Have they considered an anti-anxiety medication. Just to ease the compulsion?

Talking to yourself - Hey we really pretty much know what we want to hear anyway, right!?! Kind'a of lightening it there -

But I talk to myself

Used to talk viciously mean to myself. Now I'm learning to be gentler and say stuff like 'it's alright you tried, did your best, silly,
Those are instead of Dumb Stupid *****..... I've come a long way