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I have a 15 year old son that is 6 foot & 200 pounds, has Autism, OCD, Anxiety he takes 150 mg of Clomipramine, 2 mg of Klonipin, 40 mg of Geodon, his OCD & anxiety is not even being touched with this medication, please any suggestions, I really need help

Hi Rmassey, My best

Hi Rmassey,

My best recommendation is that you talk to your son's doctor (or whoever is prescribing these medications) and express your concerns that his current medication regimen is not helping is anxiety or OCD symptoms.

Clomipramine is a tricyclic antidepressant that is sometimes prescribed for OCD and can help; it's possible that his dose needs adjusted or that it is not the right medication for him.

Klonipin is a benzodiazipine and is often prescribed (on a short term basis) for anxiety. However, because people can become dependent on it if they continue taking it for more than just a few weeks, it is not recommended for long term treatment.

Geodon is an antipsychotic medication that was originally approved for the treatment of schizophrenia. It is also often used in the treatment of bipolar disorder. It is sometimes prescribed "off label" for autism and OCD, however, I don't know how effective it is for either disorder.

Normally I would strongly recommend psychotherapy for the treatment of OCD and any other type of anxiety disorder. However, depending on the severity of your son's autism, he may not be a good candidate. He might, however, benefit from some type of behavior therapy.

Again, I suggest that you talk to his doctor. If he is not being treated by a psychiatrist, then that is definitely something you should consider. It would be best to work with someone who specializes in the treatment of either autism or OCD (or both if there is someone in your area). Both disorders can be quite challenging and don't always respond very well to medication therapy. There may be a lot of trial and error involved in finding the combination that works best for him.

I hope this helps and I wish you the best!

Dr. Lane

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