Dear doctor, I am 41 years old from mumbai, india & suffering from moderate levels of obsessive compulsive disorder (ocd) which is hereditry (my father is suffering from ocd & alzheimers too). Although my ocd is under control but at times, I feel it becomes uncontrollable despite myself knowing very well that the kind of repetitive acts (common symptoms of ocd) I am doing are totally needless. I can see all traits & symptoms of ocd in myself viz. Rechecking several times, the door lock, geyser, gas etc. Etc. & feeling insecure about the same. I am totally aware that what I am indulging is absolutely needless. Ocd is impairing my daily life & routine. Tasks which should take not more than a few moments take me hours to finish. I have apprehensions that if my ocd gets out-of-control, my life might become miserable & pathetic in future (it is already on that track). It has already affected my career & life adversely since I keep on getting repetitive thought-patterns through-out the day about the conversations I have had with people in person or on the phone i. E. Flashback thoughts about such conversations go through my mind recursively hence I am unable to concentrate & focus on any constructive work because of these endless repetitive thoughts. I have also been suffering from the mental illness viz. Trichotillomania (nose hair pulling, impulse control disorder) since last 5 years. Whenever I am deeply engrossed in some work and/or thoughts, my hands inadvertently & invariably go in the nostrils area & start plucking the nose hair strands continuously. The urges are very strong at times whenever I am tensed & anxious or under severe pressure or stress. This has ruined my career & impaired my life immensely. I don't do the hair-pulling act in public but whenever I am alone. I don't have any control whatsoever over it though mostly I am fully aware whenever i'm pulling but really can't help stop it; the urges are really that strong. This annoying & irritating habit consumes lots of precious time & hampers my work. So much so that, I leave my work & stand in front of the mirror looking for hair strands to pull-out. What are the possible treatment lines for ocd & trichotillomania? please help me, i'm terribly depressed. Kindly advice the treatment & the therapy I need to undergo to cure myself of ocd & trichotillomania thanks in anticipation. Warm regards