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Why do I feel I raped someone intoxicated, I’ve felt fear and guilt for months it seems real, Could you suggest what I do next please

I don’t know what to do! My 13 year old son has suffered with intrusive thoughts for years. He feels guilty of things he’s done in the past when he was super young and obsesses over it to the point that he has to come clean about everything!! He fears that he may be a phedophyle at times because of intrusive thoughts. He’s on Zoloft 75 for it, it was getting better for a bit but it’s getting aggressive again! He is so kind and such a good son and person. He is in counseling but his counselor doesn’t specialize in OCD. I don’t know if I should have them change his medication, idk if there’s a medication that will help him more. I’m so scared I suffered with intrusive thoughts as a kid and teen, I never got help but I’m good now.