Brief Answer:
please tell the dose of levox

Detailed Answer:
Hello,

I have read your query and can see that you have ocd. Due to this illness you are getting repetetive thoughts of contamination of your finger nails and under it...in reality they are clean and you can see that.

You are taking levox for ocd but you have not mentioned the dosage of the smae. Please help me with your present dose of levox as the remaining symptoms of ocd might be simply handled with increasing the dosage of levox.

Manytimes we also ask the patient to undergo cognitive behaviour therapy- exposure and response prevention. This is very helpful in stopping the thoughts and also controlling the urge to clean again and again.
If you are already on high dose of levox then some other drug can be added to boost levox.

So,technically speaking- when someone is already on a drug for ocd we either go for hiking the dose

Or
start another new drug along with it to imptove its effect.

Along with the drugs if we start therapy then there is additional and quick response in the patient.

Please get your thyroid and vit b 12 levels done . Correcting them also improves the outcome.
You can also help yourself by being busy and doing some another work. Thinking and looking on the same area only increases the thoughts.

Hope the reply helps.
Wish you good health!

Dr. Manisha Gopal
MD Neuropsychiatry

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Brief Answer:
raise luvox to 250mg; eat veggies nuts & stop tea

Detailed Answer:
Hello

You are right that when you took bath three times then even area under the nails ought to be clean. Its just obessesive thinking which is giving you doubts.

You are in luvox 200mg right now. I think you can either increase it to 250mg or add 0.5mg of resperidone to it at night time.

If there are only few symptoms of ocd are remaining then its worth a try to raise the dose of luvox.

If your thyroid was normal three months back then there is no need to repeat it. Get B12 leves done along with vit D levels.
Both of these are neutonal vitamins and very important for body. There deficiency is common now a days all over the world. Treating them helps in managing psychological problems as well.

Try to change your routine..try to exercise.. try to socialise
and eat more green vegetables . Add nuts to your daily diet and cut down or stop tea coffee and liquor. These changes have significant benefit in reducing anxiety.

Please discuss the above points with your treating team.

wish you a speedy recovery.
feel free to ask more questions for clarification.

Dr. Manisha Gopal
MD Neuropsychiatry

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Brief Answer:
wish you good luck

Detailed Answer:
You are welcome.

Regards
Dr. Manisha Gopal

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Brief Answer:
its because of distraction that you feel it less when in company

Detailed Answer:
Hello,

Its not that ocd is present when you are alone and goes away otherwise when you are busy or have a company. Its a matter of distraction.

Giving attention to something increases it and ignoring reduces it. Like of you have pain in hand and have difficulty in moving it then you feel bad and avoid working from it etc ...but if there comes an emergency like if you see one of your family members falling or slipping, then you will rush to help him or her and will support them and make them sit and give them some comfort..then you will forget about your pain.
So, its not that there was no pain when you were helping the someone but coz you had more important thing to look after, you were not able to give any though to your injury!!

Similarly, ocd is more when someone is alone or is at ones place and tends to reduce significantly when the person is in company of friends or out of your home or his usual environment.

I hope this clarifies the point.
Wish you good luck.

Dr. Manisha Gopal
MD Neuropsychiatry

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