How can someone overcome persistent OCD?

Welcome to icliniq.com.

I have read your query, and I can understand your concern.

First of all, I would like to make it clear that telling lies does not cause OCD (obsessive-compulsive disorder). Therefore, stop blaming yourself for it. It is possible that it was observed after the said incident, but it does not mean it was caused by discussing some lies with your wife. Secondly, I like to inform you that OCD is a treatable condition today. There are two principal modalities of treatment, including cognitive behavior therapy and medications. Since Flunil (Fluoxetine) helped her extensively, I feel she should be restarted with Flunil at 20 mg, which can be increased to 40 mg after one week and 60 mg after two weeks. Mostly the effects are seen within three to four weeks, and the complete response may take three months. If Flunil alone does not help completely, other medications can be added to get complete relief from her OCD. If there were side effects with Flunil, other options can be considered, such as Lexapro (Escitalopram), Fluvoxin (Fluvoxamine), and Paxil (Paroxetine). The duration of treatment is often long and may last at least two years, so there is decreased chance of relapse in the future.

I hope this information will help you.

Thanks and regards.

Welcome back to icliniq.com.

I have read your query, and I can understand your concern.

Although it will be premature to say whether she can recover completely, there is a good chance that she can recover from OCD (obsessive-compulsive disorder) with cognitive behavior therapy (CBT). For undergoing CBT, a person needs to have proper psychological mindedness. It must be assessed before I can comment on the likely outcome of CBT for your wife. This is a kind of talk therapy where the dysfunctional pattern of thoughts is changed with appropriate thoughts with the use of simple techniques. The CBT often lasts from 10 to 12 weeks, and a one-hour session often marks every week. In between, the person is instructed to have some homework which forms an essential part. Although it is possible to deliver CBT online, it is always better to have a local psychiatrist to deliver CBT. This is to overcome the obvious limitations of being distant and not connected.

I hope this answers you further.

Thanks and regards.