Hello doctors, its aquib a 19 years old guy this side. I basically have been suffering from ocd and depression from nov 2020 at starting it was mild but during the month of april and may it gets very problematic and I also started feeling panic attacks and hallucinations. Thereafter I consulted a psychiatric doctor in kolkata on june 2021. I told him all my symptoms and after consultation he prescribed me (nexito) escitalopram. Initially he started with 5 mg and taken it to 30 mg I am still having the same dose. The medicine however suited me and I got about 60 to 70 percent relief till nov 2021. But from the past 1 month I again started feeling depression some times mild ocd and hallucinations too. So what should I do now? I didn't missed my doses however.
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Dear , it is a good news that you are improving with escitalopram 30 mg itself. Most depressions worsen during winter. Yours may improve with the onset of summer. I don't understand the meaning of hallucinations. If it is one of the symptoms with your ocd, either you may need a small dose of antipsychotic or long term mood stabiliser along with escitalopram. It also depends on your family history and long term history of mood swings, especially mild mania. Since you are young, you can add cbt with erp therapy in addition.
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The treatment seems to be going along proper lines. You should convey to your psychiatrist about the 60-70% improvement, and the deficits still present. Many times for persistent depressive disorder like yours, add on medications are needed to address them. Good luck.
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Get adequate sleep, at least 8 hours a day. No one can function only on 6 hours of sleep a day. If they can (or so they say), then either they are lying to you about how many hours of sleep ?in total? they get per 24 hours or they are hypomanic. Eat healthily. Exercise regularly, at least some sort of cardiovascular exercise 5 days a week. Minimize your stress level. For example, if you are in college, take 12 credits instead of 16 or 20 credits each semester. Then try to sprinkle a couple easy classes in there. Surround yourself with positive people. Consider meditation, yoga and other mindfulness exercises. Find a good psychiatrist. Find an excellent psychiatrist. Find a good psychotherapist. Find an excellent psychotherapist.
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Dear Lybrate user, it must be hard going through all this. I would suggest that you consult a psychiatrist with regards to medication and also consult a psychologist and go for psychological counseling) therapy. A combination of therapy and medication will help best. Especially cognitive behaviour therapy (cbt) can help you manage and deal with depression, it's associated thoughts and behaviours. Cbt is widely used and proven to help manage depression. Therapy will also help you in the long term. Please consult a psychologist. If you need help you can contact me as well through Lybrate. Regards, aaradhana reddy counselling psychologist.
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add clomipramine Or any other medication to get relif.. talk with your doctor
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Dear wishing you the best in your struggle with these. Unfortunately it seems many including you are unable to avail psychological therapies of various kinds. May be its unavailable due to lack of experts. There are therapies of low intensity as well as high intensity which can make a substantial difference in ones life if done in a systamatic way. Try to avail therapies like cbt it s possible to get online also. Bye and take care.
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Dear user if you don’t want to take medication for life time then please wake up yourself, medicines are not a perfect solution for mental health, you have to work on your own, your will power, your mind and thoughts. You are too young. But due to certain reasons if you are on antidepressants you have to take some extra care of yourself. I don���t know what are the circumstances under which you are taking medicines, I want to know the whole details about your disorder. But I must say don���t depend on the medicines and don���t make it a habit for future. You need counseling session for a better control on this disorder and medicines. Medicines are not the only solution, counseling is a best option for you so that you could better understand yourself and save yourself from the side effects of medicines. Please call and discuss your problem in detail and then i���ll be able to help you better. My contact no is mobile.
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