My relative has had severe OCD for the last 20 months. He has not left home for six months and spends 18 to 20 hours in bed. She started tablet Fluvoxamine the previous year at 25 mg, increasing by 25 mg every three weeks, and currently at 100 mg from the last seven weeks. There is a slight improvement in OCD symptoms, and she is calm. She has started virtual ERP and CBT sessions. The psychiatrist wants to add a mood stabilizer. Is that a good next step? Could continuing at the same dose reduce symptoms in three to four weeks? Please help.
The patient has been on the same medication for more than seven weeks. It usually takes four weeks for the full effect of the medication. If there is not much improvement, you must increase the dose or add another medication. You can ask your psychiatrist to add a tablet of Clomipramine 25 mg rather than a mood stabilizer.
I hope the information will help.
Investigations to be done:
Kindly do the following blood reports: complete blood count, thyroid profile, vitamin B12, and vitamin D3.
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Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
.. well to medication (SSRIs - selective serotonin reuptake inhibitors) and psychological therapy (CBT - cognitive behavioral therapy). I presume you are on Fluvoxamine which is useful in OCD. You need to be monitored by your doctor to optimize the dose a Read full
.. through your query and understood your concern.
It seems he suffers from psychosis or severe mood disturbance like bipolar disorder with mania. It could be some personality issue also. So, I suggest you give him mood stabilizers like Sodium valproate ( Read full
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