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Help please! Meds not working!


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Hi guys, I have just joined the forum and I was needing some advice. I suffer from severe OCD and intrusive thoughts. After having a major episode this year over the birth of my nephew, (should have been an exciting time, not OCD fuelled) I was having intrusive thoughts about my newborn nephew. I suffered major POCD and in the midst of this I was having thoughts about my ex boyfriends child. This guy has been a major source of pain in my life. Anyway, cut a long story short, I still have images of his daughter every time I have an episode. Question? Can OCD thoughts be obsessions about anything? Like why the fuck would I have thoughts about the child? It is really disturbing and upsetting. Currently on 300mg of Luvox, does jack shit for me as I have been on these meds since I was 24, I am now 42. Can anyone please shed some light? In addition to these thoughts, images of the child are also strange unnatural, sexual acts regarding her. It started off with my nephew and when I had a thought about her, thats when my world turned upside down. Now, it doesnt seem to go away during times of stress. 

Edited by hatemyocd
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I think you need to talk to your psychiatrist and be honest that your meds are no longer helping. There are other meds to try. In addition, I STRONGLY recommend therapy because successfully treating OCD usually requires a combination of meds and therapy. I used to have bad OCD with compulsions and I largely beat it with the help of meds and therapy. You need the meds to knock down the intensity somewhat so that therapy can work. And therapy does work for OCD.

I just have one question: What is POCD?

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  • 4 weeks later...
On 9/16/2017 at 0:58 PM, hatemyocd said:

Can anyone please shed some light? In addition to these thoughts, images of the child are also strange unnatural, sexual acts regarding her. It started off with my nephew and when I had a thought about her, thats when my world turned upside down. Now, it doesnt seem to go away during times of stress. 

Thoughts about molesting children is classic OCD.  I have these thoughts as well and there are things you can do to quiet the thoughts.  Have you ever worked with a therapist and done ERP?

The luvox may not be enough to break the circuit.  You may want to augment it with an AAP.  Risperidone and Abilify both have data backing them up in the treatment of OCD.  You can also try dextroamphetamine-a recent double-blind study showed dextroamphetamine was effective in reducing OCD symptoms.  There area ton of other drugs that can be added to an SSRI to better treat OCD.

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1 hour ago, hatemyocd said:

Thank-you so much for the information you have provided. I don't think I can go through life with thoughts of this nature always in the background. Are you on any meds? If so what combination? 

Thanks x

The first thing to do is welcome the thoughts and not fight them.  Fighting them spawns more thoughts.  Just accept that you are having them.

I'm on 3 medications to help combat my OCD.  I'm on Effexor-serotogenic antidepressants are the first line medication for OCD.  Serotonin calms the brain. Only 50-60% of OCD sufferers will respond to antidepressants.  That's why I also take Vyvanse-a form of dextroamphetamine.  A recent double-blind study showed dextroamphetamine to be effective in treating OCD (the same study showed caffeine is also effective in reducing OCD symptoms). Then I take Invega, an atypical antipsychotic.  Invega works to reduce 5ht2a activity, which is implicated in the pathophysiology of OCD.

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That's what I have learnt after a long and painful process. To accept the the thoughts, as they are ego-dystonic and do not represent who you are as a person. I am thinking of changing my medication so thank-you so much for sharing with me what meds have helped you. First step is to change my therapist! 

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