I have OCD and I don't check things or worry about germs. I just obssesse over the same thing constantly. Usually it is a "bad" scary thought or something embarasing that I don't want to talk about to anyyone. I take luvox 300mg the max dose and it has helped me tremendously I can actually function. I aslo notice If I drink alot of caffiene or stay up real late the thoughts get worse. I hope this helps :) Good Luck, Brooke