I notice you take parnate. I took it for a couple of years on two separate instances. Both times, although my depression lifted somewhat, my obsessive thoughts and self destructive behaviors got much worse. Most recently (about 8 years ago), SH behavior which I hadn't engaged in in over 15 years resurfaced. My ED also resurfaced in full force. Not that I can diagnose, but it may be worth a thought? The only thing that has helped the thoughts and behavior for me are SSRIs- most notably Zoloft, but Paxil worked well too. In my experience, Parnate was stimulating and Unfortunately can worsen anxiety.