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Re: Does anti-psychotics help, or worsen, OCD? » Phillipa

Posted by yxibow on September 8, 2006, at 1:52:50

In reply to Re: Does anti-psychotics help, or worsen, OCD? » flip-floppy, posted by Phillipa on September 8, 2006, at 1:03:04

> Luvox and anafranil are good for OCD. Love Phillipa

I would second that, and add a comment. Pure obsessional thought OCD is a hard one to conquer. It is hard to do behavioural therapy on something that seems like streams of nonsense in your mind. I have it to a limited extent, its annoying, its not part of my personality, it includes antisocial thoughts, but not much I can do about it. I once had a psychologist who suggested that for pure obsessional thoughts to just think them as a cloud and imagine them floating away. That's about the only behavioural therapy I can recommend. Getting annoyed at them only seems to provoke them more.


As for the antipsychotic end, I don't know which one(s) you have tried/been prescribed. I would say that those that could provoke what seems like anxiety but is actually a side effect (akathisia) would be more likely to seem worse, but that is just a pure hypothetical.

Low potency neuroleptics such as Zyprexa and Seroquel are frequently added in small quantities to medications such as Luvox/Paxil/Prozac/etc, (and probably Anafranil too) to make them "work better" and in the case of pure obsessions that probably is a better use of drug therapy alone I would think.

On the other hand, you may just have an idiosyncratic or paradoxical response to your prescribed neuroleptic or neuroleptics in general. There's no guarantees.

-- Jay

 

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