Re: OCD back - harm/impulses/urges to harm
Once the citalopram has fully kicked in (dose increases take 4-6 weeks to take effect) you should notice that these thoughts have much less effect. The prevalence of such thoughts seems to be linked to anxiety - so try to do things that lessen anxiety. E.g. limit caffeine intake, have chamomile tea, limit alcohol intake (being hungover is pretty bad for anxiety), try to moderate sugar levels (fruit juice is pretty bad by itself as it can produce a sugar spike) and take regular exercise. And try to get 8 hours sleep if you can (easier said than done though!)
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Today's mood rating - calculation in progress.