I think you should get CBT, if you haven't already. That's what happens when you see a psychiatrist - I favor the psychologist because they seem to want to get their hands dirty. I strongly suggest trying to remedy the problem at hand, rather than covering it up. Medication is, or can be, great when accompanying the right treatment. This is the kind of stuff that I've been told by professionals, here in the UK, and I also have intrusive thoughts, that have been made much more manageable because of CBT, and, yes, medication to lower my anxiety a bit. (Propranolol, 80mg a day, which works alongside all the techniques I use to lessen the anxiety)