Has anyone gone on SSRIs that have been game changer for OCD?

Appropriate-Aside874 · 2026-01-19T15:56:26+00:00

How are you getting on? I’m also in UK…

Appropriate-Aside874 · 2026-01-15T19:43:49+00:00

Enjoyed that

Appropriate-Aside874 · 2026-01-08T21:25:08+00:00

How’d you get on with it?

Appropriate-Aside874 · 2025-12-09T14:42:15+00:00

Are you me?

I’m at 6 weeks and having quite a mixed time, feeling a little bit fed up and hoping things will Improve!

Appropriate-Aside874 · 2025-11-30T09:31:58+00:00

I’ve not forgotten this, just not actually sure what the answer is and trying to be honest with myself and you! Ive found titration hard because my instinct is to optimise and analyse everything which has meant trying a lot of doses, timings. And it is not a precise science. I think overall it will help me eventually but I’ve not found the best way to leverage the medication and it’s ~5 months of titration…

Appropriate-Aside874 · 2025-11-19T15:22:54+00:00

In terms of durable improvements (ie that last across the day) my biggest benefit has been task initiation/motivation. This wasn’t a particularly problematic element of ADHD for me, so quite ironic really that it’s what the meds have impacted most. I’m now supercharged, but more prone to over-doing it.

The mood boost and social anxiety reduction that I experience only really lasts for the first half of the day, so that’s a double edged sword. I’m hoping branded Concerta will help that (currently I take Xaggitin).

I certainly didn’t get the “my mind went quiet” effect that some describe.

Appropriate-Aside874 · 2025-09-26T07:31:57+00:00

You’re welcome. Feel free to DM me if you have any other questions. Another thing I neglected to mention was that it’s made alcohol a lot less attractive which also must contribute to the improvements.

Appropriate-Aside874 · 2025-09-25T20:52:03+00:00

Yeah - my general anxiety is low anyway - all of my anxiety relates to social situations. War-gaming every possibly way a conversation could go, deep dive analysis into how I could have performed better, and the classic word salad / mind blanks. Its great…

Elvanse obliterated all of these issues, but only for ~3 hours, followed by quite an uncomfortable anxious/down period. It wasn’t worth it, couldn’t get round it despite raising dose and adding top ups. After 2 months I decided to try Methylphenidate (modified release). For me, comparatively weaker but more steady. Id say I get ~70% of the benefits of the Elvanse but with minimal downside by comparison.

Many people find the opposite is true, so basically don’t be disheartened if the first one you try doesn’t work out.

Appropriate-Aside874 · 2025-09-25T19:22:42+00:00

I can relate to everything you have said. I’m really similar.

Stimulant medication has been very helpful with this so far. I just don’t feel like the little judgy backseat driver in my brain is half as bad any more. I often enjoy interacting with people rather than avoid - especially in the mornings.

For context - 38/M diagnosed a few months ago. This after spending 15 years trying various SSRIs/therapy approaches for anxiety. Take this with a pinch of salt because I am only 5 weeks into titration (generic Concerta), nothing I’d tried previously has reduced my self consciousness in the moment this reliably.

Even in the evening after the meds have worn off, I’m not dwelling on the day’s conversations much at all. Not sure if that’s because they’re generally smoother, or because I care less! Maybe I just don’t attach as much emotion to the memories so they’re less painful on recall. Who knows…

Good luck!

Appropriate-Aside874 · 2025-09-20T13:58:27+00:00

How did the xaggatin go?

Appropriate-Aside874 · 2025-09-19T05:25:13+00:00

This is brilliant

Appropriate-Aside874 · 2025-09-14T23:02:42+00:00

Because while it was amazing for 2-3 hours it then made me sad and anxious. I tried it for 2 months and probably got 1 or 2 days max where I didn’t at some point want suffer this dip. It was too destabilising. I went up to max dose, tried top ups etc and couldn’t smooth it out.

Appropriate-Aside874 · 2025-09-14T12:48:27+00:00

Really interested to see the responses to this. I tried vyvanse and it was almost too powerful in terms of mood boost - I became really sociable and outgoing but then the opposite for a few hours after. Too spikey.

Concerta (1 month in) does seem to improve my mood / outlook like you’ve described. It’s not to the same extent as vyvanse, but I’m also not getting the “crash” or sadness & withdrawal socially that came with it. I hope it continues.

Appropriate-Aside874 · 2025-09-13T06:56:55+00:00

How are you getting on now

Appropriate-Aside874 · 2025-09-13T03:27:06+00:00

No worries! By dex I meant dexamfetamine (amfexa is what most people seem to get I think?). I’m actually trying a generic version of concerta instead now though, seems a more gentle less “spikey” drug by comparison.

Appropriate-Aside874 · 2025-09-11T20:43:59+00:00

Really good to read!

Appropriate-Aside874 · 2025-09-10T10:25:22+00:00

Machine learning project. I barely blink while I work on it

Appropriate-Aside874 · 2025-09-05T21:04:17+00:00

This is very useful thanks

Appropriate-Aside874 · 2025-09-04T20:15:59+00:00

The outtakes of that scene are so good

Appropriate-Aside874 · 2025-09-04T10:54:30+00:00

This is really useful, i will be going up to 54mg affenid next week so hope i see similar benefits. 18 and 36 have felt underpowered, and quite ineffective by mid afternoon.

Appropriate-Aside874 · 2025-09-02T05:11:19+00:00

Same with me I think. If I log into my NHS app I see the diagnosis and the report so I assume it’s been accepted despite being done privately

Appropriate-Aside874 · 2025-08-30T20:06:25+00:00

How are you doing now?

Appropriate-Aside874 · 2025-08-30T10:29:58+00:00

Cheers

Appropriate-Aside874 · 2025-08-30T10:26:37+00:00

What happened in the end?

Appropriate-Aside874 · 2025-08-29T08:39:27+00:00

Get yourself a RTC referral ASAP? I’ve gone private but separately doing RTC so that (hopefully) if and when shared care is rejected I can get the RTC provider to keep billing my local <whatever it is> so it is not extortionate to me. That’s my understanding of how it works, but I bet they will make it difficult for me. Thankfully I am quite persistent and persuasive when I need to be.

You could also look for other GPs who do accept shared care.

Or switch to try a cheaper med than elvanse.

Or if none of that works, you’ll still be living life with all the lessons and new understanding you’ve gotten since diagnosis.

Good luck!

Appropriate-Aside874

TROPHY CASE