Brief Answer:
This is due to neurotransmitter imbalance

Detailed Answer:
Dear Bhatnagar,
Thanks for posting a wonderful query at healthcaremagic.

I read your query word by word and understand your concern. I like to tell you that these kind of thoughts are present in person suffering from a psychiatric disorder known as obsessive compulsive disorder. In some patients these symptoms can be present in person with depression.

Having said this, in these two conditions there is deficiency of serotonin in certain area of brain which control such kind of thoughts. The most common area involved in such kind of thoughts is pre frontal cortex and medical temporal lobe(part of brain). Some of theories also speculated role of another neuro transmitter known as nor epinephrine.

There is imbalance of these neuro transmitters in brain that result in development of such kind of thoughts.

I hope you are receiving some medication for control of such thoughts. If not the ssri group of medicines can be used to control such thoughts. The medicine you are taking currently belongs to ssri (prodep) group and i hope you have some positive results with this medicine.

The other kind of therapy known as exposure and response prevention can also be used to control such kind of thoughts.

'Hope I have answered your query. If you have any further questions I will be happy to help".
Thanks

---

Brief Answer:
I will suggest appropriate medicine

Detailed Answer:
Dear XXXXXXX
Welcome back to healthcaremagic.

I am happy to know that you are responding on part of depression but unfortunately many of your thoughts are still persristing and causing lot of discomfort for you.

As I already mentioned to you during last consultation the medicines take lot of time to act on different symptoms. In regard to OCD symptoms there may be delay of eight to twelve weeks before you get proper response. At this moment we have two options regarding treatment of your abnormal thoughts. Firstly the dose of olanzapine can be increased to 10 mg as there is enough time has been lapsed since you started 5 mg about one month back.

Secondly you can meet a psychittrist in your city for exposure and response prevention kind of psychotherapy. In this therapy a person with abnormal thoughts is exposed to situations where these kind of thoughts occur and by special instructions the response (thinking about same thoughts again and again) is prevented. The most commonly used therapy for OCD have good response in these abnormal thoughts and I hope you will feel much better with this therapy.

I like to inform you that there is no pill for every ill. There are some conditions which respond to these kind of therapy in better way in compare to medication.

The other thing you can do is a therapy known as stop therapy. Whenever you have these thoughts just imagine a red sign which tells you stop and with imagination you need to stop that abnormal thoughts.

As I said earlier the thinking and decision problem is due to neuro transmitter imbalance and the correction of it takes long time. At this moment just hold on the current medication and increase the dose of oleanz to higher level.

Hope this clarifies the situation for you. In case there is anything more to discuss just write back to me or give a call through website.
I am currently in XXXXXXX and the option of phone or video discussion is open for you.
Thanks and regards

---

Brief Answer:
Need some time for medicine to act

Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.

As I said they take some time and you need to wait till proper effect of medicine takes place. I know you are very much concerned about not able to speak in mind but unfortunately that is part of your illness and it is not a separate thing or disease.
Once you show good response for your depressive symptoms and OCD symptoms there will be automatic improvement in your thoughts and ability to speak in your mind.

Please note that if you are not able to wait than getting therapy along with the medication may speed up the recovery process.

Hope you understand about the problem and will able to wait for few more days/weeks. In case there is anything more discuss, feel free to write back to me. As always I will try to answer you to the point.
Regards

---

Brief Answer:
Please follow this to improve will power

Detailed Answer:
Dear Ntitin,
Welcome again.

These are the tips to improve will power and concenration.

Try to get full sleep.
Take at least six hours of rest for relaxation of your mind.

Take regular exercise.

Study in a place with no or less distractions.

Avoid multi-tasking. While you study avoid playing with other things.

Have free mind.
Throw off your mind all the irrelevant thoughts while you study.

Fixation of priorities.
What should be done first and what should be done next, is very important for having full concentration in your work and that should be done beforehand.

Take short breaks in long study.

Have interest in your study.

Have good breakfast.

Don’t take too much tea or coffee.

Concentration Exercises- yoga, self-hypnosis, looking at a round spot on wall with full attention etc.

Thanks and regards
Dr Ashok

---