I am 23 years old. I have OCD, anxiety and depression and I'm taking the following medications. However my OCD and anxiety are still dysfunctional. I have tried nearly all SSRIs and SNRIs and fluoxetine seems to work best. I also need to take two antipsychotic because taking one only does not help stabilize my mood. I need to take two benzos to reduce my anxiety effectively. I originally took valproate for mood stabilization, but it increased by ALT level so my psychiatrist switched me to lithium. I also know that the dosage of phenergan is high, but I can't sleep well without such a high dose.
Despite being put on so many medications, my OCD and residual anxiety still make me dysfunctional. I am a university student and I am under academic deferment. I have unwanted thoughts of killing myself, such as jumping in front of an oncoming train or from a high place. Recently I developed symptoms of somatic OCD. I can't stop noticing my own breath. I regularly see my psychiatrist, clinical psychologist, counselor and social worker. My psychiatrist said she wouldn't make changes in my medications. What can be done to bring my OCD and residual anxiety under control?
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There are still other options that Sam could try. I am happy to see Sam.