Hi all Just wanted to say how helpful this community has been as a source for information and support. My wife has suffered from Contamination OCD for over a decade now and has tried CBT government and private courses at great cost, Well being courses, erp we’ve even moved house due to its horrendous effects. She’s had SSRI drugs before without success and then was put onto Clomipramine for a while which tempered her for some time even though the amounts taken have gradually increased to 200mg. Which I know is a lot. The problem though is that now they seem to have stopped working it’s like just stopped. Which has meant all her old rituals have come back with a vengeance, plus a horrible depression has enveloped her. She’s super sensitive irritable etc as you would imagine and it’s a great stress for us all as well as our children. Living together as a family with a contamination OCD is a nightmare. Question : she is going to therapist next week (she is) but they have Been reluctant to prescribe anything for the super anxiety she’s now has the depression or the super mood swings she has. Surely she needs something to take the edge of whilst attempting therapy again. Doesn’t the NICE guidelines say that an anti psychotic drug can be sometimes prescribed or another drug introduced alongside the Clomipramine ? Would really appreciate any experience or advice . And yes I’m aware it’s different for everybody. Many thanks in advance

My little sister is 13 we’ve taken her to a child psychologist and she was diagnosed with OCD and social anxiety and I believe germaphobia. The psychologist said that he can’t properly diagnose her with autism until her anxiety symptoms are treated. But I am very positive that she is also autistic as I am autistic and know the symptoms vary well. She was given a medication at a low dose, I don’t remember what kind, she had been taking it even tho she did not want to for a couple of months. It seemed to be helping her anxiety immensely but I believe she is scared of how the medication changes how she feels and she doesn’t like the taste. So they switched medications and that one was even worse because the taste was too strong she didn’t even try it for more than a day so there’s no way of knowing if that one was better for her or not. These are both liquid medications btw we used juice for her to drink it. Since then she hasn’t taken any medication and she has said that she doesn’t want to. We can’t force her to take the medication as that would obviously be counter productive. But since then her ocd and germaphobia have gotten progressively worse. On top of not wanting medication she doesn’t like the idea of using any coping skills like deep breaths or breathing exercises to calm down and doesn’t like the idea when I talk about ERP or therapy or any kind of treatment that could help. It seems all the ideas either make her uncomfortable or scare her. I fear somewhat that my own ocd compulsions have made her think that this is normal and doesn’t need treatment and I don’t know what to do to help understand that treatment and change isn’t scary. I also fear that I’m not approaching this right and my mom doesn’t understand ocd like I do so I feel like it falls on me to help her through this and help my mom understand what we need to do to help her. I’m sorry this is so long. thank you for reading this. She’s really struggling and it’s affecting my own mental health too and I don’t know what to do. If anyone has any tips or advice please that’s all I’m asking for.

Can people please share their experiences on very low dose medications for their OCD? Maybe ones that have worked well with little side effects? Anything is helpful & thank you

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?