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HomeAnswersPsychiatryocdI have been suffering from obsessive-compulsive disorder. How do I manage it?

How to deal with obsessive-compulsive disorder?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

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Published At October 5, 2022
Reviewed AtSeptember 20, 2023

Patient's Query

Hi doctor,

I have been suffering from obsessive-compulsive disorder (OCD) for years. I just turned 18 years old. I would say my height is around 5.6 feet, and I weigh around 143 pounds (but currently trying hard to lose weight). I cannot stop washing my hands. For example, when I start washing my hands, I have to wash them around five to six times in a row. Also, I cannot touch anything without washing my hands or wiping them with wet (disinfectant) wipes. So I always use toilet paper or tissues or tell my parents to open drawers, turn off the lights or open doors or do something else so I do not waste any wipes or tissues. I cannot go outside without a bag of wet disinfectant wipes.

The moment when I come home, I wash my hands a couple of times. But then I have to clean my phone with those wet disinfectant wipes. In addition to that, I cannot sit down where other people sit. For example, on sofas at hotels or even at home, I can only sit on one chair, which is mine and where only I sit. I often make humming or lightly coughing sounds, which I repeat multiple times. This happens throughout the day, around three or four times (maybe more subconsciously). Also, I often eat the skin around my nails (I do not bite my nails), my inner cheeks, and the skin on my tongue. This sometimes leads to small wounds. Also, eating hurts a lot because the skin in my mouth is damaged. Moreover, before going to bed, I have to check every wall in my room, the whole floor, and under my bed multiple times to ensure any bugs. Well, I hope you can help me and recommend medication I could use so that I can live my life easier. I do not use any medication yet, and I just sometimes take Vitamins.

Thank you in advance.

Hi,

Welcome to icliniq.com.

Obsessive-compulsive disorder is a type of psychiatric issue caused to an imbalance of neurotransmitters in the brain. Neurotransmitters like dopamine and serotonin control our mood, thoughts, and behavior. The imbalance of these neurotransmitters can be balanced through medicine and some cognitive behavior therapy. But medicine is an essential part of the treatment. You must start on some SSRIs (selective serotonin reuptake inhibitors) like Fluoxetine 20 mg or Fluvoxamine 50 mg.

If you have any other doubt, you can always connect with me here.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vandana Patidar
Dr. Vandana Patidar

Psychiatry

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