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Suggest Treatment For Symptoms Of OCD

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Posted on Thu, 21 Jan 2016
Question: hello i was diagnosed with harm ocd i have images urges and thoughts all day long to do harmful things like shoot police stab someone walk around with a knife. I currently take prozac 80mg for 3 weeks with no relief and i have been on latuda 80mg since september which i dont feel better from. I actually put my phone charger around my neck and pulled it then released it it was like an urge i had to give in to it was very scary something i never did before. Does that still classify as harm ocd and how to i handle this kind of action
doctor
Answered by Dr. Seikhoo Bishnoi (54 minutes later)
Brief Answer:
The symptoms suggest OCD only

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

I can understand your concern. Sudden onset, intrusive, repugnant, distressing thoughts are seen in OCD only. You have persistent urge to harm yourself or someone and then you have to act sometimes also. These symptoms suggest OCD only. Putting the wire of phone charger around neck in order to calm down the urge was most probably due to recurrent obsessions only. Though more detailed evaluation is needed but this classifies into harm OCD.

You are on 80 mg Fluoxetine and in my opinion this is the right drug in right doses. Wait for few more weeks and you will start seeing improvement in your symptoms. OCD is a type of anxiety disorder that takes time to resolve. The disease is relatively difficult to treat and this is the reason the response is taking time. But no need to worry. With time you will definitely respond to the medicines and will come out of these unwanted, intrusive thoughts.

Behaviour therapy especially thought stopping technique can also help you in addition to medicines in order to come out of OC thoughts. Combination of behaviour therapy and medicines gives best results. Thought stopping technique has excellent results. You can consult a psychologist to learn the method.

Thanks, hope this helps. Please don't hesitate to ask again for more doubts.

Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Seikhoo Bishnoi (13 minutes later)
me actually puttting the phone charger around my neck is something i never did before it was like i had to act on my urge does this put me in danger with my actions. do people with ocd do that kind of thing it scared me that i atually went thru with putting it around my neck now im thinking of anythig around my neck that i could put

when will my question be answered
doctor
Answered by Dr. Seikhoo Bishnoi (10 hours later)
Brief Answer:
Yes people with OCD do such type of things.

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

Some times in OCD patients new intrusive ideas develop. Yes people with OCD especially in harmful category do such type of things. One patient of mine was a washer and he used to scratch his face repeatedly and would injure his face. Different patients present with different presentations. Just continue to take your medicines and you will see improvement.

Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Seikhoo Bishnoi (2 days later)
how long would i expect to see improvement my doctor increased me to 100mg of prozac i have taken 80mg for three weeks i always feel like i will lose control of my behavior is that part of the ocd
doctor
Answered by Dr. Seikhoo Bishnoi (11 hours later)
Brief Answer:
At least 4 weeks time the drug should take

Detailed Answer:
Hello thanks for asking a follow up

The increased doses of Fluoxetine should help in controlling the symptoms. In normal cases 4 weeks is the time in which most patients start seeing the response. This will also help in reducing the harmful OCD symptoms.

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

Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5192 Questions

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Suggest Treatment For Symptoms Of OCD

Brief Answer: The symptoms suggest OCD only Detailed Answer: Hi, thanks for asking from HCM for your health related queries I can understand your concern. Sudden onset, intrusive, repugnant, distressing thoughts are seen in OCD only. You have persistent urge to harm yourself or someone and then you have to act sometimes also. These symptoms suggest OCD only. Putting the wire of phone charger around neck in order to calm down the urge was most probably due to recurrent obsessions only. Though more detailed evaluation is needed but this classifies into harm OCD. You are on 80 mg Fluoxetine and in my opinion this is the right drug in right doses. Wait for few more weeks and you will start seeing improvement in your symptoms. OCD is a type of anxiety disorder that takes time to resolve. The disease is relatively difficult to treat and this is the reason the response is taking time. But no need to worry. With time you will definitely respond to the medicines and will come out of these unwanted, intrusive thoughts. Behaviour therapy especially thought stopping technique can also help you in addition to medicines in order to come out of OC thoughts. Combination of behaviour therapy and medicines gives best results. Thought stopping technique has excellent results. You can consult a psychologist to learn the method. Thanks, hope this helps. Please don't hesitate to ask again for more doubts. Take care