Guilt OCD, Treatment meds?: Hello... My OCD... - OCD Support

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Guilt OCD, Treatment meds?

PotterBook1 profile image
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Hello... My OCD started in September and I was put on Luvox. It gave me depersonalization, so stopped it right away. Then I was put on Prozac which gave me intrusive disturbing images and thoughts (which I had never had before) - Took it for 21 days and stopped. Then was put on Effexor XR, got up to 112.5 mg, for about a month, then tried upping it to 150 which resulted in heightened anxiety... so doc brought it back down to 112.5. I've been there 3 more months doing well. Suddenly last week the OCD flared up again, getting guilt about past wrong doings that are old, some going into years. Compulsion telling me to go back and fix the issues... Went to confession and was even told by a priest to let it go and move on. I'm being suffocated by guilt obsession and compulsions to confess and fix old wrong doings. (None are catastrophic or grave.) Now doc is going to discuss Zoloft with me, but I'm super scared that it wont work, or that it;ll give me those horrific intrusive thoughts again.

Any words of advice? I've been taking Ativan as sparingly as possible as I'm scared on dependency, (.25 mg today, .5 mg 3 days ago).. I'm so afraid and no one really understands.

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Sallyskins profile image
Sallyskins

I've been on sertraline for more than ten years, and it has worked pretty well for me. I have found very few side effects on it, and they aren't severe. That's not to say it would suit you, as people react to medication differently, but it is generally safe and reliable.

As I just said in a previous reply to someone on this forum, we all do things we are ashamed of doing, mostly not very bad, and the thing is to learn from them, and move on! I'm sure the ones you are feeling guilty about are really very minor and I'd be surprised that even if you told people about them they'd even think you'd done something so very wrong.

It's easy to overthink things, to ruminate on them and build them up in your mind to something much bigger than they actually are.

Don't let the doctor merely fob you off with medication. If it works, it can be hugely beneficial, but it is best used in conjunction with CBT or Cognitive Behavioural Therapy. Of course you can have CBT without medication as well.

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