###Human: Are my symptoms suggestive of schizophrenia or OCD? ###Assistant: Hi. I understand you must be going through a tough time. First of all, please do not stress yourself so much with whether it is OCD or schizophrenia or what not. You are much more than a diagnosis. It is important you are at peace and have some relief from the distress. Coming to your symptoms, you have said you have intrusive thoughts but what kind of intrusive thoughts do you have? And apart from saying prayers and touching wood is there anything else that you do? From your history, it does seem that you are having severe OCD which is causing a lot of anxiety. If Prozac has helped you in the past, you can reconsider the same medication but you will have to take it for longer duration like two years or more and at a higher dose like 60 mg. Consider tablet Clomipramine 20 mg along with Prozac for an augmentation effect. For acute anxiety, you can consider tablet Etizolam on SOS basis. As for psychotherapy, rather than CBT, exposure and response prevention seems to be a more helpful option for you but we can explore more on that only when we know the exact nature of your intrusive thoughts. Please look up progressive muscle relaxation techniques. These will help you gain some control over your anxiety symptoms.