I?ve had ocd since I was 13. Most of the obsessions were study related, though I had some normal compulsions too. I started treatment in 2017, I was prescribed fluvoxamine (20 mg) and cbt. I attended some therapy sessions while I was taking the medicines. It seemed to me like the medicines were working. It affected the compulsions. It was?t as severe as it was before but, my obsessive thoughts about things important to me appeared to be unchanged. Then I discontinued therapy but kept taking the medicines. During that phase, I could?t see any appreciable improvement during my obsessions. So I discontinued medication. I restarted treatment again in march 2019, as my obsessions were still there. The dosage was increased and I made some improvement i.e. Less anxiety. It?s not getting improving now though. I still have obsessions about things important to me. The uneasy anxiety is still there. How do I know if my condition is getting better? Do I need therapy? Are the medicines working?