i mean thats about all you can do in conjunction with medication just sit with the anxiety and try not to form new compulsions about not doing compulsions creating some sort of bizarre compulsion feedback loop  ocd do the ritual or something bad will happen  me no absolutely not  ocd do it  me no  ocd oh i see something bad will happen if you do the ritual  me wait  ocd dont do the ritual  me im not listening to you  ocd so you are going to do the ritual