Top Questions on Managing Obsessive Compulsive Disorder (OCD)

Mr. Saul PereiraReparenting Technique, BA, BEd, Transactional AnalysisPsychologist

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You are relying too much on the medication to solve the problem, which can be pretty futile. Please seek the help of a counselor too. 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. 

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Mr. Syed Tahir RufaiDiploma - Guidance & Councelling, Masters in Psychology - Clinical and Abnormal, Bachelors in Psychology, OKR Certified, International Leader ship and Goal setting, Masters in PsychologyPsychologist

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Asalamualykum lybrate-user, see, the point is that the medicine you take for ocd only works on calming the symptoms. We call them nuerosuppresents. What they do is they basically calm you down until another dose is required. They never help you solve the underlying problem. The thing is that only therapy can do that. There are a lot of underlying thoughts or even trauma that needs to be resolved that will itself resolve the issue. If you need any help kindly do not hesitate to message me. Regards. 

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Dr. R.N.ChaturvediPhD - PsychologyPsychologist

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Your psychological problems of ocd can be removed by psychological counseling and psychological autosuggestion therapy through the online process for three weeks without any medication. You can contact me for this on Lybrate website or direct contact me for this on mobile. Thank you. 

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Dr. Aparna GuptaMphil - Clinical Psychology, M.A - Clin. Psychology, M.Ed - Special Education, B.Ed - Special EducationPsychologist

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Hi please do not change dosage or stop medicines at will. If you are uncomfortable and feeling any side effects consult your psychiatrist immediately and apprise him of your situation. He will change the medicine or dosage. Take therapy along with medicines. Consistent therapy along with medicines is needed to help you cope with ocd symptoms. Medicines only help control symptoms temporarily, while therapy gives more sustainable results. Take therapy regularly and apply what you learn in therapy sessions in your life practically. 

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Dr. Prof Jagadeesan M SMD - PsychiatryPsychiatrist

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Ketamine can help as an antidepressant and it's effects are very short lived. You can consider changing the combination of medications for you feel your OCD symptoms aren't under control. Remember OCD is a long term probably life time condition. Good luck. 

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Dr. Sartaj DeepakM.B.B.S, MD - PsychiatryPsychiatrist

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Fluoxetine shows it's effect at different doses in different individuals. One need to start at 20 mg per day, after breakfast, increase to 40 mg after 2 weeks. If needed, you can further increase by 20 mg every week, maximum up to 80 mg per day. 

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Dr. Prof Jagadeesan M SMD - PsychiatryPsychiatrist

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Obsessive-compulsive disorder (OCD) is a common mental health problem. Symptoms typically include recurring thoughts and repetitive actions in response to the recurring thoughts. A common example is recurring thoughts about germs and dirt, with a need to wash your hands repeatedly to clean off the germs;. However, there are many other examples. The usual treatments are cognitive behavioural therapy (CBT), a selective serotonin reuptake inhibitor (SSRI) antidepressant medicine, or both. Treatment often works well to reduce the symptoms and distress of OCD greatly. If a person is refusing to acknowledge the symptoms it is called OCD (Obsessive Compulsive Disorder) with poor insight. She requires surely medicines, SSRIs for her recovery. First get her educated about the illness, and then start treatment. Good luck. 

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Dr. Saranya DevanathanMBBS, DPMPsychiatrist

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Dear Rajendra, How much clofranil sr you are taking and for how long? It works at a particular dose and after 2-3 weeks. Once clofranil starts working, your guilt will come down. To stop overthinking, you may need therapy with exposure and response prevention (ERP) 

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Dr. Saranya DevanathanMBBS, DPMPsychiatrist

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Dear lybrate-user, 1) no medicine is safe on any organ. They can not cause permanent brain damage. No doctor will prescribe a drug that causes permanent brain damage. 2) unless I know the side effects, I can not say how long they will last. 3) they are safe if taken together. They all work together to give you more benefit. They are all in very low dose now. After 2-3 weeks, follow up with the psychiatrist. Ocd needs much larger dose of clonil and cyclotin. 

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Ms. Rachna MishraM.A.(H)Psychology, PG Diploma in Child Guidance and Family TherapyPsychologist

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There are several treatment options for OCD, and the most effective treatment plan will depend on the individual's specific symptoms and needs. Some common treatments for OCD include: Psychotherapy: This can include cognitive-behavioral therapy (CBT), which helps individuals identify and modify negative thought patterns, and exposure and response prevention (ERP), which helps individuals gradually confront their fears and learn to resist performing compulsive behaviors. Medications: Antidepressant medications called selective serotonin reuptake inhibitors (SSRIs) are often used to treat OCD. These medications can help reduce obsessive thoughts and compulsive behaviors. Self-help strategies: Some individuals with OCD may find it helpful to use self-help strategies such as relaxation techniques, journaling, and setting aside specific times to perform compulsions. It's important to note that treatment for OCD can be a long-term process, and it may take some time to find the most effective treatment plan. It's also important for individuals with OCD to be consistent with their treatment and to communicate openly with their healthcare provider about their progress and any changes in their symptoms. 

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