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Sir I have one doubt please reply me sir I take Flunil 40 Mg Medicine for intrunsive thought sexual automatically come in my mind about mother obscene images come in mind about mother if I take low dose then it will work somewhat or I will take higher dose I mean if I take low doze can symptoms reduces or not ?
Hi, The symptoms you describe (repeated, unwanted sexual intrusive thoughts about mother) are common in OCD and are called obsessional intrusive thoughts. These thoughts are ego-dystonic (against your values) and do not mean you want to act on them.
Flunil (fluoxetine) is an appropriate first-line medicine for OCD. In OCD, higher doses and adequate duration are usually required for good response. Low doses may give only partial benefit.
Next Steps
- Continue fluoxetine only under psychiatrist supervision.
- OCD usually needs moderate- high SSRI doses and 8-12 weeks to assess full response.
- If symptoms reduce partially but persist, augmentation therapy can be considered by your psychiatrist.
- Low-dose antipsychotic augmentation (e.g., risperidone or aripiprazole in very low doses)
- Adding CBT with Exposure and Response Prevention (ERP) – very important and often more effective than dose increase alone
- In selected cases: switching to or augmenting with clomipramine (specialist decision)
Health Tips
- Do not change the dose or add medicines on your own.
- Avoid mental reassurance, checking, or fighting the thoughts- this worsens OCD.
- ERP therapy teaches how to let thoughts come without reacting, which gradually reduces their intensity.
- Improvement is gradual; patience and consistency are essential.
- With proper dose optimization + psychotherapy ± augmentation, OCD intrusive thoughts are highly treatable.
For more queries, Reach out for an online or in-person consultation:
📞 NEURONAL FIX CLINIC, RAMPRASTHA COLONY, Ghaziabad, (near Shreshtha Vihar, Delhi)- +91- 74XX52XX97XX67XX61
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Hello
Continue the same dose that you were prescribed, before trying to adjust dosage by your self, follow up with your psychiatrist and give a detailed report about symptoms !
You may also benefit from cbt for ocd , try visiting a psychotherapist near you!
Thank you
Next Steps
Follow up with your psychiatrist
Health Tips
Visiting a psychotherapist for behavioural therapy may be useful
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Intrusive thoughts like:
sexual thoughts about family
violent or immoral impulses
fear of losing control
These are symptoms of OCD, not real intention.
The brain gets stuck in a loop and exaggerates forbidden themes.
Next Steps
ERP therapy (Exposure Response Prevention) – most effective
✔ CBT for OCD
✔ Correct SSRI dose
✔ Grounding techniques and mindfulness
Health Tips
40 mg is giving only slight improvement, do not increase by yourself. Talk to your psychiatrist — they may increase step-by-step to 50–60–80 mg if needed.
Treatment is possible and many patients recover very well.
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As per guidelines, for OC symptoms fluoxetine 40 mg is optimum dose
If you will adjust it at lower dose, OC symptoms worsen
I will advise you to continue on this dose , keep follow up with your doctor, make notes of OC symptoms, anxiety episodes, follow relaxation exercises and any query if any discuss with your doctor too
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Hi, please do get in touch with your psychiatrist as these symptoms can be very distressing and you may need adjustment of medication dose. Increasing or decreasing dose by yourself is not advisable, as it can lead to less effectiveness or more side effects.
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