DBS involves implanting electrodes within certain areas of your brain. DBS is approved by the FDA to treat OCD in adults age 18 years and older who don't respond to traditional treatment approaches. These programs typically last several weeks. Comprehensive treatment programs that emphasize ERP therapy principles may be helpful for people with OCD who struggle with being able to function because of the severity of their symptoms. Intensive outpatient and residential treatment programs.In treatment-resistant cases, other options may be offered: Sometimes, psychotherapy and medications aren't effective enough to control OCD symptoms. Talk to your doctor about the risks and benefits of using specific medications. Work with your doctor to gradually and safely decrease your dose. Don't stop taking your medication without talking to your doctor, even if you're feeling better - you may have a relapse of OCD symptoms. So stopping treatment abruptly or missing several doses can cause withdrawal-like symptoms, sometimes called discontinuation syndrome. Antidepressants aren't considered addictive, but sometimes physical dependence (which is different from addiction) can occur. Some antidepressants can make some other medications less effective and cause dangerous reactions when combined with certain medications or herbal supplements. When taking an antidepressant, tell your doctor about any other prescription or over-the-counter medications, herbs or other supplements you take. Keep in mind that antidepressants are more likely to reduce suicide risk in the long run by improving mood. If suicidal thoughts occur, immediately contact your doctor or get emergency help. In some cases, children, teenagers and young adults under 25 may have an increase in suicidal thoughts or behavior when taking antidepressants, especially in the first few weeks after starting or when the dose is changed. Most antidepressants are generally safe, but the FDA requires that all antidepressants carry black box warnings, the strictest warnings for prescriptions. And let your doctor know if you experience troubling side effects. Talk to your doctor about possible side effects and about any health monitoring needed while taking psychiatric drugs. All psychiatric medications have potential side effects. It can take weeks to months after starting a medication to notice an improvement in symptoms. Your doctor might recommend more than one medication to effectively manage your symptoms. It's not unusual to try several drugs before finding one that works well. In general, the goal is to effectively control symptoms at the lowest possible dosage. Here are some issues to discuss with your doctor about medications for OCD: However, your doctor may prescribe other antidepressants and psychiatric medications.
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