My son, 15 years is an ocd patient having bipolarity, taking divalproex500 mg and sizodon ls he can't take any serious due to switch. Presently he is having anxiety. He can't concentrate in his studies, he takes longer time in completing daily routine, arranging things, touching etc no therapy is given to him. Need help.
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Depending on his weight, the doses of his medications should be titrated. Both divalproex and risperidone are known to cause cognitive slowing. It means he becomes slow in his activities, appearing dull and dazed. Also sedative effects of both these medications can make him slow to process instructions. You mentioned he has ocd, however there he is not taking any medications for that. His medications need to be titrated and doses adjusted. Also some medicine needs to be added for ocd.
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Your son's need is cognitive behaviour and relaxation therapy's.
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Besides the medication he definitely needs therapy. He is very young to suffer this condition and I am sure there childhood mitigating circumstances for these symptoms to manifest so early: this could be a blessing too because he is young the prognosis will be good if you help him to cooperate. In counseling, which incidentally will be a long term intervention, he will learn of a lot of ways to cope with life and make adjustments that are essential for normal living. Emotional therapy will alleviate a lot of the problems faced in this condition because it is a mood disorder. He must exercise regularly, eat healthily and sleep normally too. If his motivation and cooperation is good much can be achieved. He must have a time-structured schedule filled with interesting and reasonable activities and it must be monitored for compliance and delivery. In this combination of medication with therapy is maintained for at least three years without any episodes or breakdowns, it is possible to taper the medication in consonance with the doctor. The ocd is a fear-based condition and for some reason he has not been dealing with this childhood fear which has now developed unto these repetitive adaptations to seem to need it for normal functioning. The behavior will then become based on magical thinking and certain rituals will become necessary to do normal things making him believe that either the frequency or the ritual is important to its success. This of course is a fallacy but there will come a time that even if told the truth, he will defy any logic and he will continue behaving like that even if it cripples him in his daily routines. It only appears as though some other force is behind these behaviors and that he is compelled to act in this fashion. That is obviously not true but no one can convince him of anything different. The obsession is a repeating thought pattern with no meaningful outcome; and the compulsiveness is the need to act on those obsessions also in a repeated behavior pattern as though he just cannot help himself. This is all driven by fear and when he is frustrated with it, he will escalate anger over it. Doubt, insecurity, uncertainty, and lack of firm memory will all plague him and increase stress. There are certain behavioral techniques to be implemented and if they work he may get out of this condition rather easily.
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Hi lybrate-user I can imagine how distressing and difficult this may be for you and your family. It may be in your best interest to continue the medication prescribed by your doctor. Additionally, you could take him for therapy to a licensed therapist who has substantial experience with adolescents in your city. It may be helpful for him to address his thoughts and feelings in a safe space and learn to challenge dysfunctional thoughts that trigger his symptoms and work on healthier behaviours. Hope this helps! please message us in case you are looking for therapist recommendations in kolkata :) hope this helps!
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