I wish I could offer you advise. I have always been this way and it sucks. I have gotten to the point that I will sit and pick my husband and kids now. If I see any imperfection I want to squeeze it or use my fingernails to scrape it off. I don't know why but picking is very calming to me. It is like it takes all my stress away, until I am done and look at what I have done to myself and I am discusted and horrified.
I really hope you get some releif. If you do fing somethng that works please let me know. Right now I do like my drug cocktail too. I take in Am Effexor, deplin, and kolonopin and at night I take lamictal, klonopin, abien, and flexerall. Nothing really helps my OCD though.