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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For OCD And Depression

Dear Sir/Madam,
I am Aditya Singh,male,28 yr old residing in Mumbai,India.I am computer engineer .I have worked for 4 years and I have completed MBA in May 2011 in Marketing.I didn't get job from college.Seven years back I was fired from an IT company for doing 8 programs out of 10.Sir one and half year back while studying at night I got thought as "U r going to fail .U can not do any thing in ur life as u failed 7 years back.Since then these thoughts came frequently and I got disturbed while studying ,college activities and at home too.These thoughts started coming frequently and they become " Why did u fail?U can not accept ur failures.U r a negative thinker.Ur world's biggest looser.Devil has selected you as first person on earth to spread fear and negativity. Ur all friends have progressed in their lives.They r successful nad u r big symbol of failure.U r a negative thinker.U have not worked in IT for 4 years.U have not given MBA exams.U have not given group Discussion and personal Interview.U r not an MBA.U r just a looser a failure of past.U have to accept negativity of all people.Any task u can not do since u have failed 7 years ago and u r a negative thinker.Then it laughs as Ha Ha Ha.I am ur god .I will go after ur death.Medicines will not work for u.U r world's biggest negative thinker.U can not think positive at all.Once failed life ended.Its 2005 the year in which u failed .U have been just fired from office.Its not year 2011.Just remember your failure.Every thing except ur failure is true and rest all thinks are false.U r eunuch.U r mother fucker.U r sister fucker.U can not earn money.
Sir, these thoughts cycle repeats through out day.It disturbs whike reading or doing any activity.I have taken 16 ECTS since one and half year.I have changed 3 doctors since then .I have shown to DR K P Dave ,Dr Nilesh Shah ,head of psychiatry at Sion Municipal hospital,Dr Sachin Patkar,Dadar.They suggested its OCD plus Depression Right now I am taking medicines Fludac 80 mg and Clonil 150 mg. I was admitted in Sion hospital for 11 days.

I don't know sir,what to do where I am doing mistakes.I am tired of these things.Sir,is it curable?I can do any thing for this.My whole life is disturbed because of this things.Whole cycle gets repeated through out the day.Small things become big .

Sir,Please suggest.
Tue, 20 Jan 2015
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Psychiatrist 's  Response
Hello thanks for asking from HEALTH CARE MAGIC

I can understand your problem and from the symptoms you have mentioned it appears that your diagnosis of OCD and depression is correct. But the symptoms are severe in intensity and the negative views about self could be due to some psychotic episode. So re-evaluation is needed to reconfirm the diagnosis. OCD is an anxiety disorder that is relatively resistant to treatment. Treatment is needed for long duration of time. Combination of Medicines and Behaviour therapy gives best results. You are on 80 mg of Fluoxetine and Clomipramine 150 mg and as per my opinion the combination is fine and you are on right medicines. Along with this as per my opinion there is need to add some low dose antipsychotic drug like Olanzapine or Amisulpiride. These medicines will reduce severe negative feelings towards self. Discuss with your doctor for prescription of these drugs.

Thanks, take care
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Suggest Treatment For OCD And Depression

Hello thanks for asking from HEALTH CARE MAGIC I can understand your problem and from the symptoms you have mentioned it appears that your diagnosis of OCD and depression is correct. But the symptoms are severe in intensity and the negative views about self could be due to some psychotic episode. So re-evaluation is needed to reconfirm the diagnosis. OCD is an anxiety disorder that is relatively resistant to treatment. Treatment is needed for long duration of time. Combination of Medicines and Behaviour therapy gives best results. You are on 80 mg of Fluoxetine and Clomipramine 150 mg and as per my opinion the combination is fine and you are on right medicines. Along with this as per my opinion there is need to add some low dose antipsychotic drug like Olanzapine or Amisulpiride. These medicines will reduce severe negative feelings towards self. Discuss with your doctor for prescription of these drugs. Thanks, take care