i get through with ocd with being dissociative depersonalizationderealization helps me a lot because it blocks out all of my thoughts unless im forcing to think of something so i basically have no reading or narrator voice unless i want to  my brain used to hyperthink as a kid and it felt like 100 thoughts per minute because of how fast my thoughts were too i had terrible insomnia because of it  big hugs to you youre so strong op