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ओसीडी से पूरी तरह ठीक होने के लिए मुझे कितने समय तक दवा लेनी चाहिए?
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Mental & Emotional Health
Question #30525
12 days ago
60

ओसीडी से पूरी तरह ठीक होने के लिए मुझे कितने समय तक दवा लेनी चाहिए?

Client_e960e1

नमस्ते। मुझे OCD (obsessive-compulsive disorder) की समस्या है। पिछले पांच महीनों में, मैंने पहले तीन महीने तक साइकोथेरेपी करवाई। साइकोथेरेपी के जरिए, मेरा Y-BOCS स्कोर लगभग 25 से घटकर 15 के आसपास आ गया। उसके बाद, मैंने साइकोथेरेपी के साथ दवा का इलाज भी शुरू किया। इसके परिणामस्वरूप, अगले दो महीनों में मेरा Y-BOCS स्कोर और घटकर लगभग 15 से 9 के आसपास आ गया। मेरा सवाल है: OCD के लिए दवा कितने समय तक लेनी चाहिए, और आमतौर पर कितने महीनों तक इसका उपयोग किया जाता है जब तक व्यक्ति पूरी तरह से ठीक नहीं हो जाता? इन पिछले दो महीनों के दवा उपचार के दौरान, मैंने पहले महीने में फ्लुओक्सेटीन ली, और दूसरे महीने में क्लोमिप्रामाइन और फ्लुओक्सेटीन दोनों का उपयोग किया। एक छोटी सी नोट: "Y-BOCS" का मतलब Yale-Brown Obsessive Compulsive Scale है, जो OCD की गंभीरता को मापने के लिए आमतौर पर इस्तेमाल किया जाता है। लगभग 25 से 9 तक की कमी एक महत्वपूर्ण सुधार को दर्शाती है।

How long have you been experiencing OCD symptoms?:

- 1-3 years

Have you noticed any specific triggers for your OCD symptoms?:

- Stressful situations

How would you describe the impact of OCD on your daily life?:

- Significant impact — struggles with daily tasks

Have you experienced any side effects from the medications?:

- Moderate side effects

Have you discussed the duration of medication treatment with your doctor?:

- Yes, we have a plan

What other treatments have you tried for your OCD?:

- Other therapies (e.g., mindfulness, support groups)

How often do you attend therapy sessions?:

- As needed
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Doctors' responses

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.
12 days ago
5

Hello dear See ocd is not a disease but is a combination of strict regular habits and anxiety. Based on clinical history Response is good to treatment modality Regimen should continue for atleast 12-18 months ( final recommendation by concerned physician) Medication should not be stopped immediately 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 or concerned physician in person for better clarity Regards

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When it comes to medication for OCD, there’s no one-size-fits-all timeline, but there’s some general guidance we can talk about. Most people with OCD typically start to see improvements in symptoms within 4 to 12 weeks after starting medication. Since you’ve already experienced a significant reduction in your Y-BOCS score with the combined use of fluoxetine and clomipramine, you’re on a positive path. Generally, it’s recommended to continue medication for at least 1-2 years after achieving a significant reduction in symptoms. This period is important to sustain the improvement and reduce the risk of relapse. Some individuals might need longer treatment durations, depends on things like, symptom severity, response to treatment, and any underlying mental health conditions. As you experience improvements, it’s vital to closely work with your healthcare provider to monitor side effects, effectiveness, and to adjust dosages if necessary. It’s important not to stop the medication abruptly, as this can lead to withdrawal symptoms or relapse. If you and your provider decide to discontinue the medication, a gradual tapering might be recommended. Combining medication with ongoing psychotherapy, like cognitive-behavioral therapy, can provide a more holistic approach and help maintain long-term results. Your consistent improvement suggests, the current treatment plan is working well, so be sure to keep open communication with your provider to fine-tune your treatment plan as needed. This personalized approach can help achieve the best possible outcome for your specific situation.

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