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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child. OCD, Thoughts Of Killing Children Around, Anxious, Problem Getting Along With Others. On Citanew 5 Mg, Cholofranil 25 Mg. Right Dosage?

Thank you .I have a12 year old client with ocd ,& intrusive thoughts of killing children around her .she is mostly in an agitated anxious state of mind and can not get along with anyone around .I am working on her thought patterns through cbt.
she is taking citanew 5 mg and 25 mg cholofranil

do u think thats the right dose for her
Thu, 26 Sep 2013
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Psychiatrist,  's  Response
Hello
Welcome to HCM

She is 12 year old and have childhood onset OCD. She is having anxiety, poor social interaction and obsessional thoughts of killing children. She has been given escitalopram 5 mg and clomipramine 25 mg per day. As per my opinion she has been given proper doses and right drugs. If possible you can discuss with her psychiatrist for replacement of Escitalopram with Fluoxetine as it is better tolerated in children in childhood OCD. Continue to take her to Cognitive Behavior Therapy sessions. Provide warm support to her.

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Child. OCD, Thoughts Of Killing Children Around, Anxious, Problem Getting Along With Others. On Citanew 5 Mg, Cholofranil 25 Mg. Right Dosage?

Hello Welcome to HCM She is 12 year old and have childhood onset OCD. She is having anxiety, poor social interaction and obsessional thoughts of killing children. She has been given escitalopram 5 mg and clomipramine 25 mg per day. As per my opinion she has been given proper doses and right drugs. If possible you can discuss with her psychiatrist for replacement of Escitalopram with Fluoxetine as it is better tolerated in children in childhood OCD. Continue to take her to Cognitive Behavior Therapy sessions. Provide warm support to her. Thanks