Hii. ...Your disturbing thoughts may be part of anxiety/OCD. You are already on multiple medications, and increasing fluvoxamine on your own is not safe due to possible side effects and interactions.
Next Steps
Do not increase fluvoxamine on your own
• Continue medications as currently prescribed
• Consult your psychiatrist at the earliest for dose optimization or medication adjustment
• Doctor may consider increasing a single SSRI adequately, tapering one medication, or adding psychotherapy (especially CBT)
Health Tips
Try not to engage or fight the thoughts—let them pass
• Maintain good sleep and regular routine
• Reduce caffeine and screen time, especially at night
• Practice relaxation techniques (deep breathing, grounding)
• Consider CBT/ERP therapy along with medications for better control