Human_Mind,As I said earlier, the Remeron is profoundly helpful with the urgency. Like you, my biggest symptoms are with urgency and repeat trips to my library. (Might as well be..I get so much reading done in there !!)I should add though, I also take Levsin and Lomotil which pretty much deals with everything as long as I keep my stress level low. That alone is a huge joke if you only knew where I work...as a therapist in a maximum security prison (primarily with the murder, rape and child molest perpetrators). Now, what was I saying about stress? Oh, and did I mention our suite of offices is about a 10 minute walk into the 32 acres of property. This is not a place for urgency.One final suggestion that a fellow therapist recommended to me a couple years ago. When you feel the urge, try your best to fight it by positive self-talk, distraction or whatever it takes to prolong going. IT REALLY WORKS!!! I discovered I had more "holding power" than I thought I had and form some reason, firmer movements; perhaps, from staying in there longer to absorb more water.Now, please don't assume this is a "cure all" and I never thought I'd ever survive that test, but, it sure did change my attitude and confidence.Please be encouraged. Not every day will be a bad day, nor will any day mean a bad week. I've learned we can do this "one day, sometimes one hour, at a time".Best Wishes for a better future !!!