I am suffering from panic disorder suffocation in bathroom n lift n huge public place issue on xet cr 25 n trika. 25 since 13 y age 55 weight 83 heights 6.2.now new issue become like washing hands max times n in travel if sit in train seat feel to change clothes after at home n wash hand after touch each thing so kindly advice wat to do or advice medicine for recover from this issue doctor says it's ocd but I not understand wat is it n wat to do n m not going anywhere max at home. Pls help doctor says for rtmc treatment for 30 days regular kindly explain wat is it n in mumbai wer is free this or in cheap so I can go for it or any other help.

Dr. P K SukumaranPsychiatrist58yrs exp

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You are having OCD Stop washing too much Make it sure Flunil 20mg Increase to 60mg by adding 20mg every two days 2. Educate yourself about OCD: Understanding the nature of OCD can help you gain insight into your own experiences and reduce any feelings of shame or guilt. Learn about common OCD symptoms, triggers, and treatment options to empower yourself with knowledge. 3. Practice self-compassion: Remember that OCD is not your fault, and you are not alone in your struggles. Be kind to yourself and practice self-compassion. Avoid self-blame and negative self-talk, as these can exacerbate anxiety and OCD symptoms. 4. Follow a structured treatment plan: Work closely with your mental health professional to develop a personalized treatment plan. This may include therapy (such as cognitive-behavioral therapy or exposure and response prevention therapy) and medication, if recommended. Consistency and commitment to the treatment plan are key. 5. Practice exposure and response prevention (ERP): ERP is a specific type of therapy often used to treat OCD. It involves gradually exposing yourself to anxiety-provoking situations or triggers and then resisting the urge to engage in compulsive behaviors. Over time, this can help reduce the anxiety associated with your obsessions. 6. Establish a support system: Connect with others who understand your struggles. Consider joining a support group, either in person or online, where you can share experiences, gain support, and learn from others facing similar challenges. 7. Manage stress: Stress can exacerbate OCD symptoms, so it's important to prioritize stress management in your life. Engage in activities that help you relax and unwind, such as exercise, meditation, deep breathing exercises, or engaging in hobbies you enjoy. 8. Maintain a healthy lifestyle: A balanced diet, regular exercise, and sufficient sleep can contribute to your overall well-being and help manage OCD symptoms. Take care of your physical health as it can have a positive impact on your mental health. 9. Challenge your OCD thoughts: Learn to question and challenge the obsessive thoughts that fuel your OCD. Recognize that these thoughts are not necessarily reflective of reality and try to replace them with more rational and balanced thinking patterns. 10. Be patient and persistent: Recovery from OCD takes time and effort. Be patient with yourself and acknowledge that setbacks are a normal part of the process. Keep working on your treatment goals and celebrate small victories along the way. 

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