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Dear Dr. Chansky,

My 8-year-old daughter was diagnosed with OCD/anxiety and ADHD 5 years ago.

She suffers from " just right " OCD.......she needs everything to " feel " and

" be " just right, from her clothing to her hair to her shoes, ect. She has been

on Fluoxetine 15 mg (Prozac generic) for 3 years now. This medicine has worked

great and has allowed her to function with very minimal OCD symptoms.

But..........she is VERY defiant, angry, explosive and has moments of raging

behavior. These behaviors are ALWAYS brought on by situations where she is

asked to

do something she doesn't want to or asked to do something that she is just not

ready to do, or if at the moment she is having and OCD problem. I thought

this was all related to her anxiety, but now I fear that it may be related to

the Prozac. We noticed this behavior for about a year, but is getting much

worse as time goes by. Could this be a side-effect after all this time and on

such a low dose? How would I know the difference. We've tried to wean her in

the past, but her OCD would always come back to the point where she could not

function. We're afraid to take her off, but if this is causing the explosive

behavior?????????? What do you think?

Thank you so much for your time,

Kath

**************

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