How Do I Get Effective Help for OCD?

I have tried medication and therapy and I’m not getting the help i need.

I look fine when I’m not, I don’t try to Kms but I feel like attempting due to intrusive thoughts, I won’t go batshit insane/psychotic but I’m living in my head and dealing with intrusive/repetitive thoughts.

This is driving me insane more than the intrusive thoughts, How do I actually get help or improve?

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