### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Sir I am 31 yr old man serving in military engineer services as a junior engineer. Sir I was suffering from mental problem in 2001 I got checkup my self from AIIMS IN Phyciatry DEPT IN MAY 2001 DOCTOR TELL ME THAT I HAVE OBSESIVE COMPULSION DISORDER THEN I TOOK MEDICINE FROM 2001TO2005 AFTER THAN I GET RID OFF FROM THAT PROBLEM .NOW FROM SIX MONTH DUE TO FAMILY PROBLEM AND OFFICE PROBLEM , I HAVE FACING LACK OF SLEEP,FEARING OF MISSHAPPENING DURING BIKE RIDING AND OFFICE WORK ,MIND BHARI HO JATA HAI . what is the theproblem now. PRASANT AMBALA

### output:

Hello Mr. Prashant, From your symptoms I think it is possible that you may be suffering from another exacerbation (worsening) of obsessive compulsive disorder (OCD). OCD is usually a chronic illness, which means that it does not get cured completely. With medicines, it can be brought in control (like Diabetes or Hypertension), but during stressful situations the symptoms may return. You seem to be facing some stress at home and at work; probably this stress has triggered another episode of OCD. Another, though less likely, possibility is that you are currently having an anxiety disorder other than OCD. A confirmed diagnosis would require a face-to-face consultation. It is very likely that you will benefit from the same medicines that had helped you earlier. I recommend you visit a psychiatrist for a face-to-face evaluation and consider restarting those earlier medicines. More importantly, please do not stop the medicines on your own in the future.