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Bipolar disorder and ocd

Iam suffering from bipolar disorder for past 10 years.i also have obsessive thoughts.doctor has prescribed medications but there is no change. I heard that electric and magnetic pulse therapies work good when medication is not working.i don't know why my doctor didn't suggest these therapies.will they helpful for curing the disease.
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Dr. Antara Gupta
Neuropsychiatrist 13 yrs exp Aligarh

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ECT and magnetic stimulation are not first line therapies. In your case the following approach may work 1. Optimisation of mood stabiliser dose 2.reduction of antipsychotic dose if that is causing obsessional thoughts 3. Balancing with an anti OCD drug with least propensity for a manic switch. 4.psychotherapy for thoughts.    There are a variety of options in pharmacotherapy so your doctor need not advise about electric/magnetic therapy. They are costly , may require  admission/daycare  , they also reduce the efficacy of medicines.
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Dr. Sugandha Gupta
Psychiatrist 11 yrs exp Delhi
Hello, Bipolar disorder along with obsessive symptoms would require a detailed assessment to know and understand the relationship between the two disorders, the severity and magnitude of each, the effect of treatment of one disorder on the other and several other such aspects. It is a delicate balance of treatment and a combined approach of medication and psychological intervention is usually the best suited approach. Regarding somatic treatments like electro convulsive therapy or magnetic stimulation, the are used for very specific indications within these disorders and are not the first line of treatment. Kindly discuss these treatment modalities with your psychiatrist for better understanding. Hope this helps you..
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