Genuine responses are appreciated! hello team, my questions is for physiatrist & psychologists. Med history (age -29 yrs) 1. Attacked first time in childhood 6th class -17 years back-ocd (sexual, pure o) 2.first med (class 10) - zoloft, clonil -12 years back.- taken for 8 days and left 3.symptoms came back in graduation - 9 years back episodic ocd - winters - same doc 4. Grad (4 years) - taken clonil on -off for 4-5 months in winters n left - tht medi didn't suited. 5.in 2015 from aiims rsk- knew I have ocd 6.chngd doc - got nexito 10 mg from vhimans. 7. Again episodic ocd winters taken on-off nexito 10 mg. 8.panic attack 2 years back - taken nexito 15 mg 6 months and tapered left - bcoz med was stigma for family. 9.panic attack last 1 year - taking nexito 20 mg 10. researched deeply did cbt, jrnaling, meditation, energy's balancing, diet everything absolutely fine now but becoz of mouth ulcers tapered to 15 mg. Now kindly suggest me how many years I will continue taking med and taper it accordingly.
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lybrate-user in all honesty, childhood onset ocd is very chronic in nature. The researched and studied outcomes across the world talk about all ocds having one of 3 outcomes. Good remission to medication and no relapse in mere 1/5 th of cases. 3/5 th of cases have good response to medication but have relapses on dose reduction and will require continued prophylaxis. Another 1/5 th are really sufferers because they are treatment resistant and will require aggressive treatment. You probably belong to the majority, you'll need life long prophylaxis in safe ,tolerable and minimally effective dose and continue your efforts in cbt regimens. Ultimately you being fully functional in society is important.
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Hi lybrate-user ocd is that type of disorder which do not decrease immediately after taking medicine it takes time and reduces slowly in ocd it is suggested never to quit medicines or stop medicine without consulting your doctor because whenever you will quit or stop medicine yourself symptoms again come up. Pls understand it's okey to take medicine .we also take medicine for other diseases same is with disorder .if you continue regularly your medicines will decrease it self .so always consult your doctor. And second thing it's very important to take exposure and other therapies in ocd .with medicines therapies are equally important to reduce symptoms. I will suggest you to start counselling sessions! for counselling you can take help anytime we are there for you I hope this will help you. Thank you stay healthy!
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Mr. lybrate-user you seem to have multiple relapses of ocd where early tapering or stopping the treatment is not advised and on the other hand mouth ulcers are uncommon with nexito I advice you to check with your doctor.
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Quantitative measure of your symptoms has to be recorded. How much better you feel with current dose and since how have you been maintained also has to be recorded. Therapy is a must to be the part of the treatment. Even if you wish to taper off medicine, do it under the advise of treating psychiatrist. Taper off will be a very gradual process. Watch out for reoccurring of symptoms during the tapering period. Report immediately about reoccurring symptoms to your psychiatrist.
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