Q. I am having ROCD and obsessed with sexual thoughts and anxiety. Please help.

Answered by
Dr. Suresh Kumar G D
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Oct 01, 2020 and last reviewed on: Oct 07, 2020

Hello doctor,

I have been suffering from OCD, specifically ROCD. I feel anxious all the time, and I have a thought of being with my partner always. Moreover, when I see a woman, I am attracted easily and thinking about her consequently. I feel the urge to tell my partner about it. In my past, I was always obsessed and having sexual thoughts. I am currently on Nodiril, Sertraline, and Lexotanil. I attended CBT sessions with a psychologist, and I am on my second session with TMS as well. Nothing seems to help as I do not know how I do not engage with these intrusive thoughts, and I feel like I want to push it away, which I feel worse. Can you please advise me on what I can do as I feel anxious and depressed with this OCD?



Welcome to icliniq.com.

I can understand that you are feeling challenged by these OCD (obsessive-compulsive disorder) symptoms. By nature, OCD tends to wax and wane in response to life's stressors.

OCD can be managed by a combination of medication, CBT (cognitive behavior therapy), and lifestyle interventions.

I see that you are on Sertraline, Nodiril (Risperidone), and Lexatonil (benzodiazepine group). Sertraline is a very good choice for OCD. Discuss with your doctor about going upto the maximum dose of 200 mg if you are able to tolerate without side effects. If Sertraline is not effective, alternative SSRI (selective serotonin reuptake inhibitor) like Fluoxetine or Fluvoxamine can be tried. Low dose Nodiril is used to manage severe OCD. Lexatonil is meant to be used for short term only.

CBT is very important. Exposure and response prevention work will help to make OCD less stronger. It can be difficult but continue challenging these thoughts. Try to sit with the uncomfortable thoughts and that you develop distress tolerance.

Lifestyle interventions to manage stress and aid relaxation will make OCD better. Try regular exercise atleast for 20 minutes daily. Practice deep breathing techniques daily. OCD may not always completely disappear but will become less prominent, and you will be able to function much better in due course.

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