Hello, sir/madam I have an ocd one and half years, specially washing problem. I took the medicine fluoxetine ip 20 mg, but recently I stopped the medicine. I am afraid that I will get dirty if I go out of the house. I feel like I have to wash every thing off when I pass by the dirt on the street. When some one touches me I feel like I am getting dirty, I have to clean everything. I am also having problems at home due to this disease. I am 37 years male. please doctor help.
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Hi, please discuss with your psychiatrist, the reason behind discontinuing fluoxetine (ineffective in relieving the symptoms, unaddressed myths or misinformation about the pill or ill informed about the nature of same, need to consume it, duration for which it should be taken, side effects experienced while on the pill, need for regular follow ups while on the pill, cost factors including medicine and consultation cost). It's in your best interest if you also discuss regarding restarting fluoxetine and how the dose would be optimised in future, duration for which it need to be taken. Please refrain from discontinuing treatment in future without consulting your psychiatrist, as ocd is a chronic illness and need long term treatment like diabetes and hypertension. Regards.
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You are relying too much on the medication to solve the problem, which can be pretty futile. Please seek the help of a counselor too. 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.
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