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Suggest ways to manage a person with OCD

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Posted on Tue, 26 Jul 2016
Question: Good evening Dr HEIJEBU.I have a very distinctive Query to you.My bother has been behaving abnormally since quite a sometime.I came to know about it quite recently only.But in reality, he is having issues since quite a sometimeas by the info gathered from my neighbours.I stay in a different town from my brother.My brother since 3 years has been spending long hours in the bathroom locking himself.When asked he says he is cleaning the buckets and hands and wants to prevent flies from falling on water pipes.He spends about 4-5 hours in the bathroom daily.When confronted he becomes aloof.All the family members are distressed by his behaviour.Please suggest a solution.
Thank you.
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Answered by Dr. Suresh Heijebu (17 hours later)
Brief Answer:
Possible OCD with psychosis

Detailed Answer:
Hello, Madam

I can certainly understand your concern.

I have worked through your query in detail.

As per your described symptoms, the possibility of Obsessive compulsive disorder with Psychotic features seems to be the predominant diagnosis.

It's very important to start the appropriate drugs early.

The treatment course may last for 2-3 years .

It's very important to adhere to the prescribed drugs without fail.

Relapses are common during the treatment period, but they gradually wane off.

I generally prescribe oral pills of Escitalopram10 mg and Olanzapine5 mg one pill each twice a day.

Please check with your physician if he shares my view and if can prescribe these pills to you.

Post your further queries if any.
Thank you.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3659 Questions

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Suggest ways to manage a person with OCD

Brief Answer: Possible OCD with psychosis Detailed Answer: Hello, Madam I can certainly understand your concern. I have worked through your query in detail. As per your described symptoms, the possibility of Obsessive compulsive disorder with Psychotic features seems to be the predominant diagnosis. It's very important to start the appropriate drugs early. The treatment course may last for 2-3 years . It's very important to adhere to the prescribed drugs without fail. Relapses are common during the treatment period, but they gradually wane off. I generally prescribe oral pills of Escitalopram10 mg and Olanzapine5 mg one pill each twice a day. Please check with your physician if he shares my view and if can prescribe these pills to you. Post your further queries if any. Thank you.