nurseboy, kitcat and I were just kind of talking about this on another thread. I don't have compulsions , but I do have obessive thoughts and I have figured out that they are the reason I suffer from panic and anxiety. Kitcat suggested that whenever I have any negative thoughts I need to immediately replace it with a positive one. I know this doesn't sound like much , but it's a big thing for me because I used to think my anxiety and panic came out of nowhere , but now I realize negative thinking is what triggers it. Maybe if you work on stopping the negative thoughts you will see some improvement.