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Seeking Medication for Obsessive Thoughts
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Mental & Emotional Health
Question #28882
23 days ago
95

Seeking Medication for Obsessive Thoughts - #28882

Client_3fc49a

نصرت‌الله عزیز، ترجمه متن شما به انگلیسی: Dear Doctor, I have undergone psychotherapy and for about three months I felt much better. However, sometimes my academic conditions make my obsessive thoughts stronger again. If it is possible, could you prescribe medication for me here? So far, I have not taken any medication, but I think SSRIs might be helpful for me. I am 17 years old. If you have any questions before prescribing medication, please let me know. I am waiting for your questions.

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
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.
23 days ago
5

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

1886 answered questions
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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.
22 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

937 answered questions
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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.

19459 answered questions
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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.
22 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 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

2404 answered questions
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Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
22 days ago
5

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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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.
22 days ago
5

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

1478 answered questions
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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.
18 days ago
5

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.

1025 answered questions
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