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बिगड़ते ऑब्सेसिव-कंपल्सिव डिसऑर्डर के लिए दवा की तलाश
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Mental & Emotional Health
Question #28727
85 days ago
150

बिगड़ते ऑब्सेसिव-कंपल्सिव डिसऑर्डर के लिए दवा की तलाश

Client_3fc49a

سلام دکتر من روندرمانی انجام دادم برای کنتر وسواس اجباری به جواب داده ولی خیلی وقت وسواس اجباری من تشدید میشود من میخواستم.که شما برای من دارو تجویز کنید

How long have you been experiencing worsening symptoms?:

- More than 6 months

On a scale of 1 to 10, how severe are your symptoms currently?:

- 4-6 (moderate)

Have you noticed any specific triggers for your symptoms?:

- Stressful situations
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
84 days ago
5

You are a 17-year-old experiencing daily worsening of obsessive thoughts consistent with Obsessive compulsive disorder, and it is very positive that psychotherapy has already helped you significantly. However, since symptoms still persist and affect your daily life, adding medication can be beneficial, but this must be done under the supervision of a psychiatrist, especially at your age. The most commonly used and effective medications are Selective serotonin reuptake inhibitors such as fluoxetine, sertraline, or fluvoxamine, which help reduce obsessive thoughts and anxiety over time. These medicines require proper dosing, monitoring, and follow-up to avoid side effects and ensure safety. You should not start any medication on your own. In summary, your condition is treatable, therapy is already helping, and with proper psychiatric guidance, combining therapy with medication can further improve your symptoms and quality of life.

2045 answered questions
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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
84 days ago
5

Hello dear See ocd is not a disease but is a combination of strict regular habits and anxiety. Iam suggesting some precautions for improvement Please follow them for atleast two months Do physical exercise atleast half an hour daily for 5 months Do meditation Take good balanced diet for good health Engage in social media Indulge in hobbies like reading and writing Avoid overthinking Avoid junk food and alcohol/ smoking Set your goals for every day Hopefully improvement will occur In case of no improvement in 2 month consult psychiatrist in person for better clarity Regards

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اگر وسواس اجباری شما در حال تشدید است، بررسی دقیقتر وضعیت شما ضروری است. تجویز داروها معمولاً باید توسط روانپزشک انجام شود و بهتر است در این موارد از متخصص کمک بگیرید. اما از نظر کلی، بسیاری از بیماران با استفاده از داروهای SSRI یا مهارکننده‌های بازجذب سروتونین مانند فلوکستین، سرترالین یا پاروکستین نتایج خوبی می‌گیرند. دوز مناسب و تغییرات آن باید تحت نظر پزشک صورت گیرد. مهم است که درمان دارویی همراه با روان‌درمانی مؤثر باشد، چرا که ترکیب این دو راهکار معمولاً نتایج بهتری فراهم می‌کند. همچنین مراقبت از سلامتی عمومی، شامل خواب کافی، ورزش منظم و تغذیه مناسب می‌تواند به بهبود شرایط کمک کند. اگر علائم شما به طور ناگهانی شدیدتر شده باشد و یا حالت‌های اضطرابی یا افسردگی شدیدتر به همراه داشته باشد، بهتر است بلافاصله با متخصص مشورت کنید. در چنین مواردی، تشخیص و درمان سریع می‌تواند از مشکلات بزرگتر جلوگیری کند. هیچ‌گاه درمان‌های خودسرانه را شروع یا قطع نکنید، زیرا این می‌تواند بر وضعیت روانی و جسمی تاثیر منفی داشته باشد. از پزشک معالج خود مشورت بگیرید تا بتوانید بهترین و مناسب‌ترین روش درمانی را برای خود انتخاب کنید.

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