OCD has waxing and waning course and so symptoms can resurface.

"Hi there, I understand that seeking help can feel overwhelming, but you’ve already taken the first brave step. I can guide you with a clear treatment plan tailored just for you, so you can feel better and regain control over your life. You can reach me directly on WhatsApp for quick support on seven zero eight two zero two two zero six two."

Please consult with me

What you’re experiencing sounds like treatment-resistant OCD, which doesn’t mean there is no solution, but that your approach needs to shift beyond standard medication and basic therapy. When OCD persists for years, the brain’s threat system becomes overactive and even simple tasks start feeling like battles, often accompanied by derealization where everything feels unreal or hard to process. Since you’ve already tried SSRIs, Clomipramine, and therapy without enough relief, the next step is to explore advanced options like intensive Exposure and Response Prevention (ERP), which needs to be structured and consistent, or newer treatments such as Transcranial Magnetic Stimulation (TMS), ketamine-assisted therapy, or glutamate-based medications like Memantine that work on different brain pathways. The key shift now is not giving up, but upgrading the treatment plan with a specialist who works specifically with resistant OCD, because many people in your position do improve when the strategy becomes more targeted and intensive.

Hi, yes. Consult online for a second opinion

You can try combing medications with CBT with rTMS. Last hope.

Hello, I understand how difficult this must have been for you, especially after trying multiple treatments without adequate relief. Some individuals with long-standing OCD may not respond fully to first-line medications, but there are still effective options available.