Brief Answer:
Medicines and behaviour therapy help to reduce the OCD symptoms

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

I can understand your concern. The symptoms like doubting the clothes that they are dirty and your other symptoms mentioned in other questions you have asked from HCM suggest clearly that these are occurring due to OCD. OCD is an anxiety disorder and if proper treatment is taken it can be controlled easily. Please don't be distressed about these intrusive and repugnant thoughts, you can come out of these thoughts easily with medicines and psychotherapy.

I'd advise you to consult a psychiatrist for proper treatment. Medicines like SSRIs mainly Fluoxetine or Fluvoxamine are used in high doses to reduce these intrusive thoughts. These medicines help to control unwanted thoughts within 4-6 weeks of starting the treatment. In some individuals with resistant symptoms concurrent use of antipsychotics as Olanzapine or Risperidone help to augment the actions of drugs. If you haven't started the treatment yet them visit a psychiatirst for help.

Behavour therapy mainly thought stopping technique also have good efficacy in OCD. In most cases combination of behaviour therapy with relaxation exercises and Medicines yields best results. So don't remain distressed and don't think of death at all.Your symptoms will reduce with proper treatment.

Thanks,I hope this helps you. If you have more doubts please ask again.

take care

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Brief Answer:
Fluvoxamine 200 are fine doses no need to worry

Detailed Answer:
Hello again and thanks for asking a follow up question

When you yourself are aware of the fact that your clothes are clean and still you have feelings that these are dirty. This is typical OCD symptom and you have to accept this with confidence. Your clothes are clean no need to worry, just keep reassuring yourself that they are fine and try to delay the time to wasn hands progressively. This would help in progressive desensitisation of your OC thoughts.

Yes Fluvoxamine 200 doses are fine but as your symptoms are persisting so you can ask your doctor for addition of other low dose antipsychotic drug like Risperidone which should help to augment the actions of Fluvoxamine. Talk to your doctor for that. Just remain relaxed you are absolutely fine.

Thanks, take care

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Brief Answer:
No need for radiological investigations

Detailed Answer:
Hello again and thanks for asking a follow up

I don't think there is need for any neuro-radiological investigations. The investigations will not have any added role on treatment and they are also non specific. These investigations are under research yet so no need to go for these.

Thanks

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Brief Answer:
Relaxation exercises can help to reduce anxiety

Detailed Answer:
Thanks for asking again, hello again

First of all you have to accept your mental illness. Try to become aware of your symptoms. You are aware of your intrusive thoughts so try to suppress these thoughts and reassure yourself again and again. Don't feel bad about yourself, a lot of individuals have OCD and you are not alone. If on suppression of thoughts anxiety becomes severe then try to relax yourself by relaxation exercises.

Progressive muscle relaxation exercises, yoga can help. For PMR you can take help of YouTube. Try to delay your compulsive behaviour progressively. Make a diary and note down your progressive improvement. All these things would help you a lot.

Believe in yourself and treatment, you will surely come out of your symptoms.

Thanks. Still have more doubts please ask again.

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