Question: I have OCD, been treated since the 1980s. Prozack, Sertraline, and writing my issues down over a period of time

I have had sever OCD symptoms all my life. I was near a breakdown in 1984 and went for inpatient therapy for a month. It did little good. Later, I was told they didn't have a program of treatment for OCD. In the 90's my doctor said Prozac showed help for OCD. I took it and became improved. I thought (typically) that once I felt better I could stop. Wrong (of course.) I ended up in XXXXXXX Memorial Hospital in Wisconsin for a month, and there I learned about objective heatlth care, where I wrote things down, and I felt the best I had in my life. I was transferred to a Psychiatrist and for about 8 years I felt fine. I quit taking Prozac again, and fell apart. That was about two years ago. I finally started taking a mixture of 40 mg of Fluoxetine and 250 mg of Sertraline. Without the practical training of writing things down over and over, I did not recover. Finally, I started that therapy (can't remember the exact name) and got better. Had a problem with promoting a novel I wrote a couple months ago, got anxiety, and crashed to OCD again. Even after the 2nd part of the therapy. I also have fibromyalgia, which interferes.

I'd like to start from square one, speak with a specialist and a therapist to see if I need new direction, or if there's any new techniques or medication that helps.I'm afraid that if I do, they'll say no, that I'm doomed to be in a constant state of anxiety/panic for the rest of my life. My fears have evolved into fearing death and anihilation of the soul afterward. I KNOW for a fact it's not true, but with OCD, it doesn't matter.

Please advise

I don't understand why there's no mention of OCD in my files. It is the worst of all my afflictions. Arthritis is a picnic in the park on a Sunday afternoon compared to OCD. OCD is an XXXXXXX number of times a greater problem than the other things. I don't know why it wasn't in the file your read. Anyway, I've been going through a bad state again, and I'm covering all bases, to see every opinion I get. There could be something I didn't know.

And again on the medication: I take 40 mg Fluoxetine per day and 250 mg of Sertraline per day to combat the OCD Clonazepam is to fight axiety. They are doing well enough, I hope there's another answer.

I will not accept being basically untreated for OCD and relegated to a state of anxiety and/or panic for the rest of my life.

Thank you for you quick response. The information you provided was very helpful, in that I know I've got to dig into my files myself.