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Hearing a commanding voice in your head

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Are you on any medication?

There are many effective ones (and combinations) for OCD. I wouldn't go that far without trying this solution first.

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7 hours ago, Lapis.Lazuli said:

Do I need a radical treatment like Deep Brain Stimulation for my OCD where they implant electrodes into your brain? I read it has been approved by the FDA for the treatment of treatment-resistant OCD.

Can anyone advise?

I have severe OCD, too, but it's more of the "checking" type.

According to your signature, I see you are only on  klonopin and ativan currently......Has your pdoc recommended any other meds, like maybe an anti-depressant, and/or a mood stabilizer or AAP?.......

I am not a doc, but IMO,  benzos alone are not going to adequately treat your depression and OCD.

Deep Brain Stimulation is more of a last line treatment, after failing all medications and behavioral treatments for OCD:     https://iocdf.org/about-ocd/ocd-treatment/dbs/

Quotes from the article:

"This intervention is only for individuals who do not respond well to cognitive behavior therapy or medication."

" Patients eligible for DBS will have had very little or no response to all currently available medicines and behavioral treatments for OCD."

Edited by CrazyRedhead
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My intrusive thoughts could be described as a commanding voice as well. it is a lot like how you're describing. effexor helped this, and surprisingly when i wasn't able to afford effexor, so did st. johns wort. it didn't completely go away but it did help turn it down a bit. 

before the effexor, i'd literally be standing there paralyzed while my head shouted things like, "punch the baby, buuuuuddy, go ahead, punch the baby, punch it punch it punch it punch it" or "the dog died 'cause of you 'cause of you 'cause of you the dog died 'cause of you it was you"

 

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