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Seeking Advice on OCD Treatment Options
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Mental & Emotional Health
Question #28730
2 hours ago
6

Seeking Advice on OCD Treatment Options - #28730

Client_3fc49a

Dear Doctor, I have severe OCD, especially related to compulsions. Obsessions: I have very disturbing sexual obsessions—sexual thoughts and images, violent thoughts, concerns about symmetry and cleanliness. For example, sexual thoughts come to my mind and do not go away quickly. I also have sexual obsessions regarding people I interact with, especially schoolmates. Overall, sexual obsessions are the strongest for me. I have undergone psychotherapy, which has been very effective. After three months, my OCD symptoms have decreased significantly. However, sometimes, for example while studying or under academic pressure, the obsessions become stronger. When my academic workload is low, my obsessions are weaker. They also worsen when I am under social pressure. I also read a book that helped me a lot: “Unlocking the Obsessive Brain” from UCLA in New York. Compulsions: I have the compulsion to pull or pick (skin/hair), but my compulsions are much less severe compared to my obsessions. I am 17 years old. Based on my research from books and other sources, SSRIs seem suitable for me, especially Sertraline and Fluoxetine, but I am worried about their side effects and whether they could harm me. If possible, could you advise which medication would be most suitable for me? I have had OCD for approximately three years, as far as I can remember, but I cannot be sure about my childhood. In the last six months, my symptoms have become strong enough to affect my daily life. In conclusion, after three months of psychotherapy, about half of my OCD symptoms have improved, but sometimes they become strong again, and I feel I need medication.

How would you rate the severity of your OCD symptoms currently?:

- Severe, significantly impacts daily life

Have you previously tried any medications for your OCD?:

- No, I haven't tried any

How often do you experience these obsessions and compulsions?:

- Frequently, almost daily
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