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जुनूनी विचारों के लिए दवा की तलाश
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Mental & Emotional Health
Question #28882
150 days ago
394

जुनूनी विचारों के लिए दवा की तलाश

Client_3fc49a

प्रिय डॉक्टर, मैंने साइकोथेरेपी करवाई है और लगभग तीन महीने तक मुझे काफी बेहतर महसूस हुआ। हालांकि, कभी-कभी मेरी शैक्षणिक स्थिति मेरी ऑब्सेसिव सोच को फिर से मजबूत कर देती है। अगर संभव हो, तो क्या आप मुझे यहां दवा लिख सकते हैं? अब तक, मैंने कोई दवा नहीं ली है, लेकिन मुझे लगता है कि एसएसआरआई मेरे लिए मददगार हो सकते हैं। मैं 17 साल का हूं। अगर दवा लिखने से पहले आपके कोई सवाल हैं, तो कृपया मुझे बताएं। मैं आपके सवालों का इंतजार कर रहा हूं।

How often do you experience obsessive thoughts?:

- Rarely

What triggers your obsessive thoughts?:

- Social situations

Have you noticed any changes in your mood or behavior recently?:

- Yes, mild changes
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Doctors' responses

Medicines can be prescribed, but I need to talk and have a session before anything

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Hello I appreciate you sharing your experience with psychotherapy and your thoughts on SSRIs. However, It’s really important to consult a psychiatrist or a healthcare professional who can evaluate your specific situation and determine the best treatment plan for you.

Since you’re 17, it’s also essential to involve a parent or guardian in this process, as they can help you navigate the next steps. A psychiatrist can assess your symptoms, discuss your history, and decide if SSRIs or any other medication would be appropriate for you.

Thank you

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Prescribing medication online isn’t feasible or safe, especially for a condition like obsessive thoughts that may be part of a larger mental health picture. However, I can give you some information about the treatment options for obsessive thoughts, which often fall under the category of Obsessive-Compulsive Disorder (OCD). Selective Serotonin Reuptake Inhibitors (SSRIs) are one of the mainstays of pharmacological treatment for OCD and other anxiety disorders. Medications such as fluoxetine, sertraline, and fluvoxamine are commonly used and generally well-tolerated by teens, but they need to be prescribed and monitored by a healthcare professional. It’s crucial because dosages often need to be adjusted over time, and the potential for side effects must be evaluated against benefits. Since you’re feeling an increase in symptoms due to academic stress, it’s important to explore this with a healthcare provider who can recommend whether pharmacotherapy is appropriate and safe for you. They might also suggest cognitive-behavioral therapy (CBT) alongside medication, as it can significantly improve outcomes by helping manage the underlying thought patterns. Please consult with a psychiatrist or your primary healthcare provider for a thorough evaluation and discussion of potential treatment plans tailored to your needs. It’s essential to have guidance from a professional familiar with your medical history and current condition especially given your age. Your local GP or a mental health specialist would be the best person to reach out for prescriptions, and they can provide ongoing support and adjustments as needed.

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Hello dear See ocd is not a disease but is a combination of strict regular habits and anxiety. Iam suggesting some precautions for improvement For medication please consult neurologist or psychiatrist for better clarity 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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Hi there 👋

I can evaluate and, when appropriate, prescribe.

· Since you’re 17, prescribing typically requires a full assessment and (in many places) parental/guardian involvement – this keeps care safe and legal.

· Your symptoms are rare & triggered by social situations – SSRIs can help, but with mild changes and prior therapy response, medication may not be the first step.

· Let’s start with a proper consultation – I’ll ask a few questions to understand what’s best for you.

— Dr Nikhil Chauhan

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Hello

I hear you. Since you are 17 and have already tried psychotherapy with some benefit but still experience recurring obsessive thoughts, it is reasonable to consider medication for Obsessive-compulsive disorder when symptoms continue to interfere with school or daily life.

However, I cannot prescribe medication directly here.

For someone your age, SSRIs are often the first medicines a psychiatrist considers, such as Sertraline, Fluoxetine, or Fluvoxamine, but they must be started and monitored by a licensed clinician with parental or guardian involvement. That’s important for safety, correct dosing, and follow-up.

Your pattern—improvement with therapy but worsening during academic stress—is actually very common in OCD.

Medication can help reduce the intensity of thoughts so therapy skills work more consistently.

Because you describe the thoughts as occurring rarely but becoming stronger in social or academic situations, a psychiatrist would likely review your symptom severity, sleep, anxiety level, and any side effects risk before deciding whether to start medication now or continue therapy adjustments.

A practical next step is to arrange an appointment with a psychiatrist (in person or via telehealth) within the next few weeks to discuss starting an SSRI.

If your symptoms suddenly become severe, you feel unable to function, or you develop thoughts of harming yourself, that would require urgent in-person care.

Take care Regards

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I understand your situation, but I’m not able to prescribe medication here—especially since you’re 17, treatment for Obsessive-compulsive disorder should be started and monitored by a licensed psychiatrist.

SSRIs like Fluoxetine or Sertraline can be helpful in OCD, particularly when symptoms flare with stress, but they require proper evaluation, dosing, and follow-up.

Please consult a psychiatrist (with a parent/guardian involved)—and continue psychotherapy, as combining therapy with medication often gives the best results.

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