Suffered from depression heavy ocd and the continuous treatment going on nearly 1 and half years. Now I am ok. Still some repeated thoughts are in. But overall best than before starting treatment. Now I taking fluvoxamine 150 mg bupropion 150 mg amitriptyline 75 mg daily. Doctors please suggest me to reduce the dose and reduce the medicines. Nearly 5 months I follow the above medicines.

Dr. R.N.ChaturvediPsychologist36yrs exp

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Why you are not thinking about psychological counseling and psychological autosuggestion therapy through the online process for three weeks for the permanent solution of your psychological problems of depression and ocd problems you can contact me for this on Lybrate website thank you.  

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Dr. Satheesh Nair SPsychologist32yrs exp

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Hi lybrate-user since your symptoms are controlled, you can discuss with your doctor about slowly tapering off medicines. But good to be on psychological methods like cbt- cognitive behaviour therapy from a clinical psychologist which will help you to come out of it. Bye take care.  

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Mr. Saul PereiraPsychologist50yrs exp

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It is not the time of medication that is the problem. It is your recovery from your condition that matters. I recommend that you go for counseling so that you will learn to deal with life's problems and as you make this adjustment you will be able to reduce the medication but always in consultation with your doctor. Please take your parents with you to determine the possible developmental issues that may have contributed to this condition. This 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. 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. If that does not work as desired, then medication has to be introduced, and in combination with counseling much work can be achieved. Depression makes you want to withdraw, lie down, sleep, become lethargic, slow down, make you too lazy to even think etc. So when I suggested doing the opposite, you will need to fight this disease. You must become active; stay upright during the daylight time; meet people; never sleep during the day, and wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, eat more of proteins and vegetables, attend yoga classes etc. Watch a lot of sitcoms on tv or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scotching heat. I hope you can find someone to love and be loved too, if you are not already married. Whatever happens please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three things, lots of things will go well in life. Please pray and have faith in god to alleviate your sufferings.  

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Dr. Saranya DevanathanPsychiatrist50yrs exp

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Dear lybrate-user, ocd needs long term treatment. You are lucky that you are finding improvement in low dose itself. Right now, there is no need to reduce dose. Please undergo cbt with erp for at least 6 months. Then think of reducing dose. If you can not afford the tablets, or if you are facing serious side effects, discuss with your psychiatrist.  

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Dr. K V AnandPsychologist18yrs exp

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Hello and welcome to Lybrate. I have reviewed your query and here is my advice. I suggest telephonic counseling and online psychotherapy for you. You can contact me for further advice and treatment options. Let me know if I can assist you further. Take care.  

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