Please help! I am a medical student and I failed exam because of OCD. whole day passes by without even touching the course books. I can't focus on studies because of intrusive thoughts. No therapist is available in India. All psychologists advise me to meditate but I can't meditate with all the trouble going on with my mind. Please help!

Actualy cbt might help here. For starters write your intrusive thoughts and worries on the paper. That way you are distancing them from your head so you have space to do the studies. It is good to go to the list after and that way you are letting your brain know that you noticed the thoughts. What you are doing with this is controling when you worry and not letting the worries control you your time etc.

I also have troubles meditating but this method helped me a lot especialy when I cant sleep

Sorry to hear you don't have access to professional support :( Could teletherapy with a practician abroad be a possibility? Otherwise, it'll be challenging but you can learn and use self-help techniques and tools to get a bit better :) I don't know if you can order a physical or online version of this book but Dr Penzel's Obsessive Compulsive Disorder, A complete guide to getting well and staying well has been useful to me and also offer tips and guidance to do treatment by yourself :) Others here have suggested Jon Hershfield's and Jeffrey Schwartz's books as well. There is also a lot of content online like NOCD and Made of Millions YouTube videos (+ website articles and blog). @anxietyocdtreatment and @obsessivelyeverafter have awesome content on Instagram to educate sufferers and give them some practical tips. OCD and Anxiety also has great videos online which explains clearly some ERP strategies (ERP is the main therapy tool to process intrusive thoughts). Meditation can be very tricky and challenging when our minds are full of negative thoughts but it could help you manage your anxiety a bit better :) Some are using apps like Headspace; you can also google or check on YouTube "cognitive defusion techniques" or "mindfulness techniques". Hope you find a way to get a little bit better soon, you got this and remember you are not alone in this! ♡

I have been on fluvoxamine for past 7 years but ocd ain't getting better.