But.. is the OCD your main problem? How could you be too unwell to focus on the OCD if it's your major concern?

I work at an OCD clinic and have OCD myself. I'll tell you that what they'd have you do is purposely think one of the "small thoughts" where you feel anxiety if you don't confess, but not overwhelming anxiety, and then you'd suppress the urge to confess for the "small thought." Then you'd work up from there, making sure you don't move so fast you overwhelm yourself. But God it's hard. Treatment for OCD is hell.. I'm going through it myself and it is so exhausting. Are you seeing someone who does ERP? Make sure you do -- it sucks, but it works!

Have you read the book Ella Enchanted? It's basically a story of a girl who had a spell put on her where she "must obey" when others tell her what to do, to an extreme. I'm sure the author was thinking of OCD when she wrote the book. Anyway, when I'm trying to fight my OCD, I think of myself like her -- that someone put a nasty spell on me and I'm heroic to be fighting back against it. I call my OCD "the spell." Seems to help me, to think about it like that.