Doses of SSRIs for OCD
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- Опубліковано 25 гру 2022
- Dr. Pagnani of Rittenhouse Psychiatric Associates discusses the use of Serotonin Reuptake Inhibitors for the treatment of OCD (obsessive compulsive disorder).
Dr. Pagnani is the founder and medical director of Rittenhouse Psychiatric Associates, an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry, he supervises psychiatric residents at Jefferson Hospital, he serves on the Young Professional Board of Uplift, the Center for Grieving Children and he maintains a private practice of Psychiatry in Philadelphia where he sees patients for one-time psychiatric evaluations and second opinions. He is a licensed physician and surgeon in NJ, PA, NY, MD, DE, FL and CA and can provide consultations to individuals via HIPAA compliant Telehealth visits living in these locations.
Rittenhouse Psychiatric Associates is a private practice of psychiatry consisting of about 25 psychiatrists, psychiatric nurse practitioners and psychotherapists with physical locations in Philadelphia and Paoli, PA and serving all of PA, NJ, NY and FL virtually via HIPAA compliant tele-psychiatry. Individuals seeking not only evaluations but long-term psychiatric care, can contact Rittenhouse Psychiatric Associates directly.
These videos aim to increase awareness and discussion of mental health topics and to encourage struggling individuals to schedule an appointment directly with a mental health provider. Mental health needs to be normalized, and simply speaking about mental health topics openly, is an important first step.
Dr. Pagnani and Rittenhouse Psychiatric Associates are NOT advocating for or against the use of any mentioned psychiatric medications for any specific individual. Additionally, any side effects mentioned are not a complete list of potential side effects or contraindications to taking any mentioned medications, and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen.
This video is INFORMATIVE ONLY - NOT MEDICAL ADVICE.
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My 21 yr old son is on 80mg of Prozac for OCD, and once he jumped to 80mg, his life got dramatically better.
Ocd never goes away!!!!!
I am on 80 mg of prozac for huge ocd and irational anxiety, and 25 mg of quetiapine, like you Said for this disorder we need to go higher, side effects are anoying at the Begining, but it Will Pass..😊
Hi! How are you feeling right now? Do you feel the medicines working?
@@mebpoli01 i need to lover prozac..but yes they work
What would you recommend best for ocd ? Zoloft or Prozac?
I developed sever OCD after my gut was damages from Antibiotics . I developed sever intestinal candida . H.pylori . Sibo.my b12 was 104 very low . Acid folic was 1 very low . All my minerals are super low . No I am treating the root cause which is gut and I am seeing improvement .. my serotonin in my gut
Very very interesting. I've been reading on this topic. I've always had gut problems, severe constipation, and prone to depression for 30 years. Recently quit Effexor. The anxiety is awful, runaway thoughts. Don't want to go back on antidepressants though.
May i ask you how you treat your gut? I beleave i have Sibo und Candida too. My anxiety and OCD symptoms went up, when my gut was severly damaged. Now i try to only eat Healthy, but its not always easy
@@Flywaves1do you still take meds? I went on carnivore way of eating but still High dose of meds..all the best😊
@@stellaancimer8505 hey, thank you :) i'm glad it works for you. So currently I am eating normal again, but when my gut make problems i consider eating Meat and Fruit again. I bought Sertaline (50mg), but haven't started yet. I would, if my anxiety flare up again. Wish you all the best too :)
Anticholinergic ssris are unfortunate. Why would i want to block acetylcholine?
Great question. The anticholinergic effects of many psychiatric medications tend to be a side effect, that is not related to the actual purpose of the medication (i.e. these side effects are not intended). If someone is particularly vulnerable to these side effects, it is important to discuss with their provider, as medications (even within the same class) have significantly different risks of these side effects. Thank you for participating in the discussion! - Dr. Pagnani
What milligram do you suggest for trintillex im on 30mg right now no luck
However I want to add it’s the only one I’ve tried that actually works for anxiety and has less side effects
What is your recommended dose for lexapro for ocd. I'm on 10 and seeing some improvement on physical anxiety but still not stop rumination. I try not to engage but they just keep coming
OCD often requires high end (or even 50% higher than FDA approved for depression) doses of SSRIs. So, it's not uncommon for a patient of mine with OCD to take 20 (or even 30 mg) of lexapro. It's important to be monitored closely and to discuss directly with your provider, as there can be side effects. However, please do not be discouraged if you are still having troubling symptoms at your current dose. Both bulimia and OCD tend to respond well to this type of dosing. Sincerely, - Dr. Pagnani
How are you going now? Got prescribed Zoloft today. Ruminating is fucking insane & I can barely function
I am on 20 and doing alot better. Rumination is still something your gonna have to choose not to do. It's a compulsion. It makes it alot easier to stop
@@blktegs thankyou. Non stop rumination has just destroyed my mental health. Glad to hear it’s easier to stop. Hopefully after learning how to disengage from the ruminating I can do it off the meds too.
@overcomingwithin yep it destroyed me. I didn't sleep. It was nonstop. When you stop ruminating you will feel worse. Your mind is trying to bring you back to rumination. Just keep with your daily task that you always have done with the feeling of anxiety and headache and all the other stress response issues and don't ruminate