What do I say to new doctor?
Welcome to Anxiety Zone,
You tell it like it is. We tend to minimize our problems and put on a smile, but this is one time when you need to say it the way it is for you. Repeating more or less what you've written here would be a good start.
I really don't want to spend alot of money and leave with a script for celexa and have to quit klonopin. It's the only thing that works. I'm open to other suggestions for medicines that WE have found effective in addition to klonopin. I want to get better but I don't think I can. But I'm open to suggestions.
Benzodiazepines are great anti anxiety drugs, typically highly effective, begin working within minutes and usually have few side-effects. BUT they have one very serious disadvantage which, IMHO, precludes them from being first line anxiety meds, more and more doctors are becoming reluctant to prescribe them because of the perceived dependency issue. This is mostly nonsense, dependency can be as much an issue with antidepressants, but that is the situation. Even worse, when doctors develop benzophobia they will then often insist on weaning their patients off these meds far too quickly causing much unnecessary suffering.
So, despite their shortcomings, antidepressants are a better long term bet for anxiety. As several SSRIs have failed to make an impact either the SNRI duloxetine (Cymbalta), or one of the older tricyclic antidepressants (TCAs) would be a better choice than another SSRI. Given you have OCD, I suggest your and the nurse practitioner consider the TCA clomipramine (Anafranil) as it is one of the antidepressants with the best track record in treating this disorder (another is the SSRI fluvoxamine (Luvox)). The TCAs tend to produce fewer initial side-effects than the SSRIs, but have more ongoing ones, particularly dry-mouth and constipation. They are also usually easier to discontinue though this may be a moot point because if clomipramine works you should seriously consider staying on it permanently.