Hi Kent- one issue with SSRI's and OCD is that the SSRI doses tend to run higher with OCD (as opposed to anxiety or depression). Often doctors keep OCD patients on a regular dose and do not push the dose to an OCD range. If this is the case, there are some tried and true techniques that therapists use. Some are better than others and I would definitely research a therapist before entering into a treatment program. I had a patient who found a lot of success from a national program out of New York that provided therapy via the phone specifically for OCD. Lastly, support groups that provide accountability can be helpful.