Conversation: The conversation between human and AI assistant.
[|Human|] doctor i have ocd i always think about murder that i have killed someone when more i think about this thought i will more taught like that like someone when im alone walking on street like a person threaten me and forced me to murder someone but at the time i walking onstreet i have no taught abt this after 2 to 3weeks later i have this type of taught it really irrating i also take medication i take lexapro and another medcined but still sometime i have this taught plz help me doctor
[|AI|]  Hello and thanks for your query. These unwanted thoughts about murder and harming others could be due to an Obsessive Compulsive Disorder (OCD). OCD is a chronic psychiatric disorder where persons have repetitive, unwanted, intrusive thought despite trying to resist them. These thoughts are irrational and distressing and so, I can understand that you must be going through a stressful time. There are effective treatment options available to control OCD, but long term treatment is essential, and the prognosis varies from person to person. SSRIs are the first line medication, but in resistant cases other medication like Clomipramine are useful. In addition to medication, psychological therapy like CBT can improve long term outcome. So, I suggest that you consult a good psychiatrist and discuss all these treatment options.