Suggest Remedy For Intrusive Thoughts Caused By Severe OCD While On Prozac

Brief Answer:
These intrusive thoughts are OC thoughts only

Detailed Answer:
Hello thanks for asking from HCM for your health related queries

I can understand your concern. The abnormal intrusive thoughts of harming others and yourself along with severe distress due to thoughts suggest OCD only and not psychosis. If this was psychosis you would have no insight for these thoughts. Your insight is preserved so this is not due to psychosis.

Prozac is Fluoxetine and the drug is use in high doses for OCD. If 60 mg doesn't results in much improvement then dose can be increased to 80 mg per day. The drug should be given at least 6-8 weeks to see its effects. If not much improvement is seen then augmentation can be done with drugs like Clomipramine or some low dose antipsychotic drug as Olanzapine or Risperidone etc. No need to worry. Most of individuals start showing response to Fluoxetine only. Just remain assured and have faith in your treatment.

Thanks. Hope this helps you. Please don't hesitate to ask again for more doubts.

---

Brief Answer:
Augmentation drug can be added

Detailed Answer:
Hello again,

Yes if 8 weeks has passed with this therapy then in my opinion there should be a revaluation for prescription. Though OCD patients have difficulty in responding to therapy but still at least one augmentation drug can be added. Clomipramine can prove one good alternative. You can talk with your psychiatrist for this drug.

OCD doesn't give proper hallucinations but a lot of individuals suffer from imagery or feelings as if images are appearing around their eyes. This is one of important presenting feature of OCD. But there is no need to worry, these symptoms also respond to normal anti anxiety drugs.

Thanks. Still have doubts please ask again.

---

Brief Answer:
You can wait for 4 more weeks also.

Detailed Answer:
Hello again

Yes, as I mentioned in my last answer also, OC patients have difficulty in responding to medicines and the response usually observed late in course of treatment. So you can even wait for 4 more weeks to see response. But in my clinic I usually takes cutoff of about 8 weeks to see response and if poor response observed then I prefer to add CLomipramine to the therapy.

Please try to avoid using Klonopin in day time because this may result in improvement of symptoms but at the same time the drug might make you dependent on it. You are on right course of drugs with right doses. No need to worry, the symptoms will reduce in some time.

Thanks, Still have doubts left please ask again.

---

Brief Answer:
Latuda helps to reduce the OC symptoms.

Detailed Answer:
Hello again

Yes the thoughts might persist throughout the day and cause significant dysfunction in day to day functioning and in social interactions. As you have said you feel like you are a second away from acting on the thoughts. This puts you in severe OCD and only with medicines you will improve. Apart from medicines behaviour therapy by a good psychologist can also help.

Thought stopping technique, progressive muscle relaxation exercise, distraction etc are common behavioural therapy techniques that can help in your case. Combination of Behaviour therapy and medicines gives best results.

Latuda is Lurasidone and the drug is an antipsychotic drug. The drug helps to reduce severe OC symptoms and also strengthens the actions of Fluoxetine.

The intrusive, repugnant, unwanted thoughts that you might call or kill a police officer are due to OCD only and will reduce with proper treatment. No need to worry.

Thanks, still have more doubts please don't hesitate to ask again. Take care

---