Intrusive thoughts: Intrusive ruminative thoughts can be very painful and distressing. I am sorry you have been struggling. I am unsure what dose of citalopram you took but often ocd can require higher doses. Also it can take up to 12 weeks to see the effect. Always discuss dosing with the prescribing phsyician and remember cbt for ocd is extremely helpful alone or in combination with medications.
Answered 12/21/2015
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Psychotherapy: Don't underestimate the efficacy of psychotherapy for treating ocd. Studies have shown functional brain changes measured by pet scans as a result of cbt alone. The most recommended treatment is a combination of cbt and medication.
Answered 5/4/2016
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