Suggest Treatment For Severe OCD

Posted on Mon, 13 Jul 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 13 Jul 2015 Answered on

Mon, 3 Aug 2015 Last reviewed on

Question : I am suffering from strange form of OCD. The problem is mainly with my computer and its activities. Example If I want to switch on a computer, i would get a bad thought indicating something bad will happend to my parents, so I should switch off and do again, i will repeat it until i feel that i get no thought, as this would not happen one or the other thought would popping in my mind.
This kind of thoughts come when i click download a file, during the file downloading i should cancel it and should not allow to complete it and try repeating it again and again.
If I let the file to get downloaded, until i delete it I will be very upset.
Thoughts of this kind occurs when
I create a new folder
copy and paste a file
open a web browser
try to save a number to XXXXXXX
etc
So I should repeat many times until i feel perfect, this things have caused obstruction to my daily life, i can't watch a movie, i can't eat, i'll sleep more, i have lost interest in everything.
Can I come out of this?
I also get intrusive images and I should perform ritual, I was out of this disorder for 75% with Sizodon 1mg but it makes be depersonalized, so I left it, again the ocd is back

Answered by Dr. Seikhoo Bishnoi (23 minutes later)

Brief Answer:
With medicines and behaviour therapy you can come out of OCD

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

I can understand your concern. These thoughts and actions following these thoughts suggest classical obsessive compulsive symptoms. OCD is a type of anxiety disorder and the disorder follows waxing and waning course. Drugs used for OCD should be used in high doses to get effects. Sizodon is risperidone and the drug is an antipsychotic drug. The drug can help in OCD symptoms but is not a drug of choice for OCD.

SSRIs especially Fluoxetine, Paroxetine or Fluvoxamine etc are commonly used in OCD. These drugs can surely help to reduce the intrusive thoughts you are having. In some cases with poor response some times other medicines are added. Clomipramine can be added to therapy in poor responders. So you can talk to your psychiatrist and should take opinion regarding these medicines.

Apart from the medicines behaviour therapy especially though stopping technique has excellent roles in OCD. Combination of behaviour therapy and Medicines provide maximum benefits. So as you became depersonalised with Risperidone visit your doctor again and discuss regarding the options I have mentioned, this would help you to recover from your thoughts.

Believe in treatment and you will recover from your illness, the treatment may take time but will surely help you.

Thanks, I hope this helps you. Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Seikhoo Bishnoi (12 minutes later)

For few days I have started avoiding computer and other tasks which creates intrusive thoughts, I came to know it as a magical thinking with thought fusion action.
Shall I ask the doctor to give a sizdon alternate or any tablet which you recommend I am also with Prodep 60mg.

Regards
XXXX

Answered by Dr. Seikhoo Bishnoi (3 minutes later)

Brief Answer:
Ask for dose adjustments and other drug like Clomipramine.

Detailed Answer:
Hello thanks for asking a follow up

Prodep is Fluoxetine only and you can ask for increase in doses to 80 mg per day. As Sizodon caused side effects so along with Prodep drug like Clomipramine can be used. The drug will supplement the actions of Prodep and will help you.

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Seikhoo Bishnoi (1 minute later)

Hi sir,
does Clomipramine helps to control thoughts along with prodep and regular CBT,
Thanks a lot for your time

Answered by Dr. Seikhoo Bishnoi (2 minutes later)

Brief Answer:
Yes the drug will help to control thoughts.

Detailed Answer:
Hello again

Yes, Clomipramine will help to reduce the intrusive thoughts and will surely help you in OC symptoms. Just keep one thing in mind, though the response comes late in OCD but with medicines and BT, OCD is controllable. Don't remain stressed due to all these things.

Thanks.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar