
Suggest Remedies For Severe Depression, Anxiety And OCD

provide more details
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us. I can understand your concern.
As such in patients with OCD, depression and anxiety brain scan comes normal. However when disorder is resistant to all treatment, we can go for Brain scan to rule out any rare organic possibility.
To help you further I need more details about your problem.
- Is your problem started suddenly without any stress or event?
- What are your ruminating thoughts?
- What medications (with dose and duration) and therapy have your tried until now? Up to which extent you got relief?
- Have you tried CBT - Cognitive behavior therapy?
- Have you undergone serum Vitamin B12 level and thyroid with routine physical check-up?
- What are current symptoms?
- Have you suffered from double vision, unconsciousness, bleeding from ear -nose-throat or severe unbearable headache ever?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.


you are not treated sufficiently
Detailed Answer:
Hi,
Thanks for response.
Luvox is good medicine for OCD but 100 mg is not sufficient approximately 300 mg required.
Treatment of OCD includes medicines and psychotherapy.
SSRI group of drugs (fluoxetine,paroxetine,sertraline, Fluvoxamine) are main stay of the treatment. They are antidepressant and in OCD used in high dose.
Benzodiazepines group of drugs(clonazepam, lorazepam or etizolam) are used initially for short duration for fast symptomatic relief.
Cognitive behavior therapy (CBT) is also very useful. It is a type of psychotherapy. It gives excellent results in OCD when appropriately applied.
I used to treat my patients with Fluoxetine and CBT initially. I also add etizolam or clonazepam for short duration. When these do not work I add clomipramine.
You need fluoxetine with CBT according to my opinion. For anxiety short course and as and when required use of benzodiazepine is very helpful.Please ask your treating doctor about the same. You will surely be benefited. You should get result within 4- 6 weeks of sufficient treatment (fluoxetine optimum dose 80 mg).
All the best.


Your doctor is absolutely on right track
Detailed Answer:
Hi,
Thanks for more information.
Your psychiatrist is doing very good treatment. Even if I were there in place of him, I would do the same. In ocd basically higher dose should be reached faster if no response with previous medicines. Yes 300 mg luvox soon is good strategy. You will see some benefit in 4 weeks of reaching 300 mg dose. He is right that for optimum response we should wait for 8-10 weeks.
I recommend using clonazepam without hesitation. It is very good drug to get symptomatic relief. It is not as addictive as you think. One can stop it without problem through slow tapering.
Escitalopram and bupropion are generally not used in ocd. So not to worry that you didn't get response.
Feel free to ask if still any doubt.
If satisfied you can close and rate the answer.
In future you can contact me directly with following link
Http://bit.ly/drchintansolanki
Take care and wish you good improvement soon.


You are welcome
Detailed Answer:
You are welcome.
Wish you great health.

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