Has anyone had experience with needing to be very "demanding" with their prescriber? Sort of a long story, but here's the context. As a young adult (18-20) I dealt with (mostly circumstantial) depression. I was bounced around by university doctors, a pcp, and then to an actual psychiatric prescriber. I tried several SSRIs (including prozaprozac, Lexapro, celexa) and wellbutrin. Nothing helped and most were activating and I had suicidal ideation. I eventually landed on lamictal and ativan (which I never took, too scared of benzos). I went off at 20, and didnt look back. Things were great till 2 years ago when my brother passed. My OCD came out in full force (cant touch the ground with anything other than my feet, cant hug or touch people, etc). Added the med route to my counseling a little over a year ago. She listened to my past history and we started with lamictal. General mood improvement, but no ocd improvement. Then she added low dose abilify. OCD very very slightly improved for 3 weeks, then went back to normal. She tossed out the idea or Orap and I said no because of limited evidence with OCD and side effects risk. As of right now, her plan is to keep increasing the abilify and hope those initial results come back. I have asked to try luvox or anafranil but she is hesitant because of my past with SSRIs. However I never tried them with modifiers like abilify or lamictal and I also was very young, on birth control (which really changes my mental health state), and hadnt had a child. Also, OCD was not the concern then. I was very anti medication when we started but things are SO bad that I am willing to try anything. She is aware of this. I had my counselor talk to her and now she is coming around to luvox, but only after we try the increases in abilify and even then she is still hesitant. Has anyone experienced anything like this with their provider, or dealt with similar struggles in finding a good med combo? Also, any stories of experiences with luvox would be great! Tl;dr- provider is set on one med path that isnt getting good enough results, without considering other factors.