Hi Dawn, I started seeing the private psychiatrist in April and he has helped me immensely. I switched from 10mg citalopram which he said was too low a dose to be effective for ocd which requires much higher doses, and put me on fluoxetine. I've gradually been working up and started on 40mg last weekend. Doing well in general, although had a bit of a dip since going up on the weekend although we are actually going through a lot of change at the moment so it is understandable. I have a beta blocker if physical anxiety kicks off and diazepam if I start looping and can't stop checking. I must say a toolkit like that works well for me and I haven't needed it as much as I thought. However, I do feel a lot of stuff is stored trauma so I am now looking into doing some body work too like somatic experiencing. It is very expensive though and I'm trying to decide how much I can afford. I do believe the fluoxetime has made a big difference once I got up to a higher dose. I thought I'd given up on ssri meds but what he said made total sense in terms of the meds working differently and at different doses depending on the condition.