I was on 200mg of sertraline for my OCD eventually and it didn't work for me, but I didn't have side effects at that dosage. I do have chronic sleep problems and I was on sleeping tablets for that. Do you think you could ask your doctor for some meds for sleep?
My ocd used to give me panic attacks constantly, to the point I had to be hospitalised at one point. So I thought of my breathing in that sense. It wasn't a compulsion, but a response to my obsessive stuff was that the anxiety turned into panic attacks. I don't know if that helps at all.
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