tomorrow is a decisive day

okay u started taking zoloft for my ocd, and everything with thr intrusive thoughts. well ivr had really bad false attraction. and my mind is trying to tell me i should feel guilty for not solving the issues on my own. and using medication is me not getting rid of it, its just temporary. and i cant solve the false attraction/intrusive feelings on my own, like why is it doing this

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. 🥹

I suffer since 10 - 15 yrs from specific fears. It was years that my OCD constantly wanted to be checked if I have HIV or not. I had a lot of sex and I thought this is normal. But I ruminated in my backhead about and was testing like 5 - 10 times a year. After the test I felt everytime so relieved. In Corona I was addicted to porn and even I lost control and was watching pretty hard stuff. I was chatting with a girl and we fantasized about really disturbing things. I never wanna meet her and for me was sure it's just kinda onlinestuff. I was in a relationship 3 years now. And I lost fear of HIV. But then came Morality OCD, Real Event (this chat) and after some times POCD. This combination was knocking me out, I felt like the badest person on earth. I did everything wrong and searched for relief and reassurance. It put me to the point of suicidal. I never ever hurting somebody, but my brain was making me a monster. I had to quit the relationship because I just couldn't give her what she deserved. I was in a clinic for 3 months. And we tested medication with ERP (before I took escitalopram for years). Anafranil was working first, then too many side-effects. I tried even without meds, but was so depressed. Now on sertralin for 5 weeks, but only 2 weeks on therapeutic dose 200mg. And wow, now I really feel so confused in the brain. I feel like how big my OCD became. The specific thoughts are not anymore, BUT it sticks on EVERYTHING atm. It's delusional how it feels in the brain. I really hope so deep my brain makes finally a reset and I need to wait it out. I could live with OCD for a long time but the last 1-2 yrs it took absolutely everything. I remark that POCD doesn't stick anymore like before but my brain is now constructing a very bad future because of past mistakes (that I all discussed with family, friends for relief over and over and over again). So it's like my OCD is now Real Event (The sexchat) again. Anyone was on the same point in life?