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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Anxiety, Unwanted Thoughts While Alone. Should I See A Specialist?

hi i am suffering from anxienty and unwanted thoughts of harming myself and my children these thoughts only come on if i am really tired and if i am in my house with my kids at night on my own. if other people are with me at nitght i am fine it is only when i am on my own.i have a great doctor and am seeing a councillar but he does not specialize in cbt . would i be better to see somebody who specializes in cbt to help me with my anixety and unwanted thoughts. to hurt my children or myself is the worst thing i could ever imagine. i feel like i am going mad. i would appreciate any advice. sincerly, valerie
Sat, 30 Mar 2013
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Psychiatrist,  's  Response
Hello
Welcome to HCM

The symptoms you have mentioned like unwanted intrusive thoughts of harming yourself and children are part of anxiety disorder. They are commonly seen in OCD or obsessive compulsive disorder.
For treatment you should consult a Psychiatrist. Medicines like SSRI as Fluoxetine, Sertaline, Fluvoxamine, Paroxetine are very useful in such obsessional thoughts.
Cognitive Behavior Therapy is equivalent to medicines in efficacy. CBT by a trained psychologist is needed.

Thanks
Dr. Seikhoo Bishnoi
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Psychiatrist,  Dr. Sundar Gnanavel's  Response
Hello.........
Thanks for your query. These repeated/unwanted thoughts are chaacteristic of OCD/Obsessive compulsive disorder. The treatment consists of:
1. Anti-obsessive agents like fluoxetine/clomipramine
2. Psychotherapy techniques like ERP/exposure and response prevention
A combination therapy always works better than either of them alone. Wish you good health.
Regards
Dr Sundar
Psychiatrist
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1 Doctor agrees with this answer

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Suffering From Anxiety, Unwanted Thoughts While Alone. Should I See A Specialist?

Hello Welcome to HCM The symptoms you have mentioned like unwanted intrusive thoughts of harming yourself and children are part of anxiety disorder. They are commonly seen in OCD or obsessive compulsive disorder. For treatment you should consult a Psychiatrist. Medicines like SSRI as Fluoxetine, Sertaline, Fluvoxamine, Paroxetine are very useful in such obsessional thoughts. Cognitive Behavior Therapy is equivalent to medicines in efficacy. CBT by a trained psychologist is needed. Thanks Dr. Seikhoo Bishnoi