OCD Medication Management in OhanaDoc

Expert pharmacological treatment with SSRIs and augmentation strategies from pharmacologically-trained physicians specializing in OCD management.

Our Services

SSRI for OCD

High-dose SSRI therapy specifically for obsessive-compulsive disorder. We understand serotonin modulation in the CSTC circuit for effective symptom reduction.

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OCD Medication

Evidence-based pharmacological treatments including first-line SSRIs and augmentation strategies for treatment-resistant OCD cases.

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Obsessive-Compulsive Treatment

Comprehensive medication management targeting both obsessions and compulsions through serotonin system optimization.

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OCD Therapy Support

Pharmacological support that enhances the effectiveness of behavioral therapies like ERP through targeted neurochemical modulation.

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Frequently Asked Questions

Why do SSRIs work for OCD?
SSRIs work for OCD by increasing serotonin levels in the brain, which helps regulate the cortico-striatal-thalamic-cortical (CSTC) circuit involved in OCD symptoms. Higher doses are often needed for OCD than for depression due to this specific neurocircuitry.
What SSRIs do you prescribe for OCD?
We prescribe fluoxetine (Prozac), fluvoxamine (Luvox), sertraline (Zoloft), and paroxetine (Paxil) for OCD. These are FDA-approved for OCD treatment and have demonstrated efficacy in reducing obsessions and compulsions.
How long does it take for OCD medication to work?
OCD medications typically take 8-12 weeks to reach full effectiveness, though some patients notice improvement earlier. We monitor symptoms weekly initially and adjust dosing based on therapeutic response and side effect tolerance.
Do you use augmentation strategies for OCD?
Yes, for treatment-resistant OCD, we may add medications like low-dose antipsychotics, buspirone, or other augmenting agents. These are added to SSRI therapy when monotherapy is insufficient.
What if SSRI treatment doesn't work for my OCD?
We try different SSRIs first, optimize dosing, then consider augmentation strategies or other evidence-based approaches. We understand the complex neuropharmacology of OCD and tailor treatment to individual response patterns.