For me, Luvox (Fluvoxamine) has been the best. At some point the patent expired and the brand name company wasn't making money, so they dropped it. Generics are still available, if the doctor writes it, the pharmacy will order it. This has been the best medication for me ever.

The other one that really helped me is the antipsychotic Seroquel. I have major issues with ruminations at night, so they gave it to me to sleep. When I would take it, I would get about 18 - 20 hours of relief from the ruminations.

Let us know what you ended up with!