I had to take an antidepressant in order to slow down the compulsive thinking. I also take an anti anxiety medication. That's it. Neither are a strong dosage. By the time I went for help I was having massive panic attacks two or three times a week. I would have to leave my job get in my car and drive to an isolated place until I could regain control. I almost gave up. The medication gave me time to breath. And once my compulsive thoughts slowed I was able to start sorting through my life. I don't have to take it forever but for now it helps me.