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Trenton, NJ
A 44-year-old female asked:

ocd, am taking 300 mg luvox and still going back to house to check locks after leave, also on abilify, (aripiprazole) remeron and depekote for bipolar i, what next?

3 doctor answers7 doctors weighed in
Dr. Pamela Pappas
Psychiatry 42 years experience
Psychotherapy: What's "next" might be to add psychotherapy to your current treatment -- specifically cognitive behavioral therapy, with exposure and response prevention (erp). This can be really helpful, and increases likelihood of good results for ocd treatment. Speak with your psychiatrist about such referrals. More info here: http://www.Ocfoundation.Org/cbt.Aspx.
Dr. Lynne Weixel
Clinical Psychology 36 years experience
End of the road?: Try talk therapy if you can find a good one willing to take a stab at ocd. It is a challenge (as you may know better than most), so be patient. It might take lots of time, effort and courage, but it is possible to master these kind of symptoms. It helps if you can use your best abilities to take a lighter perspective - a bit of wit. Best wishes in your struggle.
Dr. Donald Jacobson
A Verified Doctor commented
A US doctor answered Learn more
A psychiatry resident in Germany quit psychiatry to write a book a out his worsening OCD. He wrote with Amazing. clarity and insight when he said "es denkt für mich!" It is thinking for me. " Learn To distinguish those thoughts that come from you and those that arise from your sick brain thinking for you. Then learn to resist the accompanying dread. It is all an illusion. If you have Tried everything and are still miserable, please consider the possibility of a neurosurgical approach. This is not a lobotomy. Neurosurgical approaches have been well Researched and thought out and are done rather routinely today at some of the countries Best neurosurgery departments. If you go this route I would consider the department of neurosurgery at Loyola University Hospital in Maywood Illinois. Harvard University also has a fine neurosurgical team for this.
Aug 26, 2013
Dr. Jerry Smith
Clinical Psychology 14 years experience
Talk therapy: Trying to manage/treat OCD symptoms with medication alone is often insufficient. Seek out a qualified cognitive behavioral and/or mindfulness therapist.

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Last updated Sep 30, 2020

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