Any other options for OCD besides Prozac

Tammy - posted on 07/15/2015 ( 15 moms have responded )

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My daughter has moderate to severe OCD (along with ADHD) and can not take Prozac(or any other SSRI). Has anyone had any experience with anything else?

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Sarah - posted on 07/19/2015

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The intrusive thoughts seem to indicate a pathology more than OCD. It is one thing if she ruminates and gets stuck on a topic but if she having actual frightening uncontrollable thoughts, that seems to be more than OCD, My expertise is limited in this area, I do work with many clients with varied mental health issues at a the summer camp as the nurse. The anafranil may help with the compulsive behaviors, you do have to give tricyclic antidepressants some time to work. Has ever been on an anti-psychotic?
Behavioral therapy is probably going to be the most helpful at her age. I wish you the best of luck!

MaryAnn - posted on 07/19/2015

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Is she a list maker? Intrusive thoughts and compulsions require a lot of time and professional help at the root.
A "quicker" thing to do would be to redirect compulsions to a lower risk activity.
Have her write up a list of appropriate times to be hand washing, and find her something else she can carry on herself to pick at... maybe a card woth paint on it.

Tammy - posted on 07/19/2015

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Right now it's the hand washing, picking at her cuticles, etc but the worst right now are the intrusive, horrific, bizarre thoughts. She was on Prozac which worked well but we can't use that right now. Just started Anafranil the other day but will be weeks before we know if it's really helping. She is 12.

Sarah - posted on 07/18/2015

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How does her OCD manifest? What other meds have been tried? How old is she? Have you considered going to a teaching facility like Mayo Clinic or University of Chicago for an evaluation? The neuro-psych departments at theses places really have cutting edge therapy.

MaryAnn - posted on 07/15/2015

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What, exactly, is the current problem,? Is she having school troubles? Is it causing problems in family dynamics? Is she harming herself? Is she harming others?

Tammy - posted on 07/15/2015

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Of course, she knows what's going on. But honestly seems to be at a bit of a loss herself as what to do/how to help.

MaryAnn - posted on 07/15/2015

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Was she weaned off the prozac slowly under the supervision of a healthcare professional?

MaryAnn - posted on 07/15/2015

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Living with OCD is not an easy task, and parenting a child with OCD is no easier. There are no quick fix solutions. There is no magic pill.
If your daughter is an immediate risk to herself or others, she needs immediate medical intervention- and that would likely be until she no longer poses an immediate risk.
Building her a healthy life will be a life long task of management. OCD is neuro-atypical. It, at best, will only *look* normal. She will need to learn more about herself, always take precaution, and learn to cope with some pretty seemingly miserable realities. A return to medical assistance will be inevitable at most major changes in her life.
You may need to grieve. But I can assure you, so long as she learns how to take care of herself (these needs will vastly differ from not only the non-OCD majority), she can live a life with normal milestones, and achieve great success in whatsoever she chooses.
This is going to take a LONG time, a LOT of hard work, and a LOT of love and acceptance- even when her behaviour is simply unbearable.

Tammy - posted on 07/15/2015

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We've been dealing with it for over 3 years and unfortunately it is most definitely an accurate diagnosis. She was doing well on Prozac and therapy until we discovered she literally stopped growing will taking the Prozac. Within 6 weeks of taking her off of it she grew a half an inch and has continued to grow. The 3 years she was on it she didn't even grow a quarter of an inch.

Tammy - posted on 07/15/2015

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Mary Ann,
Although I completely agree with your statement/opinion, CBT can not really be effective or implemented if the child's OCD is severe enough that it's greatly affecting their ability to function. Right now my child's OCD is out of control and she needs help NOW. Once we can get her symptoms lessened (possibly with a different medicine) then implementing CBT will be much smoother

MaryAnn - posted on 07/15/2015

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OCD is a life long frustration - its unlikely she will "grow out of it," if it is a correct diagnosis. There is no cure, but with proper counsel, (and this may be on and off for a very, very long time) it can be very well managed. If not properly managed, it may, in fact, spiral into many other issues that can surface disguised as various mood, mental, and physical conditions.

MaryAnn - posted on 07/15/2015

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CBT. Pills calm nerves, but only therapy can teach a child to properly manage intrusive thoughts and irrational repetitive behaviour.

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