Hello, all. I've just joined and am anxious for some feedback.

I decided to pursue therapy (not for the first time) because my insomnia is out of control. I was just so determined to make progress this time that I mentioned everything that was causing me anxiety -- no matter how silly it seemed -- and was promptly diagnosed with OCD, something that had never occured to me. I thought only people who washed their hands over and over had OCD, and I thought everybody counted, alphabetized and chewed the inside of their mouths raw -- who knew? I have been referred to a psychiatrist to begin drug therapy. My appointment is in 6 days and I'm terrified of the prescriptions I've seen most often prescribed for OCD. The drugs which have shown up most frequently in my research are Anafranil, Celexa, Luvox, Paxil, Prozac and Zoloft.

I have been prescribed probably 15 different anti-depressants over the past 20 years, more often in an effort to control migraines rather than major depression (I have much more profound trouble with anxiety than with depression -- any depression is usually a result of chronic migraine, sleep deprivation and the resulting plummet in my quality of life), and my experience with anti-depressants has been abysmal. Of the six medications most often discussed in the treatment of OCD, I have tried Prozac, Paxil and Zoloft, each with the same debilitating results: INCREASED insomnia, mania and anxiety which exacerbate the migraines, and even suicidal ideation with Prozac. I am truly terrified of beginning another regimen. I'm wondering who has had success with these or other OCD drugs? Which of them are the least likely to worsen my insomnia, anxiety and hypermania? Even drugs like Seroquel and such which warn of drowsiness have a paradoxic affect on me. Another concern is weight gain, not just for vanity's sake but because I have Type II Diabetes and Familial Hyperlipidemia (my triglycerides are 3,000 -- not 300 -- and are a result of genetics, not diet), both of which demand that I try to stay within a target weight range. But I most concerned about the sleeplessness, anxiety and "climbing the walls" which has accompanied every attempt at antidepressants.

Any information is appreciated, so I'll be better prepared on Monday.

Thanks.