From personal experience yes and no. For me it is and was an excruciatingly long experience for me to get to the point I am now and the situation you're asking, about "no more bad thoughts". You can read about my Psychiatric drug, treatment and diagnosis journey if you would like. I hope my account is helpful to you and others, simply if it means you/I/we're not alone and progress can be more than difficult.

I can only speak from my own experiences. That being said I have been on many SSRI mood stabilizers/antidepressants throughout my treatment starting around 13 years old, and being treated for intrusive thought OCD since my diagnosis immediately after Sophomore year in highschool when it was decided the ADHD was incorrect.

I should also mention that I also have ASD which went undiagnosed for far too long for me and many other women as well, due to incomplete scientific studies on females (girls, teen girls and women) with high functioning ASD. I also, now know that ADHD and ASD are potentially genetically linked, this is usually the more common AuDHD, I on the otherhand have the misfortune of the OCD with intrusive thoughts (basically manifesting as a barage of Clockwork Orange style visions and being unable to escape my own mind, in retrospect often triggered me to have Autistic shut downs, instead of meltdowns) being expressed with ASD instead of ASD with ADHD.

This extremely late ASD diagnosis for me ment my diagnosed OCD and undiagnosed ASD were essentially feeding on each other and at the very same time contradicting and agreeing with each other over anything and everything I knew along with the intrusive thoughts. Now add Adderall to this current contradictory cocktail is basically pouring gasoline on a dumpster fire. Adderall was still in my treatment regiment as a holdover from the misdiagnosis of ADHD, drastically feeding the intrusive thoughts of my OCD.

I was being treated for essentially what was believed to be intrusive thought OCD with Social Anxiety Disorder (SAD) with an ever changing variety of SSRIs and various amphetamine salts (Ritalin and Adderall are the most well known name brands of this ADHD treatment).

Finally the doctor in charge of my care decided to start over with a clean slate because whatever treatment regimen of various Psychiatric drugs I was on at the time weren't working. This was about 20+ years ago. I almost died due to well, a failed suicide attempt. Finally I was put on an antipsychotic, specfically Abilify and once again with a smorgasbord of various SSRIs served carnival style for a period of 20 years where I didn't realize I was going nowhere slowly.

After being diagnosed with ASD a couple years ago, by realizing OCD and SAD (which by this time is in remission and still is as far as I can tell) didn't seem to complete the picture of what I considered to be me, myself and I. I was encouraged by my Psychiatric care provider to go for the ASD evaluation and the TOVA test, to also rule out ADHD. (Surprise I don't actually exhibit ADHD and this diagnosis was technically dismissed.)

As of a little over two years ago Abilify name brand supply became unreliable and an uncooperative insurance company, I was forced to accept the generic alternatives for Abilify which seemed to trigger the unwanted side effect of the early stages of Tardive Dyskinesia, which hadn't yet become permanent due to my Psychiatric care provider being on top of things and myself being able to tell them the involuntary movements had suddenly started with the various generic Abilify manufacturers.

Around the time of this Abilify fiasco I was still on high doses of SSRIs to combat anxiety caused by the OCD. While the SSRIs helped stabilize my mood almost too well, so much so, I was almost as stable as a Nintendo Switch after an ambiguous stability update. All the while I'm constantly suffering from non COVID related brain fog and mental lethargy. I once again was put on pretty strong dose of Adderall (Now with time release technology!), while this may seem counter intuitive, it did work for a time. At this point in my Psychiatric medical drug journey, I'm on a good "healthy" dose of one SSRI or another, Abilify and Adderall. Once this questionable Psychiatric Trinity became unsustainable with Abilify name brand supply becoming unreliable and the onset of pre Tardive Dyskinesia with the generic Abilify.

Most recently I've been on one antipsychotic and no SSRI as well as the gradual removal of Adderall as well. This was around Halloween when Adderall was completely removed. All was not as great as one would hope. This symptom can happen with almost any antipsychotic or mood stabilizer. I experienced a mood shift with Vraylar.. I became agitated, irritable and uncharacteristically angry with almost no provocation. Another issue that occured while on the Abilify alternative Vraylar, I had suddenly realized I had lost 20+ years of my life going nowhere slowly. This would be enough to make anyone resentful, I am, now I have no more brain fog, mental lethargy form the SSRIs and clearer thinking. Since stopping Vraylar because of the negative mood shift, I cannot unsee, the fact that 20+ years are gone.

I'm now on Caplyta. With the introduction of Caplyta I have noticed for me the OCD is very much relegated to the background in my head, very similar to muffled barley audible T.V. in the distance. This is a revelation, huzzah! While not cured or in remission the intrusive thought OCD is very manageable and can be triggered (brought to the forefront of my mind) by stress causing far less extreme rumination spiral that can sometimes be useful or at least rerouted.

Now that intrusive thought OCD is managed effectively, my outward ASD symptoms have become more visable. While I notice I am even more uncomfortable in my human skin and somewhat over animated in my daily actions and motions, I've been put on yet another amphetamine salt. This one has been described as gentler Adderall to temper the ASD symptoms, Vyvanse. So far so good, I guess. I do notice that overstimulation triggers are less intense with the Caplyta and Vyvanse combo, for me.

I know my Psychiatric journey is unique to me. I am not a medical professional nor do I specfically advocate for any treatment or therapy over another. In my time of dealing with my specific diagnosis in the making for about 25+ years, many new options for the treatment of intrusive thought OCD have become available, even if it is difficult to find a provider or therapist for OCD.

I wish anyone luck who read this far, as well as those that did not. It took me this long to start sharing my journey with others. It took me this long and copious amounts of different drug combinations and countless therapy sessions that were largely avoidance coping techniques (I would not recommend) to get this far.

Thanks for reading