instruction: hi doctor my 19 year old brother was suffering from ocd and it started kicking back in for the past 20 days he basically has a checking problem he is currently a freshman at a university and was doing well for the first two months last month he went back home and was returning back to the university and that is when he started feeling homesick during the journey he felt for a moment that he going back to an unsafe place this feeling was because of a crime movie that was shot in the city his university is in that made him feel uncomfortable and at the same time the results of his mid term were told to him and he misinterpreted them and thought he scored less but the real scores were very good and he did the best among his class but he was affected by all these thoughts throughout the journey and right now he fights homesickness and is scared about the place he lives in and also checks continuously if he is able to understand what he is being taught in the class rather than listening to the class I am scared for him and his future
output: hi his current symptoms are also probably due to ocd obsessive compulsive disorder he has fear due to a crime scene of a movie and is feeling very homesick this is happening because of severe anxiety due to ocd if he has never consulted a psychiatrist then he should visit for evaluation fluoxetine or fluvoxamine which are sari selective serotonin reuptake inhibitor drugs are the drug of choice for severe ocd the drugs help to control ocd symptoms in about four to six weeks for very severe symptoms low dose antipsychotics can also be used visit a psychiatrist for help