i’ve been exhausted all the time after zoloft dose increase. not even enough energy to do compulsions

I started dealing with OCD when I became fixated on health issues, particularly the fear of contracting a life-threatening disease. If I experienced any kind of medical symptom, no matter how small, that even remotely hinted at something potentially fatal, it would drive me crazy, and I couldn’t stop obsessing over it. Then one day, I started having intrusive thoughts about accidentally hitting someone with my car, and I would end up driving in circles to check if I had. Eventually, I found myself overwhelmed by a flood of new obsessive thoughts and compulsions. One day, while I was at the park, a squirrel came near me, and for some reason, I felt like it attacked me. I Googled it and learned that squirrels could carry rabies, which spiraled me into a deep fear of rabies. I became consumed with the thought I received a bite from a squirrel, raccoon, or bat any time I’m in areas that trigger me. It started off only being inside then transferred to even being in my own home. This made me obsess over every physical sensation in my body, compulsively checking to make sure nothing was wrong. One compulsion that I hated the most would to be putting rubbing alcohol on me to make sure that I had no open wounds. Every day feels like I’m walking around in a fog of anxiety, constantly worrying that I won’t even make it to old age. Sometimes, it gets so overwhelming that I just want it all to end. It stresses me so bad at times to where my brain feels like I’ve been studying all day.

can anyone give me some insight on this? i was given 20 mg of prozac by my doctor to help me calm down while i wait for a psychiatrist appointment for ocd (i went in for an ekg because i was worried. nothing was wrong) yesterday was the 2nd dose, should i expect anything? i almost feel like it keeps me up at night since i take it around 7 pm, and i already have been sleeping poorly for a week or so.

some days I wake up with so much dread and guilt. It makes it so hard to keep going. I open my eyes and I’m hit with a wave of nausea and terror. I feel ashamed of my compulsions and my OCD. I feel like a monster for my checking compulsions. For momentarily sexualizing things that shouldn’t be sexualized out of anxiety. I’m ashamed of a lot that I give into because of anxiety. Confessing things that are meaningless to my boyfriend. I feel so awful and unworthy of existing and of love. I feel hopeless I don’t want to keep pushing, the more I push the more meta my OCD becomes and the more guilt I feel for this mental illness. The more confusing it becomes to do ERP. If compulsions are a choice, they feel like life or death and it’s driving me insane, I beat myself up so badly over them I’m scared of compulsions, I’m scared of thoughts, I’m scared to be awake, I’m even scared of sleeping because my intrusions and compulsions haunt me there too. I spend my dreams trying to explain or justify my OCD and compulsions to people. I’m exhausted, I want this to stop so badly. My severe OCD isn’t feeling any less severe and it’s been months. I don’t want to keep questioning my every move but I’m so hyperaware of everything I do. I’m so tired. Some days I don’t even have tears to cry with. I’m just so full of despair and shame