I am 31 years. Old and I am suffering from OCD since my childhood I was took fluoxetine 60 mg per day when I am 18 years old. I was improved almost 90% but after that I leave the medicine. After some times ocd thoughts came again and I took so many medicines but not recover. Now I am taking paroxetine 37.50 mg and clomipramine 200 mg per day now I get some improvement in my ocd thoughts. Before few days my doctor suggest me a new medicine s-adenosyl l methionine 200 mg with my old medicines. So what can I do? is this extra medicine will work for me? please give me suggestion.

Dr. Gaurav KumarPsychiatrist9yrs exp

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Hello arun, it would have been much better if you combine medication along with cognitive behaviour therapy and exposure and response prevention. You may consult your psychiatrist for some better anti obsessional drugs such as fluvoxamine along with clomipramine. But you should also work out personal plan such as to engage yourself in some other activities instead of following your obsessional thoughts. Your obsessional drive is result of continuous habit processes learnt over a long period of time, so in order to leave your old habit you have to learn some new and creative sort of activities. Arun, you have not mentioned what sort of obsessional drive do you have ; such as washing hands and feet frequently, rechecking locks etc. Treatment modalities vary depending upon situations. I hope your query must be solved. 

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