It is very common to feel overwhelmed by these symptoms, but they are highly manageable. The primary medications used to treat OCD are Selective Serotonin Reuptake Inhibitors (SSRIs), such as sertraline, fluoxetine, and fluvoxamine. These help regulate brain chemicals to reduce intrusive thoughts and compulsive behaviors, which in turn can greatly improve your sleep and fatigue. Another option is a tricyclic antidepressant called clomipramine. For the best results, medication is often paired with Cognitive Behavioral Therapy (CBT). Please consult a healthcare provider or psychiatrist. They can provide a proper diagnosis and safely guide your treatment journey.