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How to get rid of unwanted thoughts and fear of insecurity?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am having inferiority complex and fear of insecurity and death. I need some drugs to overcome these. Please suggest some medicines. I am having this issue for more than three years and also I used to imagine something that is not even going to happen like natural disasters, somebody comes and slit my throat or stabbing me. These kind of thoughts repeatedly coming in my mind. What to do? Please help.

Answered by Dr. Ashok Kumar

Hi,

Welcome to icliniq.com.

I read your query and understand your concerns. From the available description it appears to me that you are probably suffering with obsessive compulsive disorder (OCD) which is largely a treatable disorder. In this disorder most efficient drugs are SSRI (selective serotonin reuptake inhibitor) class of antidepressants which help the large part of sufferers. The other line of treatment includes serotonergic SSRI and atypical antipsychotic class of medications. I request you to post a detailed query to assist you better. Thank you.

Patient's Query

Hi doctor,

I am having this issue for almost three years now and it affects my daily work. The unwanted thoughts coming in my mind makes me sick. I could not think properly, because of this. I am getting such thoughts mostly when I am studying. Please suggest some drug to solve the issue. Thank you.

Answered by Dr. Ashok Kumar

Hi,

Welcome back to icliniq.com.

Considering your symptoms the possibility of OCD diagnosis is almost certain. Regarding the treatment, I think the following should work for you. Consult you specialist doctor, discuss with him or her and take the medicine with consent. I suggest you take capsule Prodep (Fluoxetine) 20 mg one capsule in the morning and after one week two capsules in the morning, tablet Sizodon (Risperidone) 1 mg at night, tablet Lonazep (Clonazepam) 0.25 mg SOS, whenever you feel restless or not able to sleep. Continue this treatment for two weeks and then revert back to me for further follow up. I need to explain to you that OCD is one of the most difficult psychiatric disorder to treat and it takes long time to respond. Majority of patients take at least 4 to 12 weeks to show some significant improvement. If you do not feel improvement in first two weeks, then you are not supposed to give up as stated above it is usual for the treatment to take time. In addition to the advised treatment, it is important to go for regular exercise and avoid stress as far as possible. I understand it is difficult, but over a long time it will help you to regain your health which was lost around three years back.

Answered byDr. Ashok Kumar

Medically reviewed byiCliniq medical review team

Published At April 16, 2016
Reviewed AtAugust 1, 2023

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