What causes lower decision power?
Patient: one of my relative is delaying every important thing in life . he is 34 ,does wants to take any responsible work, even though marriage. he washes his hands frequently & each time 2 minutes.he afraids what world may think about him ? his decision power is also becomig less. he does not wants to go out also. but he is doing his job satisfactorily . very sensitive in nature Doctor: Hi,I do appreciate your concerns for your relative. From what you have mentioned, your relative might be suffering from Obsessive compulsive disorder (OCD) in addition to other anxiety disorders. OCD is a condition in which a person repeatedly have thoughts regarding something and does some act to undo it. In your relative's case, he might be having obsessions of contamination and washing his hands repeatedly could be the associated compulsion. He might also have other obsessions, which will require detailed evaluation. His not wanting to take decisions and remaining at home might also be related to associated anxiety.I would suggest a psychiatric consultation for him for complete evaluation and initiating treatment. Medications like fluvoxamine would be helpful in controlling his OCD and anxiety.I do hope that I was able to answer your query. Best wishes.