Hi doctor, 8 years before my elder brother had ocd, he is totally perfect after 2 months. From 2019 august my brother have the same issues, he is 37 years old, he is guilty for his small small sins he done on his past, the issues are so simple. He is always praying god, washing hands doing repeatedly many times. Sometimes becomes irritating and talking and raising hands and walking. We consult a psychiatrist. Give 5 tablets: lithosun sr400 clofranil 25 fluvoxin cr 50 ativan 1 mg qutipin 25 is he become normal like old days after having these medicines. Please kindly reply.
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Dear Vivek, It is nice of you to take your brother for psychiatric treatment. Probably the doctor would have diagnosed his OCD as a bipolar mood disorder or recurrent major depressive disorder. That is why lithosun, a mood stabilizer, was started. With other tablets, he may once again become totally prefect in few months. Later lithosun will be continued for a long term to prevent relapse of OCD. Please help your brother to consult the doctor and monitor lithosun continuously for many years, even if he is fine.
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Do take him to a counselor as well for therapies along with medication. Ocd etc is all fear and anxiety driven, counseling will help to understand his anxiety and give him tools to deal with it. If possible consult with someone from a government setup like a nimhans ok. It might take time but he will become better. Keep the faith.
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Yes. If you can get psychological testing from a good psychologist, it will confirm once due to medical or mental /psycho logical reasons. Symptoms of ocd definitely there but root cause is v. Different. So, best to get clear diagnosis. Medical - psychiatrist will help. Mental - psychologist will help. Till symptom relief, best to take medicine. After clear diagnosis, start psychological treatment from psychologist, if required, for permanent benefit.
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It is helpful that he continues hiss medication but he needs to do some therapy too to eradicate his behaviors. Meet with a counselor as soon as possible. Please take his parents with him to determine the possible developmental issues that may have contributed to this condition. This 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, his belief 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. If that does not work as desired, then medication has to be maintained, and in combination with counseling much work can be achieved.
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