OCD is a very resistant kind of neurotic condition. It requires long term treatment. Obsessions are unwanted thoughts, images, or doubts that repeatedly appear in patient’s mind. Compulsions are repetitive activities that patient do. The aim of a compulsion is to try and deal with the distress caused by the obsessive thoughts and relieve the anxiety. Clomipramine was used previously but it is not used now a days because of its side effects. Better drugs are now available for treatment of OCD. Advice 1. Fluoxetine 20 mg every 12 hours per oral for 3 months 2. Stop Ciprlex if it is not giving any relief 3. Family and social support is needed for total cure o. Discuss your problem with your family 4. Start workout in gym at least for half an hour for 4 – 5 days in a week regularly 5. Take natural high protein like egg, soya bean, pulses, meat, and milk. Choose food with nutritional calories like potato, banana and dry fruits 6. Drink 3 – 4 liters of water daily 7. Avoid excess intake tea and coffee Consult a psychiatrist for better follow up. Thanks