Obsessive-compulsive Disorder (OCD) Questions

Dear Priya,
Good mood stabiliser like lamitec will help you in the long run. Please don't stop them. Olimelt may be lowered or stopped according to your need vs side effects.

Dear Nandlal,
Both are good. Such combination studies are not done usually. So, you can use whichever combination works for you. But at the age of 64, it is better to use etizolam.

It is a highly regulated medicine and schedule x drug. It may not be given online or tele consultation. So kindly consult a psychiatrist in person and get evaluated and if eligible get it prescribed in triplicate prescription. Good luck.

Low mood can be seen in variety of diagnosis. You need to be re-evaluated. Often comorbid physical illnesses and other psychological factors hinder in treatment response. They need to be ascertained and addressed. In most cases supportive and solution focused approach produce good results and are less time taking.

Your problem is, you think and worry so much ,keep yourself busy in constructive work, make exercise part of your daily life, try breathing exercise and go for cbt it will help you.

Do not worry no problem it is safe relax
rx
1.lycopodium 0/2, 0/3
16 dose each
od x 32 days.
Report me after 7 days.

You are on suboptimal prophylactic dosage of medicines, possibly you are experiencing subsyndromal affective symptoms. Medicines need to be titrated in you which is possible only with consultation. Moreover you need to learn chronological and behavioral aspect of disorder in order to sustain normal mood state. This is an important aspect of bipolar disorder which if taken care along with medicines makes excellent outcome.

Dear lybrate-user, disclaimer: I can advice only about allopathy.
Ocd needs long term treatment. Sacrilege ocd needs immediate treatment.
You have found improvement with fluoxamine and clomipramine. Please maintain them for at least 2 years. Dose will be altered with doctor's periodic consultations. Along with it, you can take cbt (cognitive behaviour therapy) and erp (exposure and response prevention). This therapy may take 18-20 sessions. It also needs to be maintained with booster ses...more

Dear lybrate-user,
both fluoxetine and risperidone will not show up in drug screening. Drug screening is done for other addicting drugs. These 2 are not addicting drugs. They are essential drugs. All the best for upsc selection. Continue preparing.

Atomoxetine is usually safe for heart, but in some cases it may increase heart rate an bp, that is kind of put more load on heart. Kindly check with a psychiatrist dealing with intellectual disabilities.