I was having uncontrollable intrusive thoughts with anxiety, major depression and OCD. I also have trich. I had electroconvulsive therapy and it helped. I am on clomopramine and quetiapine. SSRIs stopped working. I am doing much better and able to function. Maybe ask about clomopramine. Electroconvulsive therapy sounds scary but it isn't like in the movies at all and really helped me.