Since 10 y suffering from panic disorder a suffocation a shortness of breath in lift n crown n closed door n bathroom while bath n on vet cr 25 once a day along with trika. 25 plus lenozop. 25 all is ok but now since few months one more issue occur is ocd n feeling helpless that regular hand wash n wen travel in train looks my clothes become dirty n return home n jv to change etc I am very much in trouble please help n prescribe any medicine if possible to come out at least from ocd due to this I am unable to shake hand to anyone or after hv to wash please help me.

Mr. Saul PereiraPsychologist52yrs exp

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For all of ten years you have been suffering from what appears like fear-related disturbances. Yet, you haven't or were not informed to seek therapeutic help! it is never too late to go for counseling and learn some skills, tools and techniques to handle life and your emotions, in particular fear. Ocd is is a fear-based condition and for some reason you have not been dealing with this childhood fear which has now developed unto these repetitive adaptations to seem to need it for normal functioning. The behavior will then become based on magical thinking and certain rituals will become necessary to do normal things making you believe that either the frequency or the ritual is important to its success. This of course is a fallacy but there will come a time that even if told the truth, your belief will defy any logic and you will continue behaving like that even if it cripples you in your daily routines, which it seems it already has. It only appears as though some other force is behind these behaviors and that you are compelled to act in this fashion. That is obviously not true but no one can convince you of anything different. The obsession is a repeating thought pattern with no meaningful outcome; and the compulsiveness is the need to act on those obsessions also in a repeated behavior pattern as though you just cannot help yourself. This is all driven by fear and when you are frustrated with it, you will escalate anger over it. Doubt, insecurity, uncertainty, and lack of firm memory will all plague you and increase stress. There are certain behavioral techniques to be implemented and if they work you may get out of this condition rather easily. All confidence building exercises will play a significant role too in your recovery.  

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