I know exactly how you feel. I had similar problems while I was at college. Anxiety and OCD got out of control and it was hindering my ability to function. No sleep and spending all the rest of my time counting and planning the order of everyting I had to do. My counselor and doc there thought it would be in my best interest to try meds again. It was a rough month getting used to meds, but I am so glad I tried them again.

I'm not saying this is what you should do, but have you ever tried meds or considered trying them now?