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

### input:
sir i am having ocd(Obsessive compulsive disorder) for more than 20 years. I m fed up of this disorder. now i m 33yrs old now my family members are decided to marry me. But i m not interested because of ocd. I m having more thoughts of sucidal eg. falling from building is the top most which is troubling me and many more thoughts like holding people woman while walking on the streets, hugging people, talking worstly, throw the baby from the top, pushing people from the top of building while talking with me really i m fed up with all these thoughts if i marry girl will she support me for this disorder never she will call me as mental patient and if i have a child my child would also become like me as it is hereditary. i m fed up sir sucidal thoughts r more for me pls help me shall i marry, will the disorder is hereditary pls help me from all these i m greatful to u i m taking clofranil 50mg at night i have tried all medicine like prodep, oleanez, clofranil, serta etc no medicine is making me to come out of this disorder pls help i have decided to suicide my self i m fed up if there is any operational therapy pls tell me i vl make that pls help me i am decided to suicide its troubling me lot pls pls pls pls help me sir pls.

### output:

Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are quite distressed about your OC symptoms. You have mentioned that you have been tried on many medications but they haven't been successful in controlling your symptoms. In such a case, you may be suffering from a treatment-resistant OCD. Now, this doesn't mean that there is no treatment available. It just means that more intense treatments or therapies are required. You have mentioned that you are on 50 mg Conrail (Clomipramine). This is a very small dose and people with severe OCD can be given up to 250-300 mg per day. Another effective option is to combine CBT (Cognitive Behavior Therapy) with medication for better results. So, don't lose heart - please discuss with a good psychiatrist regarding further treatment options. Wish you all the best.