In 1994 last, I started facing symptoms of ocd. My parents took me to a psychiatrist in 1995. I started taking medicines but of no use. I started sleeping more and more. I couldn't continue my education after 10th. Since 2011, I hv been taking fluoxetine hcl 80 mg along with cbt. Slowly, after almost 7-8 years of regular treatment, my ocd is in remission now since last 2 years. But depression symptoms including very short temper, aggression, often feeling low, frustration regarding life and carrier are not ending permanently. I am 40 years now. Can anybody help?
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Dear lybrate-user, it is unfortunate that you have developed ocd at an young age. There are many add ons for the treatment of ocd and depression. Please continue with fluoxetine 80 mg and consult your psychiatrist again. You need booster sessions of cbt also. Your psychiatrist may add low dose of risperidone, lithium, lamotrigine, same, 5 ht, thyroxine, etc. Or neuromodulation may also be tried - rtms, ect, dbs etc. Instead of ending ocd permanently, please think of living with it in a better way. All the best. Â
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Depression is commonly seen in people with ocd as they share same neurotransmitter dysregulation. Apart from fluoxetine, you might be needing some mood stabilisers to make the remaining symptoms remit. Discuss these issues with your treating psychiatrist, am sure he/she should be able to get the needed changes. Good luck. Â
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You need to continue the therapy but with the focus on the depression. It seems to be an anger-related depression and cbt can and will help. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: have a good night?s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do yoga meditation exercises, spend time in nature or gardening, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend yoga classes etc. Watch sitcoms on tv or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least, 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in god to alleviate your sufferings. Don?t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be contented with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do calisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved. Â
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