Get your Health question answered in 3 easy steps

185 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suffering from anxiety disorder. Will it be cured by prozac?

Answered by
Dr.
Dr. Jonas Sundarakumar

Psychiatrist

Practicing since :2003

Answered : 2190 Questions

default
Posted on Mon, 7 Jan 2013 in Anxiety and Stress
Question: Hello,

It is just that my mind is filled with the same obsessive thought almost the entire time I am awake. I have been practicing the mindfulness exercises and reading the acceptance and committment theory book that was recommended and trying to move on with my life and find other things to do. But it is very difficult to do that because I immediately forget what I read or my mind drifts off listening to these imaginary conversations. I dont know how I will get anywhere with what I am supposed to do if I cant concentrate. I keep trying to read it over and over and I immediately forget what it is I am supposed to be practicing or focusing on.

The doctor in the report said I could take prozac for obsessions but in the same report it says that the medication may not work (it was written more clinically but I dont know exactly) I think because this is part of my personality it said and that I had been this way for decades. Is it true that medication will not work if it is part of my personality? Then why do they suggest it in the first place? How can I practice CBT or these self help books when I cant focus or remember what it is I am reading? Could this be from the OCD obsessions that are interrupting my thoughts and memory or could it be something else?
doctor
Answered by Dr. Jonas Sundarakumar 15 hours later
Hello again and thanks for your query.

I appreciate your determination to overcome your problems and difficulties, and I will be happy to assist you through my suggestions.

It's good to see that you are putting in sincere efforts to follow the psychological techniques which have been prescribed by your psychiatrist. I can understand very well that it can be quite difficult initially to focus and keep your mind from giving in to these obsessions / preoccupations. I always tell my patients this interesting fact - that if you are experiencing difficulty while attempting to implemet therapy, then it actually means that you are sincere in your efforts and that you are going to improve. Because, change is always difficult and if you are experiencing difficulty, it means that you have already started the process of change. So, don't worry, the difficulty and frustration which you are going through are normal for everyone in this stage, and every form of therapy or self-help techniques will indeed be difficult to implement in the initial stages.

Now, regarding the Prozac, my opinion is that it will still have a role in treatment, irrespective of the chronic duration of your symptoms or your clinical diagnosis. The reasons for my opinion are as follows.
- Firstly, it is not very easy to make a clear differentiation between a long-standing, chronic OCD (OCPD (Obsessive Compulsive Personality Disorder)
- Secondly, even if your obsessions are part of your personality, medication still have a role in treatment.
- Thridly, even though medication only may not be the one-off solution for your problem, still, even if it can provide a partial benefit, this can make it easier to implement psychotherapy techniques.

So, I think Prozac can help you at least to a certain extent in your situation.

Obsessions can often be intrusive and disturb normal thoughts. So, it likely that your obsessions are causing the difficulty in reading the self-help books and the following the techniques. Often, when a person has severe obsessive symptoms, psychological therapies are difficult to follow. In such cases, medication can be useful in reducing the severity of the symptoms, so that the person becomes more amenable for psychological therapies.

So, I would advise you to try Prozac, while simultaneously trying the self-help techniques also. Please be patient and persistent in your efforts because they require repeated practise and dedicated efforts. With continuous practise, you should be able learn to focus and apply these techniques.

Wish you all the best.

- Dr. Jonas Sundarakumar
Consultant Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Jonas Sundarakumar 10 hours later
Thanks again, thank you for helping me figure this out. I do appreciate it.

How long would one normally have to take this medication for? Permanently or just temporally. Will I need it forever?

doctor
Answered by Dr. Jonas Sundarakumar 10 hours later
Hello,

The minimum duration of medication advised in such cases is about 6 months. However, since you have had chronic symptoms, you may need to take it for a longer time, but not necessarily on a permanent basis. The idea is that if the medication can give you some improvement and facilitate psychotherapy, then you can ride this wave and build-up long lasting improvements with the psychological and behavioural methods.

Wish you all the best.

- Dr. Jonas Sundarakumar
Consultant Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication
Treatment/Therapy ,  

Recent questions on Psychological therapy

doctor1 MD

dx acid reflux , reactions to variety of PPIs and H2. last 3mos feels like throat strangling after any and all food. now phobic of food. no food for 2 days.

doctor1 MD

Hi, My 13 Year old daughter had an accident nearly 3 years ago and following many visits to different doctors, she has been diagnosed with Transient Cognitive impairment and epilepsy. She has now started meds to try and control her absences. Her...

doctor1 MD

Dear Doctor I am from XXXXXXX xxxxxx (Colombo) and my son is 24 years. He was diagnosed with ADHD from the age of 8 and was been given Ritalin at that age. But right now he is taking Valparin and Risperidone on the need prescribed by his doctor....

doctor1 MD

Sir, I feel myself psycologically ill for my activities related to my daily routine, for i feel much of the time-very borring. Everything, T.V., Music(very rarely), my house, my colony, my studies etc. all seem to borr me. All these i feel from about last one and a half year.There are several other problems such as running of a music in my mind while studying i.e. when i am quite.

Oh! there's another serious problem(might not really be). Sir, last 6 years back when i was in class 6(Presently in class XII, 17years old), i got up an early morning and saw the buttocks of my father, and semen ejaculation happened unkowingly for the first time. I knew nothing about sex at that time, and so i got in practice of masturbation,without knowing anything about it just as if my body compelled me to do so.[I am a male]but attracted towards male. Actually not towards male rather any male's genitals or butocks and that too bare body doesn't attract me much but well dressed body do. And yes i have no doubt about my male identity.

One of the psychytarist has dignosed it as OCD.
I don't know whom to consult in Delhi. Please help me out of the guilt, and my problem.

doctor1 MD

I am 14 years old. I have anxiety most of the time and quite often I will wake up and have anxiety so bad I cant stop shaking, and using the restroom because it screws up my stomach. I have never had an attack were I could breath or nothing but its still affecting me every day. some times its unbearable. I also am very edgy all the time and get made fun of sometimes because alot of things make me jump and i am often seen as parioniod but at the time, I feel like me fear is very rational. I am so impatient that if I am forced to wait for even 5 seconds I will start getting jittery, I will bite my tounge untill it hurts and I will wring my arms. I also have a hard time remembering conversations my mother says I just had with her. I will sometimes ask her questions and she will claim that I just asked them but I dont remember.My grades are good and I have friends and stuff so I don't really understand why im so jittery and nervous all the time.

doctor1 MD

My wife keep tell me I'm egoist but I'm not I do love her and my to children but some time look like a lost the plot, get angry but not aggressive i'm an Italian temperament some time I speack loudly look like I schoy but is not and from there the things go worst

doctor1 MD

Hello I used to suffer from panic attacks in the past and was prescribed Fluoxitine. That sorted the problem out :It's now a couple of years later and I have since emigrated to another country and life is quite tricky and hard and I feel I am getting bogged down with stress daily again. I wonder if I could order myself some more Fluoxitine online and start taking it again ? Cheers