Perfectionism Disorder Questions

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.

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.

Sexual ocd is very common and highly distressing. It happens to due altered serottonergic systems in certain parts of the mind (brain). You need long term treatment with ssris understand the disorder and take proper treatment so that the thoughts reduce or remit and the associated distress is also addressed. Without knowing about the illness and expecting a magical cure is impossible or highly unlikely. So better consult a psychiatrist and take regular treatment. With regular treatment you can l...more

Dear Lybrate user
we would recommend you discuss the same with the psychiatrist. Psychiatrists can help in identifying whether to increase the dose or decrease it. Along with it, you have to make some lifestyle changes as well like adopting a physical exercise routine - gyming, yoga, cycling, etc. Consult a dietician for a healthy diet routine like avoiding too much sugar and carbs. Additionally to all these, you may try analyzing how this condition is affecting your life - relationship, wor...more

Dear lybrate-user,
you psychiatrist knows your diagnosis and treatment algorithms. Sizodon or quetiapine is given to augment fluoxetine and atomoxetine - not just for insomnia. They are given at low dose also. Still you need to make lifestyle changes to control your weight, sugar levels and other medical illnesses. (i don't know your age - but I know your weight as 104 kg). Don't worry about withdrawals now - it is a long way.