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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do For Anxiety?

I have OCD diagnosed by my Dr. I have been prescribed Xet 50
Paroxetine for it. However, I have a psychiatrist whose good
Friend. He feels this medicine will not help. I am scared to start
Any such medication as a few years ago I was put on psychiatrist
Medication and got hooked on to it for many years. With great
Difficulty I was able to get off them. I do get anxiety but try
And control it with yoga and meditation. I would really
Appreciate your view because I am very confused. My OCD - I
Go on crazy shopping binges when I buy large quantities of things
Which I never need or use. I am an Alcoholic but have not
had a drink nor any chemicals since the last 4 years. I am part
Of AA in New Delhi, India
Thank you very much
Rita Jolly
Thu, 28 Aug 2014
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Psychiatrist 's  Response
hi.. i have understood your concerns,...

u have been diagnosed as OCD..u have not described your symptoms in detail..so considering the confirm diagnosis of OCD, i am answering the question...

i feel that u are at present off the meds and controlling your anxiety with yoga and meditation...it is very good strategy and technique to avoid drugs for long duration..

if u feel tha your OCD is making troubles for u then u shud start medications..with yoga and meditation it wont improve..

OCD can be treated with psychotherapy and with drugs..when a patient has severe symptoms, he or she shud take help from drugs and when symptoms have been controlled then one can go under the cognitive behavior therapy, exposure and response prevention and other psychotherapies....these will help u to remian free from symptoms for long duration without drugs..

in my opinion, first start drugs [i will mention here] and after 2 to 3 weeks consult a psychotherapist for counselling and behavioral therapies..

drugs:
tablet. prodep [fluoxetine 20 mg] in the morning after breakfast. the benefits will be seen only after 2 weeks of continuous usage of the medication..increase the dose to 40 mg after 15 days and then to 60 mg after another 15 days...u ll find 75% benefit in your symptoms within 3 months of starting the treatment and the benefit will be sustained with the help of psychotherapy and counselling..

avoid alcohol and addictive drugs..
go for regular exercise like walking, jogging 5 days a week..
continue yoga and meditation..in severe anxiety u can try relaxation therapy to calm and help your self..

i hope this advice will be helpful to u... best luck
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What To Do For Anxiety?

hi.. i have understood your concerns,... u have been diagnosed as OCD..u have not described your symptoms in detail..so considering the confirm diagnosis of OCD, i am answering the question... i feel that u are at present off the meds and controlling your anxiety with yoga and meditation...it is very good strategy and technique to avoid drugs for long duration.. if u feel tha your OCD is making troubles for u then u shud start medications..with yoga and meditation it wont improve.. OCD can be treated with psychotherapy and with drugs..when a patient has severe symptoms, he or she shud take help from drugs and when symptoms have been controlled then one can go under the cognitive behavior therapy, exposure and response prevention and other psychotherapies....these will help u to remian free from symptoms for long duration without drugs.. in my opinion, first start drugs [i will mention here] and after 2 to 3 weeks consult a psychotherapist for counselling and behavioral therapies.. drugs: tablet. prodep [fluoxetine 20 mg] in the morning after breakfast. the benefits will be seen only after 2 weeks of continuous usage of the medication..increase the dose to 40 mg after 15 days and then to 60 mg after another 15 days...u ll find 75% benefit in your symptoms within 3 months of starting the treatment and the benefit will be sustained with the help of psychotherapy and counselling.. avoid alcohol and addictive drugs.. go for regular exercise like walking, jogging 5 days a week.. continue yoga and meditation..in severe anxiety u can try relaxation therapy to calm and help your self.. i hope this advice will be helpful to u... best luck