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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can OCD Be Managed?

I have past 15 years a problem .The problem doctors describe ocd. As I m always indulged with irrational thoughts .After taking counciling with msf/kashmir life ngo besides taking medicine I feel little bit good but my personal life is disturbed it has become hell. I have taken fkeximine, inosert, desdip od etc. I take it maximum 8 months after that doctors gradually lower dose ..but irrational thoughts come back ..I always do meditation and busy my self but all in vain .. I usually don t complete dose I myself lower dose and stop medicine as due to stomach pains I was not able to eat anything doctors only give me omeparizole and pentop-40 but that doesn t work ..It is impossible for me to take such medicines as it destroys my every organ the most important is stomach problem. The thoughts which disturbs me which doctors called irrational are when ever I read any thing I get confused I think I haven t read this problem happens with most common words .I start reading again and again and start doing pronunciation. I feel inferiority complex about my personality in spite I m very handsome. I get irritated with dirt nd people of poor personality .I get confused while doing calculations .When I gard death news any one around our area and if the deceased are old I get irritated if deceased b young it doesn t irritate me ..lastly I heard about doctor sushil Razdan ..I have hope I will b ok this is my last try ..pls I m from kashmir I need appointment. .Help me
Sat, 30 Jun 2018
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Psychiatrist 's  Response
hi greetings...
as per the information provided by you the problem of OCD is a longstanding condition, associated with repeated obsessions and compulsions..
and as you are already on several drugs like fluoxetine, inosert etc which are not making you feel better, it's better to add on low dose antipsychotics which may makes you feel better
and getting the side effect profile generally Side Effects depend on the dosage of drug rather than number of drugs, sweets better to take antidepressant along with low dose antipsychotic instead of taking high dose of antidepressant which causes more side effects...
and as you have mentioned that you will reduce the dose after six to eight months and then stop the medication which is bringing back your irrelevant thoughts, it's better to continue very low dose of antidepressants after you start feeling better...
attending several sessions of cognitive behaviour therapy related to OCD also makes you feel much better...
have a morning walk daily and exercise for 2 to 3 days in a week...
good luck for your future endeavours
hope I solved your query and feel free to ask any further...
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How Can OCD Be Managed?

hi greetings... as per the information provided by you the problem of OCD is a longstanding condition, associated with repeated obsessions and compulsions.. and as you are already on several drugs like fluoxetine, inosert etc which are not making you feel better, it s better to add on low dose antipsychotics which may makes you feel better and getting the side effect profile generally Side Effects depend on the dosage of drug rather than number of drugs, sweets better to take antidepressant along with low dose antipsychotic instead of taking high dose of antidepressant which causes more side effects... and as you have mentioned that you will reduce the dose after six to eight months and then stop the medication which is bringing back your irrelevant thoughts, it s better to continue very low dose of antidepressants after you start feeling better... attending several sessions of cognitive behaviour therapy related to OCD also makes you feel much better... have a morning walk daily and exercise for 2 to 3 days in a week... good luck for your future endeavours hope I solved your query and feel free to ask any further...