Dealing with Depression/ocd or something else?

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Question
Hello! An answer to your question:i m a 28 year old male, married, 1 kid 1.5 year old daughter.. i was diagnosed with OcD 2 years back. unwanted thoughts of incest with my daughter, mom, sisters, sexual thoughts giving yuck feeling r my chief complaint. despite that i dont have any wish to act on these thoughts still they keep on coming again and again. my heart keep on trembling whole day. i m feared that what if i start acting on these henious unwanted thoughts.i feel anxiety whole day. recently i had a very strange thought pattern that if my family dies then i will be free from work burden. i will sleep whole day without any restriction,.. i feel extreme guilt that i wished death of my whole family. I LOVE THEM N NEVER WISH ANY PAIN TO THEM> i feel that GOD is angry with me and i will be destroyed... i took SSRI for 7 months. but no benefit. then 2nd psychiatrist medicines for 2 montha. no benefit. then 3rd medicine for 1 month no benefit. now i took 5 sessions of hypnotherapy completed last week. no benefit with HYPNOTHERAPY n HOMEOPATHY. please help me some how. i have spent all my savings in HYPNOTHERAPY treatment. please help me somehow. i m in extre
me pain. please tell me what is the chance of me getting alright. thanks in advance. noone in my family knows about my disease.

Answer
Hello.

You need to check if you have tried appropriate medication for adequate amount of time. SSRI is a vague category. Specific medication for OCD is Fluvoxamine / Fluoxetine and Clomipramine. These three are known to act against OCD. The course is anywhere between 9 months to a few years. The time period you have mentioned is too short for one to judge the efficacy of the medication. And doses might also have to be increased.

I cannot comment upon the other two modes of treatment you have mentioned as there is no evidence to prove their effectiveness in psychological disorders. Currently the three medicines i have mentioned are the preferred ones, in addition to behavior therapy as a combination treatment for OCD.

Hope this helps.  

Dealing with Depression

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Dr Abhijeet Deshmukh

Expertise

Hello. I have volunteered here to help you with questions regarding Depression. I intend to focus on the questions which are about how to deal with depression. Even if the depression is part of some other disorder, you can ask me about that. You can also ask me questions related to Psychotherapy for depression. I apply the principles of Rational Emotive Behavior Therapy in my own life, and also help my clients/patients with those. I believe in providing my clients/patients with the best possible and evidence based information. The same applies to the online answers here, too.

Experience

I am a trained Psychiatrist working since over 9 years. I am also a certified Psychotherapist (Rational Emotive Behavior Therapy).

Organizations
Indian Medical Association, Nagpur Academy of Medical Sciences, Nagpur

Publications
"Effect of Indian classical music on quality of sleep in depressed patients: A randomized controlled trial" - (Main Author) - Nordic Journal of Music Therapy, Volume 18, Issue 1 March 2009 , pages 70 - 78

Education/Credentials
I have done my MBBS from the Government Medical College and Hospital, Nagpur. Psychiatry training - DPM (Diploma in Psychological Medicine) from BYL Nair Charitable Hospital, Mumbai. Psychotherapy training - Primary + Advanced Certificate in REBT from Albert Ellis Institute, New York. Basic + Advanced Certificate in REBT from In Vivo - Mumbai Center for REBT, Mumbai.

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