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Suggest Treatment For Persistent OCD

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Posted on Mon, 14 Nov 2016
Question: HELLO DOC,

I M BEING DIGONISED WITH OCD AND PHOBIA SINCE LAST 3 YEARS I AM ON MEDICATION.

THE INCIDENT TOOK PLACE IN THE YEAR 2012 ONCE I WAS ON A HIGH FOOTFALL AREA IN ABROAD WHERE I WAS POKED WITH A NEEDLE WHICH I THOUGHT THAT I HAVE BEEN INFECTED WITH HIV AS A NEEDLE POKE.

THINGS WAS THERE IN MY MIND FOR TILL 2014 BUT NEVER THOUGHT TO TEST FOR HIV BUT IN FEB 2014 I HAD FEVER FOR ABOUT A MONTH AND THERE WAS A HEAVY WEIGHT LOSS AFTER THAT I GOT PANIC AND HAD CONSULTED A PSYCATRIST HERE AFTER THAT I WAS ON
DAXID 100 FOR 4-5 MONTHS IN MORNING
RECITA FORTE IN NIGHT
I PERSONELLY TRIED TO MAKE UP MY MIND AND THERE AFTER READ BOOKS ON CBT AND HAD EVEN GONE FOR TEST 3 TO 4 TIMES WHICH WAS NEGATIVE

I ALSO USE TO CHECK MY WEIGHT AT REGULAR INTERVALS.

THEREAFTER I WAS ON DAXID 25 FOR 1 YRS AND RECITA FORTE IN NIGHT FOR ONE YEAR

SINCE 8 MONTHS AS I THINK MY SEROTININ LEVEL WAS OK AS I STUDY A LOT ON NET I TOOK ONLY HALF OF RECITA FORTE.

BUT LAST WEEK I WAS IN ABROAD AGAIN THERE WAS A SCRACH IN MY FINGURE WHICH I UNDERSTAND MAY NOT BE A NEEDLE BUT HALLUCINATION IS THERE IN MIND THEREFORE I WENT TO MY DOC HE SAID ME TO CONTINUE DAXID 25 IN MORNING AND RECITA FORTE IN NIGHT

SIR BUT NOW FOR LAST 2 DAYS I M ON DAXID 50 IN MORNING AND RECITA FORTE IN NIGHT.

SIR IS REALLY MY SEROTININ LEVEL IS GONE DONE OR SHALL I WILL BE LIKE IN HULLACINATION LIFE LONG AS IT IS A CRONIC CONDITION AND NOT ABLE TO COME OUT OF THIS

SUGGEST ME
doctor
Answered by Dr. Seikhoo Bishnoi (30 minutes later)
Brief Answer:
This is occurring due to health anxiety.

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

I can understand your concern. Though needle prick is one of common mode of HIV transmission but even with prick of infected needed the risk is about 1%. You got prick accidentally and in such case the risk is very low. I am telling this to you just to reassure you. The ideas that you will develop HIV or anxiety because of these ideas were part of health anxiety.

After the scratch on finger you developed anxiety again. Just remain relaxed, HIV virus can't survive beyond seconds in air, so remain relaxed.

Daxid or Recita both are SSRI drugs and in my opinion no use to take both drugs simultaneously. Instead ask your doctor to increase the dose of Recita and this will help to improve your anxiety. This is not a hallucination. This is occurring due to health anxiety and is common in a lot of individuals.

Thanks. Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Seikhoo Bishnoi (4 minutes later)
sir i should not worry for hiv as u said but the anixty is always there therefore i think u suggest me increse clonazzepalm not ssri

m i right shuld i increase clonazepalm. as i m suffering from cold for last one week therefore my anexity has gone high level
doctor
Answered by Dr. Seikhoo Bishnoi (11 minutes later)
Brief Answer:
Increase the dose of Recita Forte (Escitalopram and Clonazepam)

Detailed Answer:
Hello thanks for asking again

Yes ask to reduce the dose of Daxid and increase the dose of Recita and Clonazepam. This will definitely control the anticipatory anxiety symptoms. No need to worry.

As you are suffering from cold too, in such case increase the fluid intake which will keep you relatively calm.

Thanks. Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Seikhoo Bishnoi (21 minutes later)
sir

how shall i be confim that my serototin level is up to mark and only i need to enance my clonazepalm.

i think again going for any test on hiv is not necessary
doctor
Answered by Dr. Seikhoo Bishnoi (7 minutes later)
Brief Answer:
No need to go for further tests

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

Yes this is anxiety only. Just increase the dose of Clonazepam and if needed increase the dose of Escitalopram.

No need to go for further HIV tests.

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5192 Questions

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Suggest Treatment For Persistent OCD

Brief Answer: This is occurring due to health anxiety. Detailed Answer: Hello thanks for asking from HCM for your health related doubts I can understand your concern. Though needle prick is one of common mode of HIV transmission but even with prick of infected needed the risk is about 1%. You got prick accidentally and in such case the risk is very low. I am telling this to you just to reassure you. The ideas that you will develop HIV or anxiety because of these ideas were part of health anxiety. After the scratch on finger you developed anxiety again. Just remain relaxed, HIV virus can't survive beyond seconds in air, so remain relaxed. Daxid or Recita both are SSRI drugs and in my opinion no use to take both drugs simultaneously. Instead ask your doctor to increase the dose of Recita and this will help to improve your anxiety. This is not a hallucination. This is occurring due to health anxiety and is common in a lot of individuals. Thanks. Take care