How do you guys decide when you should increase your meds? I’ve been on Zoloft 50 mg/day for about 3 months now. I’m doing better, I have good and bad days but more good days than bad days. My obsessions are a little bit better. I still haven’t seen much of a reduction in compulsions, but it’s only been 3 months at a fairly low dose. When should I start thinking about increasing my dose? Or should I give it more time? My psych nurse practitioner is really good and she informs me about all of my options and lets me make my own choices, and every time I see her she asks if I want to up my dose, but I can’t decide because this is the first time I’ve been on meds for OCD.

I am having an appointment with my psychiatrist this afternoon and I am obsessing about what to do with my medication. I think it’s also very ocd like obsessing. I am currently on 30mg mirtazapine. Ive been on this for years (because of insomnia, anxiety and depression) (15mg) and after we tried to switch to another (amitryptiline) because of nerve pain, I went down the road of insomnia and later on ocd again. So I am back on mirtazapine, and weaning off of the amitryptiline. This is/was a very traumatic experience. Because the switch caused a mental breakdown. Now my psychiatrist has mentioned to up the mirtazapine to 45mg. And my obsessive self has done a lot of research and a lot is saying that the higher the dose, the more you can experience anxiety. And for ocd it’s obviously not the first choice. I am obsessing all morning about it. I am too scared to go up. But I am also too scared to try another and to wean myself of off mirtazapine. I feel stuck at this point. Taking two meds is also not something I want. I could really use some words of encouragement right now I think. 🥹

Hello last year I had gone thru a very rough time In my life where I needed to be put on Zoloft 50mg around march 2024. I was diagnosed with anxiety, depression and OCD. Ive been suffering from OCD since I was like 11 and depression since I was 19, but I never sought help until last year Im 27 because I knew I needed it to help me get thru life. I was on 3 months on Zoloft and I went to a trip to Miami which honestly helped me so much, I honestly attribute that trip to Miami in healing me more than the Zoloft it self. I met my current girlfriend there. After coming back I felt like a new person. I still kept taking the Zoloft 50mg until late April (2025) this year when I decided to tapper down to 25mg by my self without a doc recommendation, I didn’t feel anything during the month of may this year until like may 30th when I woke up in a panic and I felt like I was back at square 1 before I started Zoloft. Mind you ive been thru some life changes, I recently graduated RN school and my gf moved in with me. Ever since the end of may I’ve been very anxious, my OCD is on high gear and my depression too. I went back up to 50mg I’m seeing a new doc, my questions is has anyone gone thru a similar situation? If so what helped you and how long did it take you to stabilize ?

Hi all. Unfortunately I have relapsed with what I believe is POCD/ REOCD again. Im 33 going on 34 (m) and from the ages of around 23 to 26/27 had terrible OCD / shame and guilt from a mistake made in early teenage years ( Im going to say 11/12 ). It was truly the greatest struggle to make it through those years. From ages 27/28 to ~ 6 weeks ago my OCD was I would say 99% under control with the help of 150mg sertraline which was fantastic and allowed me to live as normally as I could have hoped for. A real event from almost 10 years ago randomly popped up in my mind , and the past 6 weeks have been truly awful with very little headspace for rational thought and certainly no good mood. A few panic attacks thrown in and an inability to hold my job down makes this seem like an impossible challenge to overcome. My mind is telling me its only a matter of time before police show to my door and Ill be socially berated. Ive become a bit paranoid and really do not feel worthy/ able for living a happy life going forward. Previously, on the earlier theme I had confessed to a parent not knowing it would be damaging in the long run and to be honest I dont know what helped to recover. Maybe I could have recovered sooner had I known it was definently OCD I was dealing with and effective treatment options. In the end I think I adopted a " so what" and "it is what it is" attitude after so much internal anguish which helped. With this theme, once again my mind tells me its not OCD and I am just feeling huge amounts of guilt for past actions which may never leave me. I do feel Im looking at this event in a very black and white manner however my mind wont allow anything else. Ive had days where I could function while being able to tell myself " if the worst case scenario happens, it happens " but Ive also had days where my mind tells me I wont survive another week of this guilt, let alone deal with the real life cosequences. I have no experience of ERP but I do intend to look into it. What makes me think it may be worthwhile is that last week while at work I came across an event on social media where someone went to jail for something "similar" ( my mind tells me my actions were worse ) and I just sat with the fear and anxiety which was awful in the moment - however I got some moments of positivy and become almost "carefree" that evening as the bad feelings came and went without giving in to compulsions ( main ones are googling and mental review/ re reading texts ) Of course they came back a day later . I guess Im just showing my face here so to speak, and letting you all know that there are others in the same fight, and that youre not alone. I appreciate all input. J Ps if anyone has had previous success on increasing sertraline from 150mg upward please let me know. I do feel I need a higher dose/ something more effective for this episode as I am not getting much relief from my thoughts. I have heard from some sertraline is more useful at higher doses ( 300/400 mg ) for OCD??? Any thoughts? Thank you