Have Mental Health Questions? Ask a Psychiatrist Online
Hello ! Thank you for your question, I’m Dr. Vikas (M.D Psychiatry) and I’ll try to help you today.
OCD is usually a chronic disorder but has a variable course, some patient experience a fluctuating course and other experience a constant one. Usually OCD symptoms are precipitated during a stressful period.
You are very correct here that Faverin (Fluvoxamine) and Prozac are the main medicines used for treating OCD symptoms. Seroquel is just an additional medicine which some psychiatrist may use for sedation or occasionally as an augmenting medicine to augment the effect of Faverin and Prozac.
The usual dose range of Seroquel is from 300 to 800 mg per day and you were on a comparatively very low dose. Since you have stopped it abruptly and are having no significant withdrawal symptoms so in my view there is no need to start it again specially for OCD related symptoms as it is not useful for treating OCD symptoms.
A slow tapering is always the best strategy when a patient want to stop Faverin or Fluoxetine and you have done the correct thing here that you reduced the dose very slowly.
Psychotherapy specially Cognitive Behavior Therapy has also a good role in controlling OCD symptoms and since you are not willing to continue medicines, you can try CBT online for free via the website link I am giving below.
are you online right now?
i am just feeling anxious and uncomfortable
i am afraid that OCD will attack again
i have sudden moves
right now, are you taking Faverin 100 mg?
but i am feeling depressed. i just feel better when after 8 pm i dont know why but maybe because the bed time is close
OK, see, first of all you should stop worrying that you may have another attack of OCD
because worrying about it is not going to control the symptoms but in fact may precipitate them.
For controlling OCD symptoms either Prozac or Faverin dose can again be increased if required so don't worry about it at all
Seroquel has no role in treating OCD symptoms.
ok great, shall i add prozac 20 in the morning to modify the mood?
yes, it can also be tried since you were taking it earlier also.
you should also try CBT via the link I have given above
one last question Dr.: i know that OCD thoughts are fake but i started to think that these recurring thoughts might be real.
like i might be affraid to admitt something, and thats why i am refering thoughts to OCD
can you explain it please?
my thoughts are religious, i am searching the internet all the time to find evidences that will strngthen my beleives. but what if these recurring thoughts were coming again and again because they are telling me that you are ignoring the truth?!
i am just thinking, if i want to do the behavioral exercises i have to be sure that the first step applies to me which is know that you have OCD. do i? this is the question, and are those thoughts necessarily false?
OK, have you ever tried thought stopping techniques?
i cant do it, i feel like i am just re programming my self
i feel that i am running away from the truth
what i do is that i say: i have OCD
the thoughts are fake and not my fault
its recurring without any benefit
so i will postpone thinking to the evening, when i am relaxed
but i doesnt work when i am fully stressed
or fully attacked by OCD thoughts
see, there is a though stopping technique which can be very helpful in your case
have you tried it?
OK, you can try Thought stopping technique
I am giving you a link below
Thought stopping technique
thought stopping exercise.
and a link for Cognitive Behavior therapy
Sir thank you for your help. i really appreciate it.
just can you suggest anything for my stomach and anxious since 5 days (since i stopped seroquel)?
ONE final question i promise, you deserved a 5 stars service Dr. Vikas:)
I will continue to take my faverin 100 before sleeping but do you think that i shall take prozac 20 or a low dosage of xanax in the morning for my mood?
i love you Dr. :))