I have prodomal phase of schizophrenia and ocd. I am doing good with clomipramine as far as my ocd is concerned but my productivity is zero, I do not bath, I do not study, energy is low always .i have tried all newer antidepressants like escitalopram, fluvoxamine, fluoxetine, sertraline with max doses and antipsychotic like amisulpride but my productivity is still zero & im unmotivated. What should be the next antipsychotic for my case?
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I think you need to work with a counselor in tandem with the medication. Schizophrenia with ocd is pretty difficult to handle without some help from a counselor. I hope your visits to the psychiatrist were regular and the medication has been frequently reviewed during these years. You need to be occupied, and fit into a routine of interesting activities every day. Whatever the situation you must be responsible, respectful and functional. Yoga and meditation is also necessary to train your brain to be disciplined. Exercise always plays a stabilizing role and is the most holistic medicine besides. Since the mind is regularly perturbed by unreal fears, a reality check through counseling will help you discern fact from fiction. Your socializing and maintaining steady relations is the hallmark of a good recovery program. If I am to assume that there were no relapses during this period, then that is a good sign too. This means that your condition has remained stable all of these years! now go to the next level along with therapy and you can look forward to a more functional and productive lifestyle. Your levels of hygiene, discipline and functionality must be maintained at any cost and seen as part of your getting better. No half attempts will get you through these difficult conditions. So be determined, consistent, and persevere till the end.
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You need is cognitive behaviour therapy's.
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