Dr. Awadhesh P. Singh Solanki
Psychiatry
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Patient's Query
Hello doctor,
I am a 57-year-old male with a long-term history of depression with OCD, bipolar disorder, and self-diagnosed with a borderline personality disorder. I am taking tablet Tegretol 400 mg and Paxil 60 mg. I have had remarkable effects with it, so I continued taking Paxil and Tegretol three months ago. I was doing fine, but then had a life event where I had a sexual experience that turned me immensely. It gave me substantial obsessive cycling, and I cannot stop thinking about it. It resulted in constant masturbation. I feel hideous and depressed. I cannot stay focused on my duties due to the ruminating thoughts and feelings. I am a travel nurse, and so I am away from my partner. Should I restart taking tablets Paxil and Tegretol, or is there something newer and better?
Thank you so much for your insight.
Hello,
Welcome to icliniq.com.
I can completely understand your current situation. You are having a relapse of OCD (obsessive-compulsive disorder) triggered by a sexual incident. I would suggest restarting Paxil (Paroxetine) and Tegretol (Carbamazepine). However, doses should be smaller initially and increase gradually after consulting your doctor. Ketamine is a good antidepressant, but the effects will stay only for a week or less. These ruminating thoughts are generally resistant to Ketamine.
I hope my answer has helped you.
Regards.
Please do not hesitate to contact me again.
Kind regards
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Psychiatry
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