I am a 24 years old male. I am suffering from OCD since 2009. But I identified that in 2013 only that I am suffering from something which requires treatment. From then I am taking prodep 20 mg and things were stable. But from the last 3 months, I am suffering emotional turmoil due to one relationship issue. But gradually I am overcoming it. I consulted doctor. She advised me to take zapiz 0.25 along with prodep 20 mg. Things are improving. I am taking zapiz 0.25 for the last 5 days along with prodep 20 mg. And prodep 20 mg is being continued for the last 7 years. Though suicidal thoughts come into my mind frequently but I know those are irrational. So, I don't care them much. My confidence is low now. I get fear of new people, new circumstances and my performance in workplace is not upto the mark. And I don't know a sense of insecurity always pops up in my mind as I am doing a private job. And I always get unsatisfied as I am not performing as per my capability. My question is whether I can lead a very productive life in the upcoming days? Will my struggle with ocd be there for the rest of my life? And when shall I achieve a stable mind with which I can overcome any emotional trauma like relationships, issue in the workplace etc. Like a healthy and normal person? And why society doesn't accept me properly when my behaviors are little bit weird than the normal person? And as a medication how long zapiz 0.25 generally be taken to get rid of any emotional trauma?

Dr. Saranya DevanathanPsychiatrist52yrs exp

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Dear Subhadip, There may be few non modifiable factors causing OCD in you. So you have to learn to live better with your OCD. Society will accept only its own norms. But you can take treatment continuously to keep as much near normal as possible. Just like a diabetic who manages the sugar levels normal with life long diet, exercise and tablets. Please go through therapy to reduce and stop zapiz. You will learn methods to cope up with emotional trauma. Issues with relationship and work place will continue to happen - but you will be able to manage it better with therapy and booster sessions. 

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Dr. Sushil Kumar SompurPsychiatrist19yrs exp

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It usually takes some time to get rid of the anxiety and trauma does not go away so easily. If you have been suffering for a long period of time counseling therapy is suggested along with medications.  

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Mr. Saul PereiraPsychologist52yrs exp

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All these questions can be provided ideally by the doctor. But what is obvious that you are not doing is relying only on medication for your recovery. That will not work well b itself. Meet with a counselor too and get a lot of help in dealing with your feelings, in particular, fear. Please take your parents with you to determine the possible developmental issues that may have contributed to this condition. This is a fear-based condition and for some reason you have 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 you 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, your belief will defy any logic and you will continue behaving like that even if it cripples you in your daily routines. It only appears as though some other force is behind these behaviors and that you are compelled to act in this fashion. That is obviously not true but no one can convince you 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 you just cannot help yourself. This is all driven by fear and when you are frustrated with it, you will escalate anger over it. Doubt, insecurity, uncertainty, and lack of firm memory will all plague you and increase stress. There are certain behavioral techniques to be implemented and if they work you may get out of this condition rather easily. If that does not work as desired, then medication has to be introduced, and in combination with counseling much work can be achieved. Fear will generally find a form: it can manifest in difficulties in any area - relationships, per4formance, meeting targets etc. People will generally tend to find some sick pleasure in people's distress. Let that not worry you and focus singularly on recovery.  

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