For about a couple of months I've been having obsessive compulsive suicidal thoughts. I wouldn't classify them as real desires to end my life but a feeling that I have to hang myself with a belt from my family's chin up bar in the hall way. These are specific OCD suicidal thoughts. About a year and a half ago I had these thoughts but never had any particular thought on how to do it, as I'm having now. Right now I've been on 35 mg Prozac. I started on 10 mg in early December and've worked my way up to where I am now. I noticed that as I increased doses these thoughts intensified to where I had to go up in intervals of 5 mg instead of 10, like going from 30 to 35 instead of going to 40. Ever since Prozac increased it at the beginning I've felt that Prozac is causing these thoughts, however my psychiatrist feels that Prozac is not and if I went off Prozac they'd get worse. She wants me to give Prozac the "old college try". My dad removed the chin up bar in the hallway, so I feel some relief. But when that was there and I was home alone it was taunting me mentally. Now I'm afraid a new thought on how to do it might arise. I was on celexa 10 mg before early December for a month but decided to switch to Prozac because I thought I could do better. My psychiatrist is having knee replacement surgery today and will be out for 4 to 6 weeks. My mom feels that I should get a second opinion and go to another psychiatrist in the mean time. I'm also seeing a psychologist and I have social anxiety end generalized anxiety disorder and OCD. I have been down lately and not enthusiastic about life. I've just graduated from high school last year and am about to go to college. I'm a 19 year old male. Besides Prozac I take 1 mg Xanax ER, 2 mg rispersal,and 5 mg saphris daily. Another thing is how will I know if Prozac isn't right for me, it increases my OCD and anxiety before it starts working, but that's normal for antidepressants. At what dosage would it be good to call it quits and go to a different antidepressant or try celexa again on a higher dose?