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I am 23 year old female and I was diagnosed with ocd, generalised anxiety and panic disorder over 7 years ago. I have tried a few different scars over the years, some have really helped and others have not had great side effects so have had to stop. I was recently on lips (fluvoxamine) and have been on 100 mg for 6 weeks. My psychiatrist has decided to take me off of it because it was causing really bad fatigue and gi side effects/rapid weight loss that was interfering with my life. I am now going to try prozac which I think will be good for me. I have read some stories about withdrawing from luvox online and I am very nervous. The plan from my psychiatrist is to drop from 100 mg to 50 mg of luvox for 5 or so days and then stop altogether, then the following day begin prozac at 10 mg for 4 days, then increase to 20 mg and stay on that dose. He said I should not have any issues or any significant issues with withdrawals in this method, as I am going to be replacing the ssri with prozac, but I am still very nervous. Do you think dropping from 100 mg to 50 mg is going to cause me seizures/vomiting or severe withdrawal effects etc? Do you think this way is okay? He said if I am having significant problems I can drop to 25 mg luvox for a few days after 50 mg and then start on the prozac the following day and he was very insistent I would be okay, but I am very worried. Does this change seem okay? I have always cross tapered medicine, never directly switched so I am very scared it's going to cause intolerable withdrawals. Thanks.

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MBBS, DPM

Psychiatrist•Bangalore
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Dear lybrate-user,
both fluvoxamine and prozac are ssris. The anxiety and fear of severe withdrawal is a part of your ocd. Please withdraw from 100 to 50 and stop. No need to go for 25 mg - may not be available. No withdrawal will happen, since it is at a lowest dose. Usually fluoxamine will be withdrawn from 300 - 400 mg/day. Please add therapy also for your treatment so that with erp (exposure and response prevention) your fear comes down - not only for withdrawal but also for other obsess...more
Last Updated: 6 years ago• Featured Tip
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MBBS, DPM

Psychiatrist•Agartala
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We all tend to engage in some repetitive activities at various points in our lives. However, when a person continues to engage in the same activities which are rhythmic but purposeless, resulting in self-injury or injury to others, it is known as stereotypic movement disorder (SMD). In order to qualify as an SMD, the routine movements should continue for at least four weeks and should interfere with the daily functioning.

This disorder is more common in adolescent boys than in girls, an...more
Last Updated: 6 years ago• Featured Tip
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MBBS, MD - Psychiatry

Psychiatrist•Kolkata
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Autism is a development disorder which is characterized by the problems that occurred while interacting with people socially. And, sometimes the person's behavior becomes repetitive or restricted. This is basically caused by a combination of environmental and genetic factors. Several risk factors are also there such as rubella or valproic acid infection during pregnancy. Autism affects the process of sending information to the brain by changing the synapses of the nerve cells. However, the sign...more
Last Updated: 6 years ago• Featured Tip
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MBBS, MRCPsych (UK), CCST (General Adult...read more

Psychiatrist•Visakhapatnam
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We all tend to engage in some repetitive activities at various points in our lives. However, when a person continues to engage in the same activities which are rhythmic but purposeless, resulting in self-injury or injury to others, it is known as stereotypic movement disorder (SMD). In order to qualify as an SMD, the routine movements should continue for at least four weeks and should interfere with the daily functioning.

This disorder is more common in adolescent boys than in girls, an...more
Asked for male, 51 years old from Kolkata
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MBBS Bachelor of Medicine and Bachelor o...read more

Psychiatrist•Nagpur
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Memory loss is rare with aripiprazole. Difficulty in concentration is common with adhd. This may result in difficulty in remembering things.
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Last Updated: 8 years ago• Featured Tip
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DNB (Psychiatry), DPM, MBBS

Psychiatrist•Mumbai
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We all tend to engage in some repetitive activities at various points in our lives. However, when a person continues to engage in the same activities which are rhythmic but purposeless, resulting in self-injury or injury to others, it is known as stereotypic movement disorder (SMD). In order to qualify as an SMD, the routine movements should continue for at least four weeks and should interfere with the daily functioning.

This disorder is more common in adolescent boys than in girls, an...more
Last Updated: 7 years ago• Featured Tip
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MBBS, DNB

Psychiatrist•Jaipur
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Autism is a development disorder which is characterized by the problems that occurred while interacting with people socially. And, sometimes the person's behavior becomes repetitive or restricted. This is basically caused by a combination of environmental and genetic factors. Several risk factors are also there such as rubella or valproic acid infection during pregnancy. Autism affects the process of sending information to the brain by changing the synapses of the nerve cells. However, the sign...more
Last Updated: 8 years ago• Featured Tip
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Schizophrenia affects over 1% of the world s population and affects the way a person thinks, feels and behaves. In most cases, it is diagnosed when a person is between the ages of 16 to 25. This condition can be hereditary and is said to affect men more often than women. Schizophrenia is characterized by an inability to distinguish between real and imaginary which can lead to delusions, social withdrawal, hallucinations and other forms of social and occupational dysfunction.

Schizophren...more
Asked for female, 41 years old from Durgapur
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Psychiatrist•Bareilly
Hello, there are much better medications available for ocd that shows respose within a month. Also read exposure and response prevention therapy and apply it on yourself with the help of your family member or psychiatrist. You do not need to carry this problem when such promising and quick treatment is available.
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Last Updated: 6 years ago• Featured Tip
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MBBS, PGDCC - Post Graduate Diploma in C...read more

Trichologist•Pune
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Trichotillomania is a condition that urges a person to pull out hair from eyebrow, scalp and other parts of the body. This can lead to bald spots and several other complications in the body. Compulsive hair-pulling often starts in the teenage years.

Trichotillomania coupled with depression can lead to social and work-related impairment in a person. Hair-pulling, therefore, is a serious condition that a person should get rid of. Here is a list of 10 ways to manage trichotillomania effect...more
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