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Wondering what, if any, other med option ideas folks might entertain for the following situation - someone with moderate ID, OCD, ASD, getting excellent comprehensive behavioral supports but driven/OCD-like behaviors have been extremely increased past couple of months. Already on SSRI and abilify; clomipramine or anything else requiring EKG probably not an option. This is not a client of mine; I just recently sat in on a meeting where it was being discussed and have been pondering the situation since and curious if there even are any other med options that might be considered in such a situation -- SSRIs and occasionally clomipramine are the only Rx that I have seen in my IDD folks with OCD thus far, but OCD isn't something I see super frequently, and certainly not driven to this extreme, so curious to learn more.