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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffer With Bouts Of Depression & Suicidal Idea. Several Attempts Failed. Have OCD. Fear Of Germs. On Effexor Xl, Olanzipine. Treatment?

Hello David my name is shauna I'm 30 yrs old and suffer with bouts of depression and suicidal ideation and have had several attempts and I have become suffering severe from obsessive compulsive disorder of fear of contamination and germs, I drink dettol and wash constantly in bleach and dettol... I'm currently on 225mg of effexor xl and 2.5mg of olanzipine. I also have Borderline personality disorder apparently, can ect help with intrusive thoughts. I'm so low right now and they are just offering DBT therapy!
Mon, 24 Jun 2013
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Psychiatrist,  's  Response
Hello Shauna,
Welcome to Healthcare Magic and thanks for your query.

I understand that you are going through a very difficult time due to you multiple psychiatric problems such as depression, OCD and Borderline Personality Disorder. Effexor (Venlafaxine) is an anti-depressant medication and 225mg is a good dose. Olanzapine is an anti-psychotic medication.

If this combination of medication is not working for you, then you can discuss with your doctor regarding other medication which can be tried. For example, SSRIs can be effective for not only for depression but also for OCD. Certain SSRIs like Fluoxetine are also recommended in the treatment of Borderline personality disorder. In addition, regular and intensive psychotherapy is also essential to give effective results. If your symptoms are very distressing or disabling, then you can consider in-patient treatment for a short period.

ECT has not been proven to be an effective treatment option for intrusive (obsessive) thoughts and hence may not be advisable.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist
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Suffer With Bouts Of Depression & Suicidal Idea. Several Attempts Failed. Have OCD. Fear Of Germs. On Effexor Xl, Olanzipine. Treatment?

Hello Shauna, Welcome to Healthcare Magic and thanks for your query. I understand that you are going through a very difficult time due to you multiple psychiatric problems such as depression, OCD and Borderline Personality Disorder. Effexor (Venlafaxine) is an anti-depressant medication and 225mg is a good dose. Olanzapine is an anti-psychotic medication. If this combination of medication is not working for you, then you can discuss with your doctor regarding other medication which can be tried. For example, SSRIs can be effective for not only for depression but also for OCD. Certain SSRIs like Fluoxetine are also recommended in the treatment of Borderline personality disorder. In addition, regular and intensive psychotherapy is also essential to give effective results. If your symptoms are very distressing or disabling, then you can consider in-patient treatment for a short period. ECT has not been proven to be an effective treatment option for intrusive (obsessive) thoughts and hence may not be advisable. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist