Hi there. Yes you are correct in that medication can sometimes make the OCD worse before it makes it better. It usually takes 4-6 weeks to build up the therapeutic dose in your system. I went through the same thing with increased anxiety but I stayed the course and was rewarded in 4 weeks. I kind of had the opposite thought...I thought I would up and go blind while I was driving. Stupid right! I can laugh about the thought now but back then, it was so real. You need to hang in there and continue to see your therapist. One of the things I did (and please discuss with your therapist first) is I would go into a dark room and picture myself doing the "harm" things I was thinking. When I did that everyday, what I realized is that that person isn't me. It was never something I would do. And incidentally, people with OCD don't carry out the thoughts we have. It is because they are so traumatic to us, so horrific, that we latch on to them and because they are traumatic and horrific, we don't act on them. Let me know how you are doing.