psychiatrist,  's  Response
in my opinion she would require intensive psychotherapy theta is cognitive behavioural therapy

in addition she would require medication like fluoxetine 20 mg once daily in the morning

and low dose olanzapine 2.5 mg in the night

and these to be regularly monitored

support and encouragement from the family

I find this answer helpful
Psychiatrist,  Dr. Sivaraman's  Response
Hai
* OCD (obsessive compulsive disorder) falls under neurotic disorder, Delusion falls under Psychotic disorder
*if both coexists --- then which comes fisrst ?,which is predominant ? matters
*In both cases treatment options include
1.Exposure & response prevention therapy
2. Antidepressent(SSRI)
3.Antipsychotic if delusion presents
before that get a Neurologist opinion to rule out any organicity
thank you
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How To Treat OCD And Delusional Issue?

in my opinion she would require intensive psychotherapy theta is cognitive behavioural therapy in addition she would require medication like fluoxetine 20 mg once daily in the morning and low dose olanzapine 2.5 mg in the night and these to be regularly monitored support and encouragement from the family