Nurse practitioner

Hi. I’m writing this post because I don’t know if I should be medicated again. Lexapro worked well for me, but I gained like 30 pounds. I quit because of that and honestly I thought I was able to manage my OCD well better. I was wrong, it got worse again. I wish I can do this without medication…that’s why I expose myself everyday, doesn’t matter how drained and exhausted I get. Are you guys medicated or trying to go without medicine. How is it going for you guys? Many hugs for all of you. We got this.

Has anyone been prescribed Escitalopram for their OCD? And if so what was your experience like. I just got into my 2nd week of it and got bumped up to 20mg. Today has been weird because my anxiety is gone which has been for a bit but the thoughts seem stronger today especially the Harm related ones. Almost like commands now. Can anyone relate?

My therapist isn’t specialized in OCD. I’m her first OCD client. She told me she’s taking courses in ERP and specifically sexual OCD since a lot of my themes are sexual in nature. I want help, I need help. It feels like every time I meet with her I get set back. I make progress a lot on my own. Sitting with discomfort, trying to accept the thoughts and uncertainty. But every single time I meet with her, it feels like I’m explaining OCD to her. She even went as far as to suggest that some of my thoughts that bring me distress are mine. I am not a cheater. They are not mine. Why on earth would they not be intrusive if I was in tears about having this thought? I feel bad. I really do because I can see that even though I can very much see her mistakes, I can also see that she’s trying to help me. I’m just so scared of getting worse. I’ve been in therapy for 5 weeks now. I feel like had it been with a specialist, I would be doing so much better. Instead it takes me days to come backs to whatever progress I’ve made alone after meeting with her. She’s a great person, she tells me she experiences intrusive thoughts too and she doesn’t have OCD which helps me feel less alone but I don’t think that’s enough for me. She’s always available for a call whenever I’m in extreme panic. I just don’t think this is working. I trust her and I tell her everything, but it feels like she’s just listening to me talk the whole time. We’re doing a workbook but she gives me absolutely 0 input. I just read my replies and she just sits there. I don’t understand the point in that. I feel so anxious right now. She wants me to get properly evaluated for anything that may be going on because on top of the severe OCD, I was also diagnosed with PMDD, GAD, and MDD by my primary care doctor but I guess she doesn’t trust those diagnoses? My psychiatrist also told me I have ADHD, which I’ve suspected my whole life but it sounds like my therapist doesn’t know how to handle OCD much less OCD, MDD, GAD, PMDD, and ADHD. She’s questioning the validity of my diagnoses instead of helping me figure out how to deal with all of it. This is so suffocatingly difficult. I’m also a huge people pleaser so how on earth do I end this thing?