Doubt and reassurances is such a debilitating that this is my 500th query on my illness on Lybrate .i am 50% improved by clomipramine as far as my ocd is concerned but as I have predominant obsession so it is very hard to get 100% result .but the worst part is that I am very unproductive, I don't bath, I do not brush for months .some well known psychiatrist says it is depression ,some says it is negative schizophrenia .i do not know who is right and doubt is still there so today I am again asking this question .my mother is schizophrenic but I don't have any classic delusion and hallucinations .i want to bath but I don't know why I can't, I just think rather execute the task .i have tried escitalopram ,fluvoxamine, fluoxetine, sertraline, desvenlafaxine with max dose for max time & I have also tried lowest dose of rpn, oleanz, qutipin, aripiprazole, amisulpride. Clomipramine is the only drug which is helping me 50% for my ocd .but what about the productivity? What is next step? please guide me!