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Seeking Medication for Anxiety and OCD Management
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Mental & Emotional Health
Question #28726
45 days ago
101

Seeking Medication for Anxiety and OCD Management - #28726

Client_3fc49a

تشکر دکتر محترم من رواندرمانی سه ماه انجام دادم جواب داده خیلی زیاد ولی بعضی روزخان وسواس من تشدید میشود من هفده سالمه وچون درزندگیم خیلی مشکاات بت وجود میاورد به همین خاطر میخواستم با روندرمانی داذو درمانی نیز اضافه کنم اګر شما میتوانید با من دارو تجویز کنید که کدام دارو مصرف کنم با احترام

How often do you experience worsening of your obsessive thoughts?:

- Daily

Have you tried any medications for your symptoms before?:

- No, I haven't tried any

What other treatments are you currently receiving?:

- Only therapy
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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.
44 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.

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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.
44 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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از آن‌جا که شما تجربه‌ای از تشدید وسواس بعد از روان‌درمانی دارید، و به دنبال اضافه کردن دارودرمانی به روند درمان هستید، به چند نکته توجه کنید. ابتدا این‌که انتخاب دارو برای اختلالات وسواس و اضطراب باید توسط پزشک متخصص یا روانپزشک انجام شود. معمولاً داروهای دسته‌ SSRI‌ها مثل فلوکستین، سرترالین و سیتالوپرام برای این موارد تجویز می‌شوند. اما انتخاب دقیق دارو بستگی به شرایط فردی شما، تاریخچه پزشکی و پاسخ به درمان‌های قبلی دارد. داروها معمولاً وقتی موثر هستند که به صورت منظم و طولانی‌مدت مصرف شوند و حتماً باید تحت نظارت دقیق باشند تا عوارض جانبی و اثرات مطلوب دیده شود.

از طرفی داشتن یک سبک زندگی سالم مثل خواب کافی، فعالیت بدنی، و تغذیه‌ی مناسب می‌تواند کمک‌کننده باشد. حتماً به دنبال مشاوره روان‌پزشکی و درمانگر خود باشید تا بتوانید بهترین ترکیب درمانی را برای رسیدگی به وضعیت خاص خود بیابید. در مورد شدت یا تغییر در علائم، هر گونه تغییر را به پزشک خود گزارش دهید تا اگر نیاز به تنظیم دارو یا درمان دیگری داشت، سریعاً اقدام شود. در هر صورت، خودسرانه مصرف دارو یا تغییر آن را بدون مشورت تخصصی اجرا نکنید. همیشه مشاوره‌ی تخصصی و مراقبت پزشکی اصولی را در اولویت قرار دهید.

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