My psych-MD appointment is this coming week, and I almost didn't make it. I'm on Lexapro 40mg, Trazadone 100mg, and Ativan 1mg. None of this seems to be helping the raging OCD - the constant cleaning, handwashing (my knuckles are bleeding as we speak), the arranging (I'll mess with miniblinds for an hour to make sure they are PERFECTLY straight, the two-hour grooming routine everyday that CAN'T get disrupted, etc. etc., the list goes on. As if things weren't bad enough, slight, occasional hallucination is getting into the mix. I get manic about the compulsions, and then after several days, I crash and can barely move. But, I still end up doing it all over. I could have spent the whole day before scrubbing the whole place with bleach, and the next day, it starts again. How do I explain all this to my MD? He usually concentrates on the depression/anxiety. I don't think he realizes how maddening this is. What meds are available that he might suggest? Thanks in advance for your thoughts on this.