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Inquiry about SSRI medication for OCD
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Mental & Emotional Health
Question #28849
26 days ago
90

Inquiry about SSRI medication for OCD - #28849

Client_3fc49a

Yes doctor, If you can prescribe medication for me here, please do. If you have any questions, you can ask me here and I will answer them. I am 17 years old. In my opinion, SSRI medications may be helpful for me. What is your opinion? Which medicine would be suitable for me, considering that my Y-BOCS score is about 16?

How long have you been experiencing symptoms of OCD?:

- More than 6 months

What specific symptoms are you experiencing?:

- Both

Have you previously tried any treatments for your symptoms?:

- Yes, therapy
300 INR (~3.53 USD)
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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.
26 days ago
5

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

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
25 days ago
5

Hello

With a Y-BOCS score around 16, that usually indicates moderate symptoms of Obsessive-compulsive disorder, and yes—SSRI medications are commonly helpful in this situation, especially when symptoms have lasted more than 6 months and therapy alone has not been enough.

For someone who is 17 years old, doctors often consider SSRIs such as Fluoxetine, Sertraline, or Fluvoxamine because these have good evidence and safety data in adolescents with OCD. The exact choice depends on side effects, anxiety level, sleep, weight, and any other medical conditions.

I cannot prescribe medication directly here, but based on clinical guidelines, starting an SSRI under supervision of a psychiatrist is a reasonable next step for your level of symptoms. Improvement usually begins after about 3–6 weeks, with full benefit often taking 8–12 weeks.

Since you are under 18, the medication must be prescribed and monitored by a licensed clinician with parental or guardian involvement. If your symptoms include severe distress, suicidal thoughts, or rapid worsening, you should seek urgent in-person care.

If you want, tell me whether your main problem is more obsessive thoughts, compulsions, anxiety, or sleep issues, and I can comment on which SSRI is often preferred in that specific pattern.

Take care Regards

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
25 days ago
5

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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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.
26 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

2435 answered questions
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As an individual under 18 with a Y-BOCS score of 16, indicative of mild OCD symptoms, discussing SSRI options is indeed a relevant step in managing your condition. Selective Serotonin Reuptake Inhibitors (SSRIs) are commonly used and effective in treating OCD in adolescents. However, the selection of a specific medication should be individualized and based on a detailed assessment of your overall health, potential side effects, and personal circumstances. According to current medical guidelines, fluoxetine, sertraline, and fluvoxamine are among the SSRIs typically prescribed for young people with OCD. These medications can take several weeks to achieve their full effect, and dosages are usually adjusted starting from a lower dose to minimize any potential side effects. It’s critical to do this under the supervision of a healthcare provider who can offer follow-up care, monitor for side effects, and determine if the medication and dosage are suitable for you. It’s also important to combine medication with psychotherapy, such as Cognitive Behavioral Therapy (CBT), which has proven efficacy in treating OCD. Always consult face-to-face with a qualified healthcare practitioner to evaluate whether SSRI treatment is appropriate for your situation and to discuss comprehensive management strategies, as medications can’t be safely prescribed or initiated in an online format. The collaborative approach means you can weigh the benefits and risks of each option to decide the best course for your needs.

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
21 days ago
5

I understand why you’re considering medication, but I’m not able to prescribe medicines here—especially since you’re 17, treatment decisions for Obsessive-compulsive disorder should be made carefully with a licensed psychiatrist.

SSRIs (like Fluoxetine or Sertraline) are commonly effective for OCD, and with a Y-BOCS score of ~16 (moderate), medication plus therapy is often recommended—but dosing and monitoring are very important at your age.

Please consult a psychiatrist (preferably with a parent/guardian involved) to start safely, and continue your therapy; if you want, I can guide you on what to expect from treatment and how to manage symptoms meanwhile.

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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
20 days ago
5

Hello, thank you for sharing your concern. Medicines can be prescribed to you, but before that a doctor needs to talk to you over video/audio consultation. Asking questions and replying over the chat can miss important details, which will do more harm to you. So, to get a prescription for psychiatric medicines, kindly visit or book an online consultation with a psychiatrist/ family medicine specialist.

I’m a family medicine specialist myself, you can take a consultation with me as well. But I’m afraid to say it’s not possible over the chat.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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