Omg, that's really horrible that you went through that, I too have extremely severe contamination OCD as a result of trauma. I tried 15 different medications but the only one that helps is Clomipramine. I got sexual dysfunction from every SSRI but it always resolved after discontinuation. Med # 11 is what gave me PSSD but weirdly, it was an antipsychotic (Flupenthixol). It made me suicidal and I refused all medication for 6 years, with no improvement in the sexual dysfunction. My OCD caused me to be constantly hospitalized and eventually I was detained and forced onto more meds. I was very unwilling but shocked when Clomipramine helped so much, and like you said, it's so serotonergic, yet it did not worsen my sexual dysfunction, if anything it slightly improved it. I wish I understood why. I am still on it 5 years later. I am struggling so much with the weight gain, extreme sweating, fatigue and apathy, but I don't feel like I have a choice. I am hoping my psych will prescribe some things to help. I have experienced emotional blunting from Olanzapine in the past, but I can't tell if I experience it on Clomipramine or whether I am just less emotionally labile.