A private psilocybin truffle session can be considered for OCD and anxiety only with careful screening, solid preparation, and professional support. Whether it is safe for you depends on your current stability, how anxiety drives your symptoms, and your response to medication. I cannot verify your individual safety here.
On fluoxetine: combining SSRIs with psilocybin is not automatically ruled out, but SSRIs often blunt the depth of the experience. Fluoxetine and its active metabolite can persist for weeks, so “stopped” is not the same as “ready.” Any tapering must be planned with your psychiatrist, and you would want to be stable and free of withdrawal before considering a session.
For OCD and anxiety, a cautious dose strategy and the option to add a small booster later in the same session can prioritize containment and usefulness over maximum intensity. If psilocybin is not a fit, an LSD-like option is usually considered later, not as a first step. For context on choosing between them in OCD, see this overview: psilocybin or LSD for OCD.
Practical next step: arrange a thorough intake that includes diagnosis, medication history, current fluoxetine dose, and any taper plan, so a facilitator can judge timing and suitability in your case.
I hope this helps you decide your next step.