Hello Doctor, I am 23 years Old and I am a ca final student not able to give my exams due to this mental illness From past 16 months I am suffering from bad anxiety and depression but from past week my thoughts getting changed everyday earlier I was getting that everyone is talking about me or wants to kill me now I am getting that I want to kill others or I want to do some violative act or want to kill or hurt myself. Well yesterday I went to the psychiatrist and he has diagnosed me with OCD and prescribed me Paxidep CR 12.5 once in a day, Clonazepam 0.50 Mg 1 and half tablet a day and risperidone 2 mg Half medicine in the night I have start taking other medicines except risperidone as it is a anti psychotic Now please can you tell me what symptoms I am going through and should I take risperidone.
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Dear Abhishek, You doctor will not prescribe Risperidone without any need for it. She/he knows that Risperidone is an antipsychotic. OCD need not be just only OCD. It may a symptom of any psychotic disorder. Even in OCD there is an indication for antipsychotics, more so in your case - there is no compulsive behaviour. Internationally we, psychiatrists are planning to change these nomenclatures like antidepressant or antipsychotic or anticonvulsants. Because they just don't do only that action. Risperidone in low dose 1-2 mg is a good anxiolytic. Hope this reply makes you to take all the drugs the doctor prescribed to get better quality of life. All the best for your CA exam. Remember you have 16 months of untreated illness. You are still in formative years of your life. These thoughts should not interfere in your future. All the best.
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Hi lybrate-user. First as doctor adv you some medicine, you have to take. Side by side you need some psychological counselling. For this I want to know about your self your thought, your emotion .like your history. Then after I can adv you ok. But Don't worry you will be fine. If you want you can consult me and discussed your problem. I could help you overcome this problem completely, at one consultation itself if you feel free to contact me either through text chat or call me when you find difficulty to manage, if you feel this one suggestion will help you no problem. If you want you can consult me and discussed your problem. I could help you overcome this problem completely, at one consultation itself if you feel free to contact me either through text chat or call me when you find difficulty to manage, if you feel this one suggestion will help you no problem. If you want, you can consult me and discussed your problem. I could help you overcome this problem completely, at one consultation itself if you feel free to contact me either through text chat or call me when you find difficulty to manage, if you feel this one suggestion will help you no problem.
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Hi, Thanks for writing in, welcome to the forum. Let us look at your scenario systematically. First, what is the likely diagnosis? It is difficult to say with the limited information available, but if one were to conclude with this information, I would agree with the diagnosis that was assigned to you (OCD). Your doctor is not using risperidone as an antipsychotic here, but as an augmenting agent. The dose of risperidone is on the lower side and that further confirms his intentions. The use of risperidone when there is unsatisfactory improvement with an SSRI is well known and proven beyond doubt. But the question here is whether we can just have improvement with an appropriate dose of paxidep alone or not. The only way to get to know that is to try it without the risperidone with appropriate dose adjustments from time to time. A call regarding risperidone can be taken after a few weeks of treatment along these lines. Please understand that all of the above suggestions are for your information only and I have no intention to question or interfere with your doctor's line of treatment. Also, since I have not seen you, I am assuming that the diagnosis of OCD is accurate and you have previously not taken medicines for the same or previously did not have any psychiatric ailments. A number of psychiatric terms, diagnoses and medication classes are deceptively similar to words used in general english. For example the word obsession as used in english and as used in psychiatry are completely different. Similarly, a medicine that is called an antidepressant or an antipsychotic is not simply a medicine to be given in depression and psychosis only, but depending upon the dose and other medicines being used alongside, can have vastly different effects and can be used in many different conditions. For example, a medicine such as propranolol, depending upon the dose and formulation can be used in the treatment of migraine, BP, anxiety, heart disease, intra-abdominal bleeds, aggression and so on. So stay away from a simplistic interpretation of what a medicine is for and clarify with the doctor. Take care!
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