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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by alienatari on February 28, 2007, at 16:45:48
Hello. I asked my pdoc what I have and he said I have psychotic ocd and that its not in the diagnostic material yet but is giving me some research material that explains the disorder. Anyone else here have psychotic OCD? The antipsychotics do really help for it I guess. I'm glad I stopped haloperidol as now Im more awake and can get out of the house but haloperidol was good at stopping the voices and visual halucinations that I have.
Anyway, if anyone here has similar probs i'd love to talk to them about it.
take care
Chris
Posted by med_empowered on February 28, 2007, at 16:47:51
In reply to Psychotic OCD, posted by alienatari on February 28, 2007, at 16:45:48
Haloperidol is rough stuff man...so is psychotic OCD considered long-term, chronic and what not, or could you maybe use antipsychotic only when necessary, like with some forms of bipolar?
Posted by alienatari on February 28, 2007, at 17:13:34
In reply to Re: Psychotic OCD, posted by med_empowered on February 28, 2007, at 16:47:51
Thanks Med_Empowered. I find that the antipsychotics combined with clomipramine at a high dose work best for me. Most of my psychosis (except for paranoia) was gone on haloperidol at 5mg and 200mg of clomipramine.
Now I'm on the following:
200mg Clomipramine
1mg Respridal (still increasing this one> I think I need a higher dose)
1250 of Lithium (my levels are 8.5)
5-20mg of valium depending on how I feel.Im really trying to push hard and stop just staying at home doing nothing. Its so bloody hard for me to step outside because of the paranoia but Im doing it and GOD it is scary but again Im still doing it and going to University after a long break of many years. I'm halucinating (visual and voices) and I'm scared but I think things are getting better (i hope anyway).
One more thing I must say is that Litihium is the best drug for me for my depression. Only thing that has ever worked. Its so nice to not be depressed for once as Ive been depressed for so long and had many suicide attempts.
Thanks and take care
Chris :)
Posted by yxibow on February 28, 2007, at 18:56:24
In reply to Re: Psychotic OCD, posted by alienatari on February 28, 2007, at 17:13:34
> Thanks Med_Empowered. I find that the antipsychotics combined with clomipramine at a high dose work best for me. Most of my psychosis (except for paranoia) was gone on haloperidol at 5mg and 200mg of clomipramine.
> Now I'm on the following:
> 200mg Clomipramine
> 1mg Respridal (still increasing this one> I think I need a higher dose)Extremely low doses of Risperdal theoretically can increase dopamine though I don't know if this has ever been conclusively proved. Risperdal is Haldol with a molecular change.
> 1250 of Lithium (my levels are 8.5)
> 5-20mg of valium depending on how I feel.
>
> Im really trying to push hard and stop just staying at home doing nothing. Its so bloody hard for me to step outside because of the paranoia but Im doing it and GOD it is scary but again Im still doing it and going to University after a long break of many years. I'm halucinating (visual and voices) and I'm scared but I think things are getting better (i hope anyway).
That you are going to University despite things is a significant sign. Very positive and you should be proud of yourself.
>
> One more thing I must say is that Litihium is the best drug for me for my depression. Only thing that has ever worked. Its so nice to not be depressed for once as Ive been depressed for so long and had many suicide attempts.
Lithium has been for the longest time the best agent to stop suicide. So the fact that it is working for you is proof positive.
> Thanks and take care
> Chris :)
I'm not sure how your doctor sees things, my definition of psychotic OCD that I know about from a treatment program (I had a severe episode of OCD, not psychotic, but pretty high YBOCS) is that people with strong OCD that are not psychotic recognize that the compulsions they are doing are not what they should be doing but feel compelled regardless to do them anyhow.Psychotic OCD, which happens in less than 1% of these cases, is where someone has such a very high YBOCS, and at that point does not quite realize that the compulsions that they are doing for their obsessions are not what they should be doing and need an antipsychotic added to an SSRI that they are taking to push the envelope, break the connection and convince the individual (behaviour therapy is still necessary) that they have a psychosis attached to their OCD.
But OCD and labelling it varies wildly, there is an "OCD Spectrum" of disorders, so it may be a label attached to the voices that you hear and possibly some compulsive reaction your doctor thinks you are doing. I can't say for sure.Best wishes
-- Jay
Posted by Phillipa on February 28, 2007, at 22:33:35
In reply to Re: Psychotic OCD » alienatari, posted by yxibow on February 28, 2007, at 18:56:24
Alien glad you posted Love Jan
Posted by alienatari on March 1, 2007, at 0:10:48
In reply to Re: Psychotic OCD » alienatari, posted by yxibow on February 28, 2007, at 18:56:24
Yea I know about rispredal I was on 5mg before.
Every psychatrist I have seen has said something different.
First one said severe OCD
second one said severe OCDNow I see my new doc he said its psychotic OCD. My point is, I dont know how to define my OCD at all but I am Psychotic on top of having OCD weather I have psychotic ocd or not. I hear voices, see things that are not there, I am delusional and no im not schizophrenic. If these are not symptoms of psychotic OCD that doesnt mean anything as I have not defined the symptoms of my OCD.
> > Thanks Med_Empowered. I find that the antipsychotics combined with clomipramine at a high dose work best for me. Most of my psychosis (except for paranoia) was gone on haloperidol at 5mg and 200mg of clomipramine.
> > Now I'm on the following:
> > 200mg Clomipramine
> > 1mg Respridal (still increasing this one> I think I need a higher dose)
>
> Extremely low doses of Risperdal theoretically can increase dopamine though I don't know if this has ever been conclusively proved. Risperdal is Haldol with a molecular change.
>
> > 1250 of Lithium (my levels are 8.5)
> > 5-20mg of valium depending on how I feel.
> >
> > Im really trying to push hard and stop just staying at home doing nothing. Its so bloody hard for me to step outside because of the paranoia but Im doing it and GOD it is scary but again Im still doing it and going to University after a long break of many years. I'm halucinating (visual and voices) and I'm scared but I think things are getting better (i hope anyway).
>
>
> That you are going to University despite things is a significant sign. Very positive and you should be proud of yourself.
>
>
> >
> > One more thing I must say is that Litihium is the best drug for me for my depression. Only thing that has ever worked. Its so nice to not be depressed for once as Ive been depressed for so long and had many suicide attempts.
>
>
> Lithium has been for the longest time the best agent to stop suicide. So the fact that it is working for you is proof positive.
>
>
> > Thanks and take care
> > Chris :)
>
>
> I'm not sure how your doctor sees things, my definition of psychotic OCD that I know about from a treatment program (I had a severe episode of OCD, not psychotic, but pretty high YBOCS) is that people with strong OCD that are not psychotic recognize that the compulsions they are doing are not what they should be doing but feel compelled regardless to do them anyhow.
>
> Psychotic OCD, which happens in less than 1% of these cases, is where someone has such a very high YBOCS, and at that point does not quite realize that the compulsions that they are doing for their obsessions are not what they should be doing and need an antipsychotic added to an SSRI that they are taking to push the envelope, break the connection and convince the individual (behaviour therapy is still necessary) that they have a psychosis attached to their OCD.
>
>
> But OCD and labelling it varies wildly, there is an "OCD Spectrum" of disorders, so it may be a label attached to the voices that you hear and possibly some compulsive reaction your doctor thinks you are doing. I can't say for sure.
>
> Best wishes
>
> -- Jay
Posted by alienatari on March 1, 2007, at 0:11:28
In reply to Re: Psychotic OCD, posted by Phillipa on February 28, 2007, at 22:33:35
*hugs* love you Jan :)
> Alien glad you posted Love Jan
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