SSRI's (Selective Serotonin Reuptake Inhibitors), of which Prozac is one, have been clinically proven to diminish obsessions and compulsions, but in no way is it a cure. I took Prozac (and Zoloft and Lexapro at different times) starting last November, but I weaned off of it around April because I don't think that any SSRI does much for my
OCD, as I had two major OCD breakdowns while taking an SSRI. This, however, doesn't mean that it won't work for you. Everyone is different, and it's worth a try if your counting is interfering that much. What you'll probably notice while taking the Prozac is that you still count or have obsessions, but they will take up less time in your day, and you can let go of them easier. For example, when I started Zoloft for the second time, I went from obsessing about five hour a day to obsessing 1-3 hours a day. The reason that I don't think SSRI's worked for me is because I'm the classic "waxing-waning" case, where my OCD flares up every now and then, and medication can't stop it. I've been obsessing a little more, a couple months after I stopped the Prozac, but it's nothing major. Those few obsessions were all that the Prozac did for me, in my opinion, and I'm still in my waning phase after having a breakdown this past September-November. I highly doubt that 20 mg of Prozac will be enough to see a reaction, though. Your psychiatrist is slowly putting you on it because OCD-ers typically need far more of an SSRI than someone with unipolar depression. I was on 40 mg, and that's considered medium; many people are on 80, but 40's usually considered the minimum for OCD. Again, everyone's different, but it's good that you're trying it at all. You may find that both the Prozac and the Xanax don't work, and that's okay, too. There's plenty of other choices for SSRI's and benzodiazepines out there. Ativan did absolutely nothing for me, but I couldn't live without my Klonopin on really bad days. Good luck, God bless, and if you have any more questions, feel free to ask!