Are you in therapy?
Having someone to work with helps a lot, and also, setting goals.
For example, I have OCD, and one of my rituals is hand washing...After doing the dishes, I used to wash my hands 2-3 times to make sure that they were clean enough so that I wouldn't contaminate everything else that I touched. It was so bad that if I washed less than that, I couldn't even eat, even if I never touched the food with my hands (say it was yogurt or something)!
My therapist worked with me though, and gave me rules about how much I could wash each week.
At first, it was really little steps...Washing only 2 times once or twice a week...And then it gradually became never washing more than 2 times...And now we're down to never washing more than once, and she soon wants me to just be able to rinse and be done.
We're about to start the same thing with another ritual...Just working together and taking baby steps.
Oh, and I'm on Prozac 20mg which has definitely helped.
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