I have been on 25 mg of Sertraline/Zoloft for almost 4 weeks. I am feeling a little better, my intrusive thoughts are having a harder time forming in my mind it seems. However, I am battling guilt and shame from a past action. The OCD is preventing me from setting the thought aside.. Making it nearly impossible to think straight and move past it.. My doctor upped my dose to 50 mg daily. I am very apprehensive to try it. My daughter's birthday party is a week and a half away. I'm nervous that upping the dose now will make me feel worse and I won't be able to do what to do for my child's birthday party that she has been looking so forward to. Any advice would be helpful..please and thank you!!!