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You must be continuing treatment with a Psychiatrist Peri Ventricular leucomalacia depicts that there is a particular part of the brain that is injured or damaged or there is loss of healthy brain tissue there Whenever there is loss or damage to brain tissue, understanding of a person gets impaired that leads to irritability, anxiety or Adjustment issues in that person As per my opinion, you can take the opinion of a neurologist for better explanation of this MRI finding But most important is to continue treatment with a psychiatrist for OCD, a physician for physical conditions that you have mentioned

With proper treatment he can do good in his future . Periventricular leukomalacia is a condition in which some part of brain is not developed or injured.