I don't really have any help to provide, as I am an insurance-less & therapy-less wreck... But I CAN relate. I've been bipolar for as long as I can remember & developed OCD as an adolescent, mainly repetitive thoughts & obsessions with patterns/symmetry. My OCD started to get better as my bipolar started to progressively get worse, but when I get a panic attack or overwhelmed, it flares up 10x. So perhaps managing your moods with your current medication & practicing destressing coping mechanisms can be enough to make it not take over your life. It will always BE there, but it doesn't have to dictate your thoughts all of the time... I read something in a book somewhere that Buddhist "mindfulness" techniques are good cognitive therapy for OCD patients because it helps them disconnect from their worries/obsessions & realize that thoughts are nothing to fear or worry about: They are just collections of words & images that merely exist.