I am on paroxetine 75 mg for anxiety and dysphoria. I also had ocd thoughts which have almost become negligible now. I need a drug to manage my chain of thoughts (very mild) for which we tried antipsychotic namely olanzapine, arpizol and now am at risperidone. But even at the low dosage of these antipsychotic my mood got exacerbated. Tried clonil as well in past. Please let me know is there any other promising drug which can be tried under my doctor's supervision to manage chain of thoughts. I do not wish to go for cbt. Thank you. Will be indebted to you all.

Dr. Sushil Kumar SompurPsychiatrist15yrs exp

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We are glad to hear about the fact that paroxetine at 75 mg has been great for your anxiety, dysphoria as well as ocd thoughts. However, you seem to have had trouble with "chain of thoughts" although you say it is mild for which you have used olanzapine, arpizol and now you are on risperidone. You say that your mood got "exacerbated" however there is no description for what really happened with these medications. There seems to be a past history of having tried clonil, which probably did not work assuming this because currently, the paroxetine is working. We need more information regarding your chain of thoughts before suggesting any medications since you do not wish to go for cbt or cognitive behavioural therapy. I suggest that you either contact your prescribing psychiatrist or if you need another opinion regarding the possible medication you can contact us here online as well. Look forward to hearing from you. If you need help with booking an appointment online with me on this website either text, audio, or video appointment for a confidential and private consultation you may do so by contacting the help desk of Lybrate.  

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