Seems one likely way to get the urge again is to continue therapy. Therapy is a powerful stimulus for addictive and obsessive behaviors. The entire therapy universe pretends it's not, blaming and shaming the victims instead.

Since most therapists are apparently not ok with obsessive clients, seems you'd have to forcibly suppress the urges, or act on them covertly, in order to not be punished again, which hardly seems healthy... but what do i know.