I have the same issue so I would love to hear other posters points of view on this matter as well. But I will sometimes dissociate when I try to fight an intrusive thought too hard. It's hard to describe how it happens/what it's like. I have found that playing relaxing music like nature sounds or soft piano music helps if I'm at home and can do so. I have also found distraction to often help the most. So I'll cuddle with my dog or cat, I'll try reading a book, searching the internet. Often it doesn't help but sometimes it does. I'm sure you've tried things like these. I'm not sure what your compulsions are but sometimes you can try and reprogram the compulsions to be something healthy like stretching, yoga, deep breathing. I know compulsions aren't good and hard to stop no matter what they are but it's something to think about/try.